Ouyang Zi-Rou, Li Zhi-Rong, Qin Pu, Zhang Yu-Lian, Zhao Min, Li Jia-Yiren, He Chao, Dong Ning, Li Hai-Qi, Wang Hao-Dong, Chen Wei-Na, Hao Ji-Hong, Zhao Jian-Hong
Second Hospital of Hebei Medical University, 215 Hepingxi Road, Shijiazhuang City, Hebei Province, 050000, China.
Hebei Provincial Center for Clinical Laboratories, 215 Hepingxi Road, Shijiazhuang City, Hebei Province, 050000, China.
Heliyon. 2023 Feb;9(2):e13090. doi: 10.1016/j.heliyon.2023.e13090. Epub 2023 Jan 21.
During the coronavirus disease 2019 (COVID-19) pandemic, an increased mental burden has been widely reported among medical health workers such as physicians and nurses. However, data on laboratory technicians exposed to COVID-19 have rarely been published. The aim of this study was to assess the magnitude of psychological symptoms among laboratory technicians and analyze potential risk factors associated with these symptoms.
A cross-sectional online survey was performed via the Wenjuanxing platform (a professional online questionnaire platform) (https://www.wjx.cn/mobile/statnew.aspx) to investigate the mental health of laboratory technicians during the COVID-19 pandemic in Hebei, China from October 4, 2021, to November 3, 2021. The online questionnaire included demographic and occupational characteristics data of responders, and the Symptom Check List-90-Revised (SCL90-R)was used to quantify the magnitude of psychological symptoms among laboratory technicians. Participants' demographic and occupational characteristics were analyzed using descriptive statistical analyses. Chi-square tests were applied to compare the severity of each symptom between two or more groups. A binary logistic regression model was developed to identify the predictors of laboratory technicians' mental health in response to the COVID-19 pandemic, and outcomes are presented as odds ratios and 95% confidence interval. Statistical analysis was performed using SPSS version 21 (SPSS, New Orchard Road, Armonk, New York, USA).
A total of 3081 valid questionnaires were collected. Of these 3081 participants, 338 (11.0%) reported a total SCL90-R score >160, which indicated positive psychological symptoms. Among the 338 participants who reported psychological problems, most of them were mild symptoms. Several factors associated with mental health problems in laboratory technicians during COVID-19 were found, which include a history of physical and/or psychological problems (all 10 symptoms < 0.001), more than 10 years of work experience (depression symptoms: OR = 2.350, = 0.024; anxiety symptoms: OR = 2.642, = 0.038), frontline work (depression symptoms: OR = 1.761, = 0.001; anxiety symptoms: OR = 2.619, < 0.001; hostility symptoms: OR = 1.913, = 0.001), participant in more than 3 times large-scale SARS-CoV-2 screenings and more than 36 h per week in SARS-CoV-2 nucleic acid testing.
A portion of laboratory technicians reported experiencing varying levels of psychological burden. During the COVID-19 pandemic, multiple interventions should be developed and implemented to address existing psychosocial challenges and promote the mental health of laboratory technicians.
在2019年冠状病毒病(COVID-19)大流行期间,医生和护士等医护人员的心理负担增加已被广泛报道。然而,关于接触COVID-19的实验室技术人员的数据很少被发表。本研究的目的是评估实验室技术人员心理症状的严重程度,并分析与这些症状相关的潜在风险因素。
通过问卷星平台(一个专业的在线问卷平台)(https://www.wjx.cn/mobile/statnew.aspx)进行了一项横断面在线调查,以调查2021年10月4日至2021年11月3日中国河北省COVID-19大流行期间实验室技术人员的心理健康状况。在线问卷包括应答者的人口统计学和职业特征数据,并使用症状自评量表90修订版(SCL90-R)来量化实验室技术人员心理症状的严重程度。使用描述性统计分析对参与者的人口统计学和职业特征进行分析。应用卡方检验比较两组或多组之间每种症状的严重程度。建立二元逻辑回归模型以确定实验室技术人员应对COVID-19大流行时心理健康的预测因素,结果以比值比和95%置信区间表示。使用SPSS 21版(SPSS,美国纽约州阿蒙克市新果园路)进行统计分析。
共收集到3081份有效问卷。在这3081名参与者中,338人(11.0%)报告SCL90-R总分>160,表明存在阳性心理症状。在报告有心理问题的338名参与者中,大多数症状较轻。发现了COVID-19期间实验室技术人员心理健康问题的几个相关因素,包括身体和/或心理问题史(所有10种症状<0.001)、超过10年的工作经验(抑郁症状:OR = 2.350,P = 0.024;焦虑症状:OR = 2.642,P = 0.038)、一线工作(抑郁症状:OR = 1.761,P = 0.001;焦虑症状:OR = 2.619,P < 0.001;敌对症状:OR = 1.913,P = 0.001)、参与超过3次大规模SARS-CoV-2筛查以及每周进行SARS-CoV-2核酸检测超过36小时。
一部分实验室技术人员报告经历了不同程度的心理负担。在COVID-19大流行期间,应制定并实施多种干预措施,以应对现有的社会心理挑战,促进实验室技术人员的心理健康。