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COVID-19 大流行期间埃塞俄比亚医护人员的心理困扰及相关因素:一项横断面研究。

Psychological distress and associated factors among healthcare professionals in Ethiopia during the COVID-19 pandemic: a cross-sectional study.

机构信息

Department of Psychiatry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia

Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

BMJ Open. 2022 Jul 28;12(7):e057197. doi: 10.1136/bmjopen-2021-057197.

Abstract

OBJECTIVES

The objective of the study was to assess psychological distress (depression, anxiety and stress) and associated factors among healthcare professionals working at the University of Gondar Comprehensive Specialized Hospital, Ethiopia.

DESIGN

Institution-based cross-sectional study.

SETTING

This study was conducted at the University of Gondar Comprehensive Specialized Hospital.

PARTICIPANTS

Study participants were healthcare professionals from University of Gondar Comprehensive Specialized Hospital. They were selected for the study using a stratified sampling technique.

MEASUREMENT

Data were collected using a self-administered questionnaire. The 21-item Depression, Anxiety and Stress Scale was used to assess the depression, anxiety and stress levels. Descriptive and analytical statistics were used to present the findings. To determine the predictor variables for depression, anxiety and stress, a binary logistic regression model was fitted. Finally, variables with p value <0.05 in the final model were declared as significantly associated with psychological distress.

RESULT

Almost half (49.5) of the participants have psychological distress. The prevalence of depression, anxiety and stress during the COVID-19 pandemic among healthcare workers was 167 (42.7%), 201 (51.4%) and 242 (61.9%), respectively. In multivariable analysis, respondents found in the ages between 35 and 44; unmarried marital status; educational status with specialty, subspecialty and PhD holders; anaesthesia professionals; and healthcare professionals with known medical illness were significantly associated with depression. Unmarried marital status, anaesthesia professional, laboratory technologist and living with family were significantly associated with anxiety. Unmarried marital status; educational status with specialty, subspecialty and PhD holders; and anaesthesia professional were also statistically significant with stress.

CONCLUSION AND RECOMMENDATION

The prevalence of depression, anxiety and stress during the COVID-19 pandemic among the Gondar University healthcare professionals was high. This could contribute to implementation of mitigation measures in a standardised and sustainable manner and emphasis should be given to this aspect of health even for future similar and unanticipated events.

摘要

目的

本研究旨在评估在埃塞俄比亚贡德尔大学综合专科医院工作的医护人员的心理困扰(抑郁、焦虑和压力)及其相关因素。

设计

基于机构的横断面研究。

地点

本研究在贡德尔大学综合专科医院进行。

参与者

研究参与者为贡德尔大学综合专科医院的医护人员。他们是通过分层抽样技术选择参加研究的。

测量

使用自我管理问卷收集数据。使用 21 项抑郁、焦虑和压力量表评估抑郁、焦虑和压力水平。使用描述性和分析性统计数据呈现研究结果。为了确定抑郁、焦虑和压力的预测变量,拟合了二元逻辑回归模型。最后,在最终模型中 p 值<0.05 的变量被宣布为与心理困扰显著相关。

结果

近一半(49.5%)的参与者有心理困扰。在 COVID-19 大流行期间,医护人员的抑郁、焦虑和压力患病率分别为 167(42.7%)、201(51.4%)和 242(61.9%)。在多变量分析中,年龄在 35 至 44 岁之间、未婚、具有专业、专科和博士学位的教育程度、麻醉专业人员以及有已知医疗疾病的医护人员的受访者与抑郁显著相关。未婚、麻醉专业人员、实验室技术人员和与家人同住与焦虑显著相关。未婚、具有专业、专科和博士学位的教育程度和麻醉专业人员也与压力有统计学意义。

结论和建议

在 COVID-19 大流行期间,贡德尔大学医护人员的抑郁、焦虑和压力患病率较高。这可能有助于以标准化和可持续的方式实施缓解措施,即使是在未来类似和意外的情况下,也应重视这一方面的健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4f/9340579/abb4eae8cc3d/bmjopen-2021-057197f01.jpg

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