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沙特阿拉伯麦加市公立医院外科医生中抑郁症和焦虑症的患病率:一项分析性横断面研究

Prevalence of Depression and Anxiety Disorders Among Surgical Doctors in Public Hospitals in Makkah City, Saudi Arabia: An Analytical Cross-Sectional Study.

作者信息

Hariri Nahla, Bawahab Nizar, Banoon Elaf, Abo Alshamat Renad, Almadani Nami, AlQashqri Hamsa

机构信息

Department of Community Medicine and Healthcare of Pilgrims, Umm Al-Qura University, Makkah, SAU.

General Surgery, King Faisal Hospital, Makkah, SAU.

出版信息

Cureus. 2023 Jan 1;15(1):e33225. doi: 10.7759/cureus.33225. eCollection 2023 Jan.

Abstract

Background Depression and anxiety are among the most prevalent illnesses worldwide. Although depression affects many individuals throughout their lives, physicians are at a heightened risk of developing the disorder due to their high-stress levels and enormous responsibilities. The study aimed to examine the prevalence of depression and anxiety disorders among surgical doctors in Makkah city hospitals as well as the risk factors. Methods Analytical cross-sectional research was performed at all public hospitals in Makkah city, Saudi Arabia. The Arabic version of the Hospital Anxiety and Depression Scale (HADS) was used as the screening tool. Results Of the 153 surgeons, 47.1% were Saudis, 81.7% were men, and 46.7% were residents. A personal history of anxiety or depression was apparent among 11.8% of the surgeons, while 4.6% had a family history of a mental disorder. Based on the HADS questionnaire responses, the prevalence rate of anxiety was 30.7%, and 27.5% of the surgeons had depression. Based on the univariate regression analysis, anxiety was significantly linked with being a participant in the Saudi Board program (p=0.010), working for more than nine hours (p=0.020), and having work-related stress (p=0.011 for moderate stress and p=0.001 for severe stress) as well as related to those who were rarely or never satisfied with their income (p=0.016 and p=0.047, respectively) and who was rarely satisfied with their career (p=0.019). Depression among surgeons was significantly linked with the age of 50 to 59 (p=0.023) as well as related to those who were usually satisfied with their career (p=0.022) and those with moderate work-related stress (p=0.016). Conclusion Psychological disorders such as depression and anxiety are prevalent among surgeons. They should be appropriately evaluated at regular intervals throughout life, especially during residency programs, to ensure physical and mental well-being, appropriate training exposure, and patient safety.

摘要

背景

抑郁症和焦虑症是全球最普遍的疾病之一。虽然抑郁症在许多人的一生中都会影响他们,但由于医生面临的高压力和巨大责任,他们患这种疾病的风险更高。该研究旨在调查麦加市医院外科医生中抑郁症和焦虑症的患病率以及风险因素。

方法

在沙特阿拉伯麦加市的所有公立医院进行分析性横断面研究。使用阿拉伯语版的医院焦虑抑郁量表(HADS)作为筛查工具。

结果

在153名外科医生中,47.1%是沙特人,81.7%是男性,46.7%是住院医生。11.8%的外科医生有焦虑或抑郁的个人病史,而4.6%有精神障碍家族史。根据HADS问卷的回答,焦虑症的患病率为30.7%,27.5%的外科医生患有抑郁症。基于单变量回归分析,焦虑与参加沙特委员会项目(p=0.010)、工作超过9小时(p=0.020)、有工作相关压力(中度压力p=0.011,重度压力p=0.001)以及与那些很少或从不满意自己收入的人(分别为p=0.016和p=0.047)和很少满意自己职业的人(p=0.019)显著相关。外科医生中的抑郁症与50至59岁的年龄(p=0.023)以及与那些通常对自己职业满意的人(p=0.022)和有中度工作相关压力的人(p=0.016)显著相关。

结论

抑郁症和焦虑症等心理障碍在外科医生中很普遍。应该在他们的一生中定期进行适当评估,特别是在住院医师培训项目期间,以确保身心健康、适当接触培训以及患者安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe31/9888731/fc76280ec2a7/cureus-0015-00000033225-i01.jpg

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