National Research and Innovation Agency, Jakarta, Indonesia.
Department of Public Health, Universitas Falatehan, Banten, Indonesia.
Front Public Health. 2022 Apr 27;10:743053. doi: 10.3389/fpubh.2022.743053. eCollection 2022.
The Indonesian government launched the Nusantara Sehat program in 2015, under which teams of health workers were assigned to community health care centers in remote, border, and island areas for 2 years. The deployment to remote areas is likely to affect their psychological condition if they are not equipped with facilities and strong motivation. This study aimed to describe the psychological condition of health workers in remote areas in Indonesia, focusing on the proportion of the prevalence of depression and psychological stress.
This cross-sectional study was conducted between April and December of 2018. Participants were 140 health workers placed in 26 community healthcare centers in 13 provinces. Interviews were conducted by enumerators using a questionnaire that included questions from the Mini International Neuropsychiatric Interview (MINI) and Self-Reporting Questionnaire-20 (SRQ-20).
Of the participants, 7.1% experienced depression and 10.0% experienced psychological stress. Motivation was related to psychological stress in participants with an odds ratio of 0,218 (95% confidence interval = 0.065-0.729, = 0.013). Health workers with high motivation tend not to experience psychological stress compared to individuals with lower motivation.
Health workers with high motivation experience relatively low levels of psychological stress. To overcome stress, high motivation is needed to control psychological risk factors before and during placement.
2015 年，印度尼西亚政府启动了努桑塔拉健康计划，根据该计划，医疗工作者团队被分配到偏远、边境和岛屿地区的社区卫生保健中心工作两年。如果没有配备设施和强大的动力，被部署到偏远地区可能会影响他们的心理状况。本研究旨在描述印度尼西亚偏远地区卫生工作者的心理状况，重点关注抑郁和心理压力的患病率比例。
这是一项横断面研究，于 2018 年 4 月至 12 月进行。参与者为 140 名被派往 13 个省 26 个社区医疗保健中心的卫生工作者。访谈由普查员使用包括迷你国际神经精神病学访谈 (MINI) 和自我报告问卷-20 (SRQ-20) 问题在内的问卷进行。
在参与者中，7.1%的人患有抑郁症，10.0%的人患有心理压力。动机与参与者的心理压力有关，优势比为 0.218（95%置信区间=0.065-0.729， = 0.013）。与动机较低的人相比，高动机的卫生工作者不太可能经历心理压力。
高动机的卫生工作者经历的心理压力相对较低。为了克服压力，在部署前和部署期间需要高动机来控制心理风险因素。
