Makević Aleksandar, Ilić Aleksandra, Pantović-Stefanović Maja, Murić Nemanja, Djordjević Nataša, Jurišić Vladimir
Institute for Health Protection Workers of Serbian Railways" Belgrade, Serbia.
General Hospital: "Medical System" (MSB), Belgrade, Vojvode Stepe 323, Serbia.
Int J Disaster Risk Reduct. 2022 Jul;77:103086. doi: 10.1016/j.ijdrr.2022.103086. Epub 2022 Jun 3.
It has been reported that COVID-19 patients in general often experience anxiety, depression and stress, but those problems in patients of temporary COVID-19 hospitals seem to have attracted less attention.
The study included 87 SARS-Cov-2 infected subjects accommodated and treated in a temporary hospital in Belgrade, Serbia, during the first epidemic wave of COVID-19. The patients' level of anxiety was assessed on two occasions (at admission to the temporary hospital, and 2 weeks after discharge) using the Hamilton Anxiety Rating Scale (HAM-A). Demographic and clinical data were obtained through questionnairesor retrieved from patients' medical records.
A multiple linear regression model revealed that sex, age, the severity of COVID-19 symptoms (COVID-19_SS) and the family history of psychiatric disorder (FHPD) remain significant predictors of the level of anxiety at hospital admission (F (4, 82) = 14.916, p < 0.0001), wih an R of 0.421. Participants' predicted level of anxiety at admission to the temporary COVID-19 hospital can be calculated as 0.931-0.708 × SEX +0.029 × AGE +0.674 × COVID-19_SS + 1.491 × FHPD, where SEX is coded as 1 for male and 0 for female, AGE is measured in years, COVID-19_SS is coded as 0 for asymptomatic, 1 for mild, 2 for moderate and 3 for severe, and FHPD as 0 for negative and 1 for positive. Comparison between individual HAM-A score at admission to the temporary hospital (median (IQR): 7.00 (2.00-11.75)) and 2 weeks after discharge (median (IQR): 0.00 (0.00-1.00)) revealed significant reduction in the level of anxiety among study participants (Z = -7.53, p < 0.001).
These data indicate that psychological changes exist in those hospitalized in temporary hospitals, but that they regress soon after they leave.
据报道，新冠病毒病（COVID-19）患者普遍经常经历焦虑、抑郁和压力，但临时COVID-19医院患者的这些问题似乎较少受到关注。
该研究纳入了在塞尔维亚贝尔格莱德一家临时医院收治和治疗的87名感染严重急性呼吸综合征冠状病毒2（SARS-CoV-2）的受试者，这些受试者处于COVID-19的第一波疫情期间。使用汉密尔顿焦虑评定量表（HAM-A）在两个时间点（入住临时医院时和出院后2周）评估患者的焦虑水平。通过问卷调查或从患者病历中获取人口统计学和临床数据。
多元线性回归模型显示，性别、年龄、COVID-19症状严重程度（COVID-19_SS）和精神疾病家族史（FHPD）仍然是入院时焦虑水平的显著预测因素（F(4, 82) = 14.916，p < 0.0001），R为0.421。临时COVID-19医院入院时参与者的预测焦虑水平可计算为0.931 - 0.708×性别 + 0.029×年龄 + 0.674×COVID-19_SS + 1.491×FHPD，其中性别男性编码为1，女性编码为0，年龄以岁为单位，COVID-19_SS无症状编码为0，轻度编码为1，中度编码为2，重度编码为3，FHPD阴性编码为0，阳性编码为1。临时医院入院时个体HAM-A评分（中位数（四分位间距）：7.00（2.00 - 11.75））与出院后2周（中位数（四分位间距）：0.00（0.00 - 1.00））的比较显示，研究参与者的焦虑水平显著降低（Z = -7.53，p < 0.001）。
这些数据表明，在临时医院住院的患者存在心理变化，但出院后不久这些变化就会消退。
