Green Gizell, Tesler Riki
Ariel University, Israel.
Sage Open. 2023 Jun 16;13(2):21582440231179125. doi: 10.1177/21582440231179125. eCollection 2023 Apr-Jun.
The mechanisms of the connections among anxiety, mental healthcare needs, and adherence to the COVID-19 pandemic guidelines are unknown. The study aims to explore model assumptions: (H1) Anxiety about COVID-19 will influence the perception of mental health needs via knowledge about COVID-19 as a mediator. (H2) Anxiety will influence adherence to guidelines via knowledge about COVID-19 as a mediator. (H3) Trust in health care will positively influence adherence to guidelines. We conducted a cross-sectional design study with a convenience sample. Participants consisted of 547 people across Israel. The questionnaire included trust in health care, anxiety, knowledge, adherence to guidelines, and mental health care needs regarding COVID-19 variables. Path analysis revealed knowledge about COVID-19 as partly mediating anxiety and mental healthcare needs during the pandemic, as well as partly mediating anxiety and adherence to the pandemic guidelines. Moreover, we found that trust in healthcare affects adherence to the pandemic guidelines. Therefore, it is important to design an intervention program for the public providing accessible, reliable information about the pandemic, including, and emphasizing mental healthcare needs and rationale of adherence to the guidelines.
焦虑、心理健康护理需求与遵守新冠疫情防控指南之间的关联机制尚不清楚。本研究旨在探究模型假设：（H1）对新冠疫情的焦虑将通过新冠疫情相关知识这一中介变量影响对心理健康需求的认知。（H2）焦虑将通过新冠疫情相关知识这一中介变量影响对防控指南的遵守情况。（H3）对医疗保健的信任将对遵守防控指南产生积极影响。我们采用便利抽样法进行了一项横断面设计研究。研究对象包括以色列各地的547人。问卷涵盖了对医疗保健的信任、焦虑、知识、对防控指南的遵守情况以及关于新冠疫情变量的心理健康护理需求。路径分析表明，在疫情期间，新冠疫情相关知识部分中介了焦虑与心理健康护理需求之间的关系，也部分中介了焦虑与遵守疫情防控指南之间的关系。此外，我们发现对医疗保健的信任会影响对疫情防控指南的遵守情况。因此，为公众设计一个干预项目很重要，该项目应提供关于疫情的易于获取、可靠的信息，包括并强调心理健康护理需求以及遵守指南的基本原理。
