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新冠疫情期间英国医护人员的心理健康:焦虑、抑郁和压力的患病率

The Mental Health of Health Care Workers in the UK During COVID-19: The Prevalence of Anxiety, Depression, and Stress.

作者信息

Chotalia Ravi, Abbas Mohammed J, Aggarwal Alisha

机构信息

University Hospitals of Leicester NHS Trust, Leicester, UK.

Consultant Psychiatrist, Leicestershire Partnership NHS Trust & Associate Professor (Hon), Department of Health Sciences, University of Leicester, Leicester, UK.

出版信息

Indian J Occup Environ Med. 2022 Oct-Dec;26(4):273-280. doi: 10.4103/ijoem.ijoem_69_22. Epub 2022 Dec 24.

Abstract

INTRODUCTION

The COVID-19 pandemic had a significant impact on the mental health of health care workers (HCWs).

AIM

This study investigated the mental health of HCWs working in Leicester, UK during COVID-19.

SETTINGS

Two hospital trusts in Leicester, UK.

METHODS

An online survey was sent to HCWs in two trusts in July 2020. The Generalized Anxiety Disorder-7 scale (GAD-7) and the Patient Health Questionnaire-9 scale (PHQ-9) were used to measure the prevalence rates of anxiety and depression. The Perceived Stress Scale-14 (PSS-14) was used to measure levels of perceived stress. Other questions were used to identify the prevalence of increased alcohol intake and possible risk factors.

STATISTICAL ANALYSIS USED

Chi-square test, independent sample -test, ANOVA, and logistic regression.

RESULTS

A total of 1009 HCWs completed the survey. Using a cutoff score of 5 (mild symptoms), for both GAD-7 and PHQ-9, 80.2% of participants had at least one condition and 71.5% had both. Using the cutoff score of 10 (moderate/severe symptoms), 27.2% had at least one condition and 27.25% had both conditions. In addition, 37.5% of those who did not report pre-existing mental health conditions now have at least one condition. About 33.6% of participants reported an increase in alcohol consumption. A number of risk factors were identified: having less social support, not feeling supported at work, and poor pre-existing mental health.

CONCLUSIONS

The pandemic had a significant impact on mental health of HCWs. Health organizations need to monitor and address these emerging effects.

摘要

引言

新冠疫情对医护人员的心理健康产生了重大影响。

目的

本研究调查了新冠疫情期间在英国莱斯特工作的医护人员的心理健康状况。

研究地点

英国莱斯特的两家医院信托机构。

方法

2020年7月向两家信托机构的医护人员发送了在线调查问卷。使用广泛性焦虑障碍-7量表(GAD-7)和患者健康问卷-9量表(PHQ-9)来测量焦虑和抑郁的患病率。使用感知压力量表-14(PSS-14)来测量感知压力水平。其他问题用于确定酒精摄入量增加的患病率和可能的风险因素。

所用统计分析方法

卡方检验、独立样本t检验、方差分析和逻辑回归。

结果

共有1009名医护人员完成了调查。对于GAD-7和PHQ-9,使用临界值5(轻度症状)时,80.2%的参与者至少有一种情况,71.5%的参与者两种情况都有。使用临界值10(中度/重度症状)时,27.2%的参与者至少有一种情况,27.25%的参与者两种情况都有。此外,在那些之前未报告有心理健康问题的人中,37.5%现在至少有一种情况。约33.6%的参与者报告饮酒量增加。确定了一些风险因素:社会支持较少、在工作中感觉未得到支持以及既往心理健康状况较差。

结论

疫情对医护人员的心理健康产生了重大影响。卫生组织需要监测并应对这些新出现的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/329b/10077732/0b52bed74c01/IJOEM-26-273-g001.jpg

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