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尼日利亚一家三级医院医生和护士的心理健康状况:COVID-19经历

Mental health status of doctors and nurses in a Nigerian tertiary hospital: A COVID-19 experience.

作者信息

Olude Olufunto A, Odeyemi Kofoworola, Kanma-Okafor Oluchi J, Badru Oluwaseun A, Bashir Shakira A, Olusegun John O, Atilola Olayinka

机构信息

Department of Pharmacy, Federal Neuropsychiatry Hospital, Lagos, Nigeria.

Department of Community Health and Primary Care, Faculty of Clinical Science, University of Lagos, Lagos, Nigeria.

出版信息

S Afr J Psychiatr. 2022 Oct 28;28:1904. doi: 10.4102/sajpsychiatry.v28i0.1904. eCollection 2022.

DOI:10.4102/sajpsychiatry.v28i0.1904
PMID:36340640
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9634655/
Abstract

BACKGROUND

Healthcare professionals (HCPs) working to save lives during the coronavirus disease 2019 (COVID-19) pandemic are under tremendous physical and psychological pressure, therefore facing the risk of developing challenges with mental health.

AIM

This study aimed primarily to determine the prevalence and factors associated with depression, anxiety and stress among HCPs in a tertiary hospital in Lagos State during the COVID-19 pandemic.

SETTING

Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria.

METHODS

This was a descriptive cross-sectional study conducted between June and July 2021 among 1452 doctors and nurses in LASUTH, Ikeja, Lagos, Nigeria, selected by the multistage sampling method. Depression, anxiety and stress were assessed using the Patient Health Questionnaire, Generalised Anxiety Disorder and Perceived Stress Scale, respectively.

RESULTS

The majority of respondents were female (72.5%), with two-thirds being nurses. The prevalence of depression, anxiety and stress was 9.8%, 5.0% and 62.4%, respectively. Nurses showed a higher prevalence of these mental health conditions as compared with doctors. Younger HCPs, nurses, those that lost a colleague to COVID-19, and those whose family members were infected with COVID-19 were more likely to be depressed. Nurses and those afraid of being infected were more likely to experience anxiety. Younger HCPs, nurses, history of anxiety and/or depression and previous COVID-19 infection were identified as factors associated with stress.

CONCLUSION

Stress was the most prevalent mental health condition with nurses being the most affected of the HCPs and at a greater risk of developing challenges with mental health. Psychosocial interventions and stress management techniques are recommended to minimise the risks.

CONTRIBUTION

This study adds to the few studies on the mental health of HCPs during COVID-19 and calls for in-depth surveys to understand psychosocial challenges among HCPs in Nigeria.

摘要

背景

在2019冠状病毒病(COVID-19)大流行期间致力于挽救生命的医护人员承受着巨大的身心压力,因此面临心理健康出现问题的风险。

目的

本研究主要旨在确定COVID-19大流行期间拉各斯州一家三级医院的医护人员中抑郁、焦虑和压力的患病率及相关因素。

地点

尼日利亚拉各斯拉各斯州大学教学医院(LASUTH),伊凯贾。

方法

这是一项描述性横断面研究,于2021年6月至7月在尼日利亚拉各斯伊凯贾的LASUTH的1452名医生和护士中进行,采用多阶段抽样方法选取。分别使用患者健康问卷、广泛性焦虑症量表和感知压力量表评估抑郁、焦虑和压力。

结果

大多数受访者为女性(72.5%),其中三分之二是护士。抑郁、焦虑和压力的患病率分别为9.8%、5.0%和62.4%。与医生相比,护士中这些心理健康状况的患病率更高。年轻的医护人员、护士、有同事因COVID-19去世的人以及家庭成员感染COVID-19的人更易患抑郁症。护士和害怕被感染的人更易出现焦虑。年轻的医护人员、护士、有焦虑和/或抑郁病史以及曾感染过COVID-19被确定为与压力相关的因素。

结论

压力是最普遍的心理健康状况,护士是受影响最大的医护人员群体,面临更大的心理健康问题风险。建议采取心理社会干预和压力管理技巧以降低风险。

贡献

本研究补充了关于COVID-19期间医护人员心理健康的少数研究,并呼吁进行深入调查以了解尼日利亚医护人员面临的心理社会挑战。

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