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泰国医院中无症状或轻症 COVID-19 患者的心理健康问题:一项横断面研究。

Mental health problems of asymptomatic or mildly symptomatic COVID-19 patients in hospitel in Thailand: A cross-sectional study.

机构信息

Department of Psychiatry, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, 10300, Thailand.

出版信息

F1000Res. 2022 Sep 22;11:1089. doi: 10.12688/f1000research.125998.4. eCollection 2022.

Abstract

Background There is evidence that patients with COVID-19 have a higher prevalence of mental health problems than the normal population. This study aimed to investigate the prevalence of mental health problems and their associated factors in patients with asymptomatic or mildly symptomatic in the hospitel in Thailand. Methods Mental health problems were evaluated using the Depression, Anxiety, and Stress Scale - 21 items, and Patient Health Questionnaire-9. The prevalence of mental health problems was presented by frequency and percentage. McNemar's test was used to compare the prevalence of mental health problems between day 1 and day 7. Binary logistic regression was used to identify potential predictors of mental health problems. Results A total of 186 participants (68.3% female; mean age = 37.21 years (SD 13.66) were recruited. The depression, anxiety, and stress rate on day 1 of admission was 26.9%, 32.3% and 25.8%, respectively. Having mild COVID-19 symptoms was a significantly associated factor with anxiety (OR=2.69, 95%CI: 1.05-6.89) and stress (OR=4.53, 95%CI: 1.32-15.55). Conclusions There was a high rate of mental health problems in COVID-19 patients. Detecting and managing mental health problems should be considered standard care for COVID-19 patients.

摘要

背景

有证据表明,COVID-19 患者的心理健康问题比普通人群更为普遍。本研究旨在调查泰国医院中无症状或轻度症状 COVID-19 患者的心理健康问题发生率及其相关因素。

方法

使用抑郁、焦虑和压力量表-21 项(Depression, Anxiety, and Stress Scale-21 items)和患者健康问卷-9(Patient Health Questionnaire-9)评估心理健康问题。以频率和百分比表示心理健康问题的发生率。采用 McNemar 检验比较第 1 天和第 7 天心理健康问题的发生率。采用二元逻辑回归分析识别心理健康问题的潜在预测因素。

结果

共纳入 186 名参与者(68.3%为女性;平均年龄=37.21 岁(标准差 13.66)。入院第 1 天的抑郁、焦虑和压力发生率分别为 26.9%、32.3%和 25.8%。患有轻度 COVID-19 症状与焦虑(OR=2.69,95%CI:1.05-6.89)和压力(OR=4.53,95%CI:1.32-15.55)显著相关。

结论

COVID-19 患者的心理健康问题发生率较高。检测和管理心理健康问题应成为 COVID-19 患者的标准护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/789e/11984801/9ef26120f357/f1000research-11-179771-g0000.jpg

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