Environmental Health Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health of Malaysia, Shah Alam, Malaysia.
Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Front Public Health. 2023 Mar 2;11:1028443. doi: 10.3389/fpubh.2023.1028443. eCollection 2023.
Healthcare workers (HCWs) have been continually exposed to patients with COVID-19 and are at higher risk of contracting the disease. Their psychological health is important for overall wellbeing and productivity, which could lead to a reduction in human errors during the pandemic crisis. This study aimed to measure the level of concerns, work practices, adequacy of preventive measures among HCWs, and the impacts on their life and work, including mental health status during the second wave of the COVID-19 pandemic in Malaysia.
An online questionnaire was distributed randomly to 1,050 HCWs from the Ministry of Health facilities in the Klang Valley who were involved directly in managing or screening COVID-19 cases from May to August 2020. The questionnaire was divided into five domains, which were concerns, impact on life and work, practice, perceived adequacy of preventive measures, and Revised Impact of Event Scale (IES-R). Logistic regression was used to identify sociodemographic predictors of the five domains.
A total of 907 respondents (86.4%) participated in this survey. Approximately half of the respondents had a low concern (50.5%), most of them had a good practice (85.1%), with 67.5% perceiving there were adequate preventive measures, and they perceived the outbreak had a low impact (92%) on their life and work. From the IES-R domain, 18.6% of respondents potentially suffered from post-traumatic stress disorder (PTSD).
During the second wave of the COVID-19 outbreak in Malaysia, HCWs practiced high levels of precautions and preventive measures because they were aware of the risk of infection as an occupational hazard. With the adequate implementation of policy and control measures, the psychological wellbeing of the majority HCWs remained well and adequately supported.
医护人员(HCWs)持续接触 COVID-19 患者,感染疾病的风险更高。他们的心理健康对整体健康和工作效率很重要,这可能会减少大流行期间的人为失误。本研究旨在衡量 HCWs 的担忧程度、工作实践、预防措施的充分性以及这些因素对他们生活和工作的影响,包括马来西亚 COVID-19 疫情第二波期间的心理健康状况。
2020 年 5 月至 8 月期间,通过在线问卷随机向卫生部设施中直接参与管理或筛查 COVID-19 病例的 1050 名 HCWs 分发问卷。问卷分为五个领域,分别是担忧、对生活和工作的影响、实践、预防措施的充分性感知和修订后的事件影响量表(IES-R)。采用逻辑回归分析识别五个领域的社会人口学预测因素。
共有 907 名(86.4%)受访者参与了这项调查。大约一半的受访者担忧程度较低(50.5%),他们中的大多数人实践良好(85.1%),有 67.5%的人认为有足够的预防措施,他们认为疫情对他们的生活和工作的影响较低(92%)。从 IES-R 领域来看,18.6%的受访者可能患有创伤后应激障碍(PTSD)。
在马来西亚 COVID-19 疫情第二波期间,HCWs 采取了高水平的预防措施,因为他们意识到感染的风险是职业危害。通过充分实施政策和控制措施,大多数 HCWs 的心理健康状况仍然良好,并得到充分支持。