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急诊科住院医生中焦虑水平的程度和模式以及应对策略的性别倾向

Magnitude and pattern of anxiety levels with gender wise predilection of coping strategies amid resident doctors of emergency department.

作者信息

Zehra Sehrish, Qureshi Farhan Muhammad, Faiz Samira, Khalid Kanwal

机构信息

Dr. Sehrish Zehra, MP, Department of Community Health Sciences, Karachi Institute of Medical Sciences, Malir Cantt, Karachi, Pakistan.

Dr. Farhan Muhammad Qureshi, MS - Public Health & Health Promotion, Department of Community Health Sciences, Karachi Institute of Medical Sciences, Malir Cantt, Karachi, Pakistan.

出版信息

Pak J Med Sci. 2022 Mar-Apr;38(4Part-II):844-849. doi: 10.12669/pjms.38.4.5105.

Abstract

OBJECTIVES

To screen and assess the severity level of anxiety, its influencing factors along with the gender-wise predilection of coping strategies among resident doctors working in accident and emergency departments.

METHODS

A transverse study was conducted amongst 260 resident doctors of accident and emergency department of different teaching hospitals of Karachi from October 2020 until March 2021. A demographic sheet containing questions related to factors, GAD-7 (Generalized Anxiety Disorder) and Brief COPE were used to measure the severity level of anxiety and coping strategies. Data was scored according to the standard scoring procedure for each subscale and for further statistical analysis SPSS Version 21 was used.

RESULTS

Out of all participants, 68.1% were <30 years of age, 63.1% were females while 54.2% were single. The findings of the study showed the prevalence of anxiety within the range of normal (38.1%), mild (35.0%), moderate (16.9%) and severe (10.0%). Gender (p= 0.001), marital status (p= 0.040) and job satisfaction (p= 0.007) among resident doctors were significantly associated with level of anxiety. Deemed to coping strategies, the most frequently were planning (n=145, 90.0%), acceptance (n=141, 87.6%), and religion (n=137, 85.1 %). All coping strategies were mostly opted by females except substance abuse.

CONCLUSION

More than a half of the resident doctors manifested with mild to severe anxiety disorder, which highlights the need for psychological support programs to minimize anxiety levels and to ensure a healthy environment at workplace for the health practitioners.

摘要

目的

筛查和评估急诊部门住院医生的焦虑严重程度、影响因素以及应对策略的性别倾向。

方法

2020年10月至2021年3月,在卡拉奇不同教学医院的急诊科对260名住院医生进行了一项横断面研究。使用包含与各种因素、广泛性焦虑障碍量表(GAD - 7)和简易应对方式问卷(Brief COPE)相关问题的人口统计学表格来测量焦虑严重程度和应对策略。数据根据每个子量表的标准评分程序进行评分,并使用SPSS 21版进行进一步的统计分析。

结果

在所有参与者中,68.1%年龄小于30岁,63.1%为女性,54.2%为单身。研究结果显示,焦虑的患病率处于正常范围(38.1%)、轻度(35.0%)、中度(16.9%)和重度(10.0%)。住院医生的性别(p = 0.001)、婚姻状况(p = 0.040)和工作满意度(p = 0.007)与焦虑水平显著相关。在应对策略方面,最常采用的是计划(n = 145,90.0%)、接受(n = 141,87.6%)和宗教(n = 137,85.1%)。除物质滥用外,所有应对策略大多由女性选择。

结论

超过一半的住院医生表现出轻度至重度焦虑症,这凸显了需要开展心理支持项目,以将焦虑水平降至最低,并确保为医护人员营造一个健康的工作环境。

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