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越南第四波疫情期间 COVID-19 患者的创伤后应激障碍、焦虑、抑郁及相关因素。

Post-traumatic stress disorder, anxiety, depression and related factors among COVID-19 patients during the fourth wave of the pandemic in Vietnam.

机构信息

University Medical Center Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam.

University of Medicine and Pharmacy at Ho Chi Minh City, 215, Hong Bang Street, Ward 11, District 5, Ho Chi Minh City, 700000, Vietnam.

出版信息

Int Health. 2023 Jul 4;15(4):365-375. doi: 10.1093/inthealth/ihac040.

Abstract

BACKGROUND

This study investigated post-traumatic stress disorder (PTSD), anxiety, depression and their related factors among coronavirus disease 2019 (COVID-19) patients during the fourth wave of the pandemic in Vietnam.

METHODS

Vietnamese-fluent confirmed COVID-19 patients for at least 3 d were recruited in this online cross-sectional study to answer a three-part questionnaire including participants' sociodemographic characteristics, PTSD (Impact of Event Scale-Revised) and anxiety and depression (Hospital Anxiety and Depression Scale). Associated factors were determined using multivariable binary logistic regression models.

RESULTS

Of 1544 responses, the majority were female (53.0%), ages 18-39 y (74.8%) and were isolated and treated at field hospitals (72.2%). Family or friends were the greatest sources of mental support (68.2%), followed by healthcare providers (51.1%). The overall prevalence rates of PTSD, anxiety and depression among COVID-19 patients were 22.9%, 11.2% and 17.4%, respectively. Risk factors included older age, higher education, getting infected from the public, knowing someone who died from COVID-19 and high perception of life threat. Meanwhile, mental assistance from family or friends, a greater number of supporters, living with someone not vulnerable and higher salaries were significantly protective factors.

CONCLUSIONS

The psychological responses associated with some sociodemographic details. Family or friends should be the first line of mental interventions for COVID-19 patients.

摘要

背景

本研究调查了越南第四波大流行期间 COVID-19 患者的创伤后应激障碍(PTSD)、焦虑、抑郁及其相关因素。

方法

本在线横断面研究招募了语言流利的确诊 COVID-19 患者至少 3 天,以回答包括参与者社会人口统计学特征、PTSD(事件影响量表修订版)和焦虑和抑郁(医院焦虑和抑郁量表)在内的三部分问卷。使用多变量二分类逻辑回归模型确定相关因素。

结果

在 1544 份回复中,大多数是女性(53.0%),年龄在 18-39 岁(74.8%),在野战医院隔离和治疗(72.2%)。家人或朋友是最大的精神支持来源(68.2%),其次是医疗保健提供者(51.1%)。COVID-19 患者 PTSD、焦虑和抑郁的总患病率分别为 22.9%、11.2%和 17.4%。危险因素包括年龄较大、较高的教育程度、从公众中感染、认识死于 COVID-19 的人以及对生命威胁的高感知。同时,来自家人或朋友的精神援助、更多的支持者、与不易感染的人一起生活和更高的工资是显著的保护因素。

结论

心理反应与一些社会人口统计学细节有关。家人或朋友应该是 COVID-19 患者心理干预的第一线。

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