Pataka Athanasia, Kotoulas Seraphim, Tzinas Asterios, Kasnaki Nectaria, Sourla Evdokia, Chatzopoulos Evangelos, Grigoriou Ioanna, Argyropoulou Paraskevi
Medical School, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.
Respiratory Failure Unit, G. Papanikolaou Hospital, 57010 Thessaloniki, Greece.
Healthcare (Basel). 2022 Jul 26;10(8):1395. doi: 10.3390/healthcare10081395.
Background: During the recent pandemic, Healthcare Professionals (HCPs) presented a significant prevalence of psychological health problems and sleep disturbances. The aim of this study was to assess the impact of COVID-19 on HCPs’ sleep and mental stress with a separate analysis for primary care HCPs. Methods: A cross-sectional observational study with an online anonymized, self-reported questionnaire was conducted in May 2020 (1st wave) and repeated in December 2020 (2nd wave). Patient health questionnaire-4 (PHQ-4), dimensions of anger reactions-5 (DAR-5) scale, 3-item UCLA loneliness scale (LS) and sleep condition indicator (SCI) were used. Results: Overall, 574 participants were included from the 1st wave, 514 from the 2nd and 469 were followed during both. Anxiety and depression were significantly higher during the 2nd wave vs. the 1st (32.8% vs. 12.7%, p < 0.001 and 37.7% vs. 15.8%, p < 0.001). During the 2nd wave, HCPs scored significantly higher in DAR-5 (9.23 ± 3.82 vs. 7.3 ± 3.3, p < 0.001) and LS (5.88 ± 1.90 vs. 4.9 ± 1.9, p < 0.001) with worse sleep quality SCI (23.7 ± 6.6 vs. 25.4 ± 3.2, p < 0.001). This was more evident in primary care HCPs. Significant correlations were found between SCI and PHQ4, DAR5 and LS. Conclusion: There is a need to support HCPs’ mental health and sleep, especially in those working in primary care.
在最近的疫情期间，医护人员心理健康问题和睡眠障碍的发生率显著升高。本研究的目的是评估新冠疫情对医护人员睡眠和精神压力的影响，并对基层医疗医护人员进行单独分析。方法：于2020年5月（第一波）开展了一项横断面观察性研究，采用在线匿名自填问卷，并于2020年12月（第二波）重复进行。使用了患者健康问卷-4（PHQ-4）、愤怒反应维度-5（DAR-5）量表、3项加州大学洛杉矶分校孤独感量表（LS）和睡眠状况指标（SCI）。结果：总体而言，第一波纳入了574名参与者，第二波纳入了514名，469名在两波调查中均被随访。与第一波相比，第二波的焦虑和抑郁水平显著更高（分别为32.8%对12.7%，p<0.001；37.7%对15.8%，p<0.001）。在第二波中，医护人员在DAR-5量表上的得分显著更高（9.23±3.82对7.3±3.3，p<0.001），在LS量表上的得分也显著更高（5.88±1.90对4.9±1.9，p<0.001），睡眠质量SCI更差（23.7±6.6对25.4±3.2，p<0.001）。这在基层医疗医护人员中更为明显。SCI与PHQ4、DAR5和LS之间存在显著相关性。结论：有必要支持医护人员的心理健康和睡眠，尤其是基层医疗岗位的医护人员。
