Department of Clinical Spiritual Care, Hunan Cancer Hospital/The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Medical Services Section, Xinhua People's Hospital, Pingdingshan, China.
Front Public Health. 2022 Aug 17;10:963673. doi: 10.3389/fpubh.2022.963673. eCollection 2022.
As unprecedented and prolonged crisis, healthcare workers (HCWs) are at high risk of developing psychological disorders. We investigated the psychological impact of COVID-19 pandemic on HCWs.
This cross-sectional study randomly recruited 439 HCWs in Hunan Cancer Hospital via a web-based sampling method from June 1st 2021 to March 31st 2022. Anxiety and depression levels were measured using Hospital Anxiety and Depression Scale (HADS). The Post Traumatic Stress Disorder (PTSD) Checklist for DSM-5 (PCL-5) was used to assess the presence and severity of PTSD. Fear was measured by modified scale of SARS. Data were collected based on these questionnaires. Differences in fear, anxiety, depression and PTSD among HCWs with different clinical characteristics were analyzed using a multivariate analysis of variance. The Cronbach's alpha scores in our samples were calculated to evaluate the internal consistency of HADS, fear scale and PCL-5.
The prevalence of anxiety, depression, and PTSD in HCWs was 15.7, 9.6, and 12.8%, respectively. Females and nurses were with higher fear level ( < 0.05) and higher PTSD levels ( < 0.05). Further analysis of female HCWs revealed that PTSD levels in the 35-59 years-old age group were higher than that in other groups; while married female HCWs were with increased fear than single HCWs. The internal consistency was good, with Cronbach's α = 0.88, 0.80 and 0.84 for HADS, fear scale, and PCL, respectively.
Gender, marital status, and age are related to different level of psychological disorders in HCWs. Clinical supportive care should be implemented for specific group of HCWs.
作为一场前所未有的长期危机，医护人员（HCWs）面临着较高的心理障碍发病风险。本研究旨在调查 COVID-19 大流行对 HCWs 的心理影响。
本横断面研究于 2021 年 6 月 1 日至 2022 年 3 月 31 日通过网络抽样方法在湖南省肿瘤医院随机招募了 439 名 HCWs。采用医院焦虑抑郁量表（HADS）评估焦虑和抑郁水平。采用 DSM-5 创伤后应激障碍检查表（PCL-5）评估 PTSD 的发生和严重程度。采用改良 SARS 量表评估恐惧。根据这些问卷收集数据。采用多变量方差分析比较不同临床特征的 HCWs 之间的恐惧、焦虑、抑郁和 PTSD 差异。用 Cronbach's alpha 分数评估 HADS、恐惧量表和 PCL-5 的内部一致性。
HCWs 的焦虑、抑郁和 PTSD 发生率分别为 15.7%、9.6%和 12.8%。女性和护士的恐惧水平（<0.05）和 PTSD 水平（<0.05）较高。进一步分析女性 HCWs 发现，35-59 岁年龄组的 PTSD 水平高于其他组；已婚女性 HCWs 的恐惧程度高于单身 HCWs。HADS、恐惧量表和 PCL 的 Cronbach's α 分别为 0.88、0.80 和 0.84，内部一致性良好。
性别、婚姻状况和年龄与 HCWs 不同程度的心理障碍有关。应针对特定的 HCWs 群体实施临床支持性护理。
