Rifai Ahmad, Wu Wan-Ching, Tang Yu-Wen, Lu Mei-Yun, Chiu Pei-Jen, Strong Carol, Lin Chung-Ying, Chen Po-Lin, Ko Wen-Chien, Ko Nai-Ying
Department of Nursing, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan.
International Doctoral Program in Nursing, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan.
Vaccines (Basel). 2023 Jan 5;11(1):129. doi: 10.3390/vaccines11010129.
The COVID-19 pandemic places high pressure on everyone, including healthcare workers (HCWs), thus causing them to experience psychological distress. HCWs have priority in receiving the COVID-19 vaccine. However, few studies have identified adverse events (AEs) and psychological distress in the HCWs group. Therefore, we investigated the association between psychological distress and AEs and the determinants of protective behaviors in Taiwanese HCWs. A longitudinal measurement was conducted among HCWs at National Cheng Kung University Hospital (NCKUH), Tainan, Taiwan (n = 483, mean age = 37.55 years). All HCWs completed an online questionnaire on psychological distress, COVID-19 vaccination AEs, and protective behaviors. We used generalized estimating equations (GEE) to analyze the correlation between psychological distress and AEs, and used multivariable logistic regressions to explore the predictors of protective behaviors. Depression and distress and anger were significantly associated with various physical AEs (p = 0.045 to p < 0.001). Suicidal thoughts became a significant independent variable of systemic AEs after COVID-19 vaccination (p = 0.014 to p < 0.001). People of older ages or females engaged more in washing their hands, wearing masks, and reducing their presence in crowded places. Suicidal thoughts were related to the occurrence of systemic AEs among HCWs. Doctors performed better at preventive behaviors compared to nurses and other HCWs. HCWs who experienced anxiety and nervousness tended to avoid crowds.
新冠疫情给包括医护人员在内的每个人都带来了巨大压力，导致他们出现心理困扰。医护人员在接种新冠疫苗方面享有优先权。然而，很少有研究确定医护人员群体中的不良事件（AE）和心理困扰情况。因此，我们调查了台湾医护人员心理困扰与不良事件之间的关联以及保护行为的决定因素。在台湾台南国立成功大学医院（NCKUH）的医护人员中进行了纵向测量（n = 483，平均年龄 = 37.55岁）。所有医护人员都完成了一份关于心理困扰、新冠疫苗接种不良事件和保护行为的在线问卷。我们使用广义估计方程（GEE）分析心理困扰与不良事件之间的相关性，并使用多变量逻辑回归来探索保护行为的预测因素。抑郁、困扰和愤怒与各种身体不良事件显著相关（p = 0.045至p < 0.001）。自杀念头在新冠疫苗接种后成为全身性不良事件的显著独立变量（p = 0.014至p < 0.001）。年龄较大者或女性更多地洗手、戴口罩并减少在拥挤场所的停留。自杀念头与医护人员全身性不良事件的发生有关。与护士和其他医护人员相比，医生在预防行为方面表现更好。经历焦虑和紧张的医护人员往往会避开人群。
