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哥伦比亚新冠疫情期间医护人员的创伤后应激障碍、焦虑和抑郁症状

Post-traumatic stress disorder, anxiety, and depression symptoms in healthcare workers during COVID-19 pandemic in Colombia.

作者信息

Guillen-Burgos Hernan Felipe, Gomez-Ureche Janitza, Acosta Nahir, Acevedo-Vergara Kaleb, Perez-Florez Manuel, Villalba Elizabeth, Maloof Dieb, Dau Alberto, Salva Silvia, Mattar Salvador, Escaf Jorge, Perez Abdel, Parra-Saavedra Miguel, Medina Patricia, Torres Jose, Mesino Cesar, Torrenegra Riguey, Tapia Jesus, Salcedo Soraya, Maestre Ronald, Galvez-Florez Juan Francisco

机构信息

Center for Clinical and Translational Research, La Misericordia Clínica Internacional, Barranquilla, Colombia.

Facultad de Ciencias de la Salud, Universidad Simon Bolivar, Carrera 54 No 64-222, Barranquilla, Colombia.

出版信息

Eur J Trauma Dissociation. 2022 Nov;6(4):100293. doi: 10.1016/j.ejtd.2022.100293. Epub 2022 Aug 23.

Abstract

BACKGROUND

Mental health outcomes in healthcare workers (HCWs) in low- and middle-income countries (LMICs) have been poorly explored during COVID-19 pandemic. Our aim was to carry out a cross-sectional study of the prevalence of mental health symptoms in HCWs in Colombia.

METHODS

A cross-sectional web-survey study was performed during the COVID-19 pandemic mid-2021 including HCWs in two hospitals in Colombia. The PCL-5, GAD-7, and PHQ-9 scales were used to assess the prevalence of symptoms and severity of PTSD, anxiety, and depression in Colombia.

RESULTS

From 257 surveyed respondents, 44.36% were nurses, 36.58% physicians and 19.07% other health professionals. The prevalence of PTSD, anxiety, and depressive symptoms were 18.68%, 43.19%, and 26.85%, amongst HCWs. The regression model evidence a strong risk of PTSD, anxiety, and depressive symptoms in HCWs in Colombia during the second wave of COVID-19 in the middle of 2021.

CONCLUSIONS

The prevalence for several mental health symptoms in HCWs in Colombia were higher compared with the general population. HCWs are at-risk population to develop chronic symptoms and mental disorders during and after outbreaks. These results will be helpful to tailor strategies to support the physical and mental health of the HCWs in LMICs.

摘要

背景

在新冠疫情期间,低收入和中等收入国家(LMICs)医护人员的心理健康状况鲜有研究。我们的目的是对哥伦比亚医护人员心理健康症状的患病率进行一项横断面研究。

方法

在2021年年中新冠疫情期间,对哥伦比亚两家医院的医护人员开展了一项横断面网络调查研究。采用PCL-5、GAD-7和PHQ-9量表评估哥伦比亚创伤后应激障碍(PTSD)、焦虑和抑郁症状的患病率及严重程度。

结果

在257名接受调查的受访者中,44.36%为护士,36.58%为医生,19.07%为其他卫生专业人员。医护人员中PTSD、焦虑和抑郁症状的患病率分别为18.68%、43.19%和26.85%。回归模型表明,在2021年年中第二波新冠疫情期间,哥伦比亚医护人员出现PTSD、焦虑和抑郁症状的风险很高。

结论

与普通人群相比,哥伦比亚医护人员中几种心理健康症状的患病率更高。医护人员是疫情期间及之后出现慢性症状和精神障碍的高危人群。这些结果将有助于制定策略,以支持低收入和中等收入国家医护人员的身心健康。

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