Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, Katholieke Universiteit (KU) Leuven, Leuven, Belgium.
Department of Sociology and Social Administration, Faculty of Arts and Social Sciences, Kyambogo University, Kampala, Uganda.
Pan Afr Med J. 2022 Jul 15;42:210. doi: 10.11604/pamj.2022.42.210.33928. eCollection 2022.
mental health nurses (MHNs) work in potentially high-stress settings, in particular in low-income countries during the COVID-19 pandemic the risk might be high. This multi-centre, cross-sectional study explored the prevalence of psychological distress and post-traumatic stress disorder (PTSD) symptoms among Ugandan MHNs and investigated associations between these mental health outcomes and lifestyle factors.
in this cross-sectional study, participants completed the Kessler-6 (K-6), PTSD checklist for DSM-5 (PCL-5), simple physical activity questionnaire (SIMPAQ), physical activity (PA) vital sign (PAVS), Pittsburgh sleep quality index (PSQI, and alcohol use disorder identification test-concise (AUDIT-C). Spearman Rho correlations and Mann Whitney U tests were applied.
of 108 included MHNs (age =34.8±10.0 years; 55.6% female) 92.6% had psychological distress (K-6≥13), 44.4% elevated PTSD symptoms (PCL-%≥41), 74.1% was physically inactive (less than 150min/week on PAVS), 75.9% reported poor sleep quality (PSQI>-5) and 24.4% harmful drinking (AUDIT-C≥3 for women and -≥4 for men). SIMPAQ exercise correlated with K-6 (rho =-0.36, P<0.001) and PCL-5 (rho=-0.24, P=0.013), SIMPAQ walking with PCL-5 (rho =-0.31, P<0.001). Mental health nurses meeting the PA guidelines reported lower PCL-5 scores than those who did not (P<0.005).
in Uganda, the mental health burden is high during the COVID-19 pandemic among MHNs and associated with an unhealthy lifestyle. The effectiveness and efficacy of resilience programs for MHNs focusing on unhealthy lifestyle patterns should be explored.
精神科护士（MHN）在高压力环境中工作，特别是在 COVID-19 大流行期间的低收入国家，风险可能很高。这项多中心、横断面研究探讨了乌干达 MHN 中心理困扰和创伤后应激障碍（PTSD）症状的患病率，并调查了这些心理健康结果与生活方式因素之间的关联。
在这项横断面研究中，参与者完成了 Kessler-6（K-6）、DSM-5 PTSD 检查表（PCL-5）、简单体力活动问卷（SIMPAQ）、体力活动（PA）生命体征（PAVS）、匹兹堡睡眠质量指数（PSQI）和酒精使用障碍识别测试简明版（AUDIT-C）。应用 Spearman Rho 相关系数和 Mann Whitney U 检验。
在纳入的 108 名 MHN 中（年龄=34.8±10.0 岁；55.6%为女性），92.6%存在心理困扰（K-6≥13），44.4%存在 PTSD 症状升高（PCL-%≥41），74.1%为体力活动不足（PAVS 每周少于 150 分钟），75.9%报告睡眠质量差（PSQI>-5），24.4%为有害饮酒（女性 AUDIT-C≥3，男性≥4）。SIMPAQ 运动与 K-6（rho=-0.36，P<0.001）和 PCL-5（rho=-0.24，P=0.013）相关，SIMPAQ 步行与 PCL-5（rho=-0.31，P<0.001）相关。符合 PA 指南的 MHN 报告的 PCL-5 评分低于不符合指南的 MHN（P<0.005）。
在 COVID-19 大流行期间，乌干达 MHN 的精神卫生负担很高，并与不健康的生活方式有关。应探索针对 MHN 关注不健康生活方式模式的弹性计划的有效性和功效。
