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尼日利亚医护人员在 COVID-19 大流行期间的心理困扰、焦虑、抑郁及相关因素:一项横断面研究。

Psychological Distress, Anxiety, Depression, and Associated Factors Among Nigerian Healthcare Workers During COVID-19 Pandemic: A Cross-Sectional Study.

机构信息

Department of Mental Health, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

Department of Mental Health, Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

出版信息

Int J Public Health. 2022 Nov 17;67:1604835. doi: 10.3389/ijph.2022.1604835. eCollection 2022.

Abstract

We determined the prevalence of psychological distress, and the associations between sociodemographic factors, anxiety, depression, COVID-19-related experiences, and psychological distress, among nurses and doctors in Nigeria. The study was a cross-sectional descriptive study, conducted over a month (1st of July-31st of July 2021) among 434 Health Care Workers (HCWs) [225 (51.8%) nurses and 209 (48.2%) doctors] from two tertiary health facilities in southwestern Nigeria. Binary logistic regression was carried out to determine the factors associated with psychological distress (dependent variable), while the independent variables were anxiety, depression, and COVID-19 experience-related factors. The prevalence of moderate and severe psychological distress was 49.1% and 5.8%, respectively. Individuals who had the first degree had significantly lower odds (AOR: 0.43; = 0.037) of experiencing psychological distress while being a nurse (AOR: 2.03; = 0.014), higher levels of anxiety (1.28; < 0.001), and depression (AOR: 1.17; = 0.005) were associated with significantly higher odds of experiencing moderate to severe levels of psychological distress. There is a high level of psychological distress experienced by these health workers. Hence, they will benefit from strategies to reduce their distress.

摘要

我们确定了尼日利亚护士和医生的心理困扰的流行率,以及社会人口因素、焦虑、抑郁、与 COVID-19 相关的经历与心理困扰之间的关联。这项研究是一项横断面描述性研究,在 2021 年 7 月 1 日至 7 月 31 日期间,在尼日利亚西南部的两家三级医疗机构中,对 434 名医护人员(HCWs)[225 名(51.8%)护士和 209 名(48.2%)医生]进行了调查。二元逻辑回归用于确定与心理困扰(因变量)相关的因素,而焦虑、抑郁和与 COVID-19 经历相关的因素是自变量。中度和重度心理困扰的患病率分别为 49.1%和 5.8%。具有学士学位的个体经历心理困扰的可能性显著降低(优势比:0.43; = 0.037),而作为护士(优势比:2.03; = 0.014),焦虑程度较高(1.28;<0.001)和抑郁(优势比:1.17; = 0.005)与经历中度至重度心理困扰的可能性显著增加相关。这些卫生工作者经历了高度的心理困扰。因此,他们将受益于减轻其困扰的策略。

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