Khanal Pratik, Paudel Kiran, Mehata Suresh, Thapa Astha, Bhatta Ramesh, Bhattarai Hari Krishna
Institute of Medicine, Tribhuvan University, Maharajgunj, Kathmandu, Nepal.
Nepal Health Frontiers, Tokha-5, Kathmandu, Nepal.
PLOS Glob Public Health. 2022 Sep 12;2(9):e0001046. doi: 10.1371/journal.pgph.0001046. eCollection 2022.
Home isolated patients infected with COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify the prevalence and factors associated with anxiety and depression among COVID-19 home isolated patients in Province One, Nepal. This was a cross-sectional study conducted between February 17, 2021, to April 9, 2021. A total of 372 home isolated patients from Province One were phone interviewed in the study. Anxiety and depression were measured using a 14-items Hospital Anxiety and Depression Scale (HADS). Multivariable logistic regression analysis was done to determine the risk factors of anxiety and depression. Among home isolated COVID-19 infected participants, 74.2% and 79% had symptoms of anxiety (borderline: 48.7% and abnormal: 25.5%) and depression (borderline: 52.7% and abnormal: 26.3%), respectively. Watching television was significantly associated with lower odds of experiencing symptoms of anxiety and depression. Females had significantly higher odds of having depression symptoms compared to males while ever married, those with COVID-19 related complications, and those taking medicine for the treatment of COVID-19 symptoms had a higher likelihood of exhibiting symptoms of anxiety. A focus on improving the mental health well-being of COVID-19 infected patients in home settings with connection to the health services is warranted with timely psychological interventions.
新冠病毒病居家隔离患者出现心理健康问题的风险可能会增加。该研究旨在确定尼泊尔第一省新冠病毒病居家隔离患者中焦虑和抑郁的患病率及相关因素。这是一项于2021年2月17日至2021年4月9日开展的横断面研究。研究共对来自第一省的372名居家隔离患者进行了电话访谈。使用14项医院焦虑抑郁量表(HADS)测量焦虑和抑郁情况。采用多变量逻辑回归分析来确定焦虑和抑郁的危险因素。在新冠病毒病居家隔离感染参与者中,分别有74.2%和79%的人有焦虑症状(临界值:48.7%,异常:25.5%)和抑郁症状(临界值:52.7%,异常:26.3%)。看电视与出现焦虑和抑郁症状的较低几率显著相关。与男性相比,女性出现抑郁症状的几率显著更高,而曾经结婚者、有新冠病毒病相关并发症者以及正在服用治疗新冠病毒病症状药物者出现焦虑症状的可能性更高。鉴于此,有必要通过及时的心理干预,关注改善居家环境中新冠病毒病感染患者的心理健康状况并与医疗服务建立联系。