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新冠疫情期间巴基斯坦医护人员的抑郁与焦虑:一项定性研究

Depression and anxiety among Pakistani healthcare workers amid COVID-19 pandemic: A qualitative study.

作者信息

Ullah Irfan, Khan Kiran Shafiq, Ali Iftikhar, Ullah Arslan Rahat, Mukhtar Sonia, de Filippis Renato, Malik Najma Iqbal, Shalbafan Mohammadreza, Hassan Zair, Asghar Muhammad Sohaib

机构信息

Kabir Medical College, Gandhara University, Peshawar, Pakistan.

Undergraduate Research Organizations, Dhaka, Bangladesh.

出版信息

Ann Med Surg (Lond). 2022 Jun;78:103863. doi: 10.1016/j.amsu.2022.103863. Epub 2022 May 26.

Abstract

OBJECTIVES

The sudden COVID-19 crisis required a determined effort on the part of the healthcare workers (HCWs) and excessive workload increased the risk of depressive and anxious symptoms in frontliners. The aim of the study was to assess anxiety and depression levels among HCWs during times of pandemic and its potential aggravating factors.

MATERIALS AND METHODS

A web-based survey was conducted to assess the mental health outcomes of healthcare workers and related factors during the COVID-19 pandemic. For assessing depression and anxiety, the Hospital Anxiety and Depression Scale (HADS) comprised of 14 items with seven items for depression and seven for anxiety were used.

RESULTS

Of all 436 participants, 158 (36.2%) showed noticeable symptoms of depression and 220 (50.4%) showed substantial anxiety symptoms. The majority of them were females. It has been observed in the study that female gender, young, and unmarried marital status are associated with higher scores. HCWs working in urban regions show more depressive symptoms. Mild depression and anxiety ratio are very common among participants (21.3%). Factors found to be associated with higher anxiety and depression are the increased number of deceased patients with lower family support.

CONCLUSIONS

Altogether, the present study findings present concerns about the psychological well-being of all HCWs during the acute COVID-19 outbreak. Therefore, steps should be taken to protect them from mental exhaustion, so they may fight with more zeal against the infectious pandemic that has caused significant impacts worldwide.

摘要

目的

突如其来的新冠疫情危机要求医护人员付出坚定努力,而工作量过大增加了一线人员出现抑郁和焦虑症状的风险。本研究的目的是评估疫情期间医护人员的焦虑和抑郁水平及其潜在加重因素。

材料与方法

开展了一项基于网络的调查,以评估新冠疫情期间医护人员的心理健康状况及相关因素。为评估抑郁和焦虑,使用了由14个项目组成的医院焦虑抑郁量表(HADS),其中7个项目用于评估抑郁,7个项目用于评估焦虑。

结果

在所有436名参与者中,158人(36.2%)表现出明显的抑郁症状,220人(50.4%)表现出显著的焦虑症状。他们中大多数为女性。研究发现,女性、年轻及未婚婚姻状况与得分较高有关。在城市地区工作的医护人员表现出更多的抑郁症状。轻度抑郁和焦虑比例在参与者中非常常见(21.3%)。发现与较高焦虑和抑郁相关的因素是死亡患者数量增加且家庭支持较少。

结论

总体而言,本研究结果显示了在新冠疫情急性爆发期间所有医护人员心理健康状况令人担忧。因此,应采取措施保护他们免受精神疲惫之苦,以便他们能更热忱地抗击这场已在全球造成重大影响的传染性疫情。

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