Department of Pharmacy, Evidence-based Pharmacy Center, West China Second Hospital, Sichuan University, Chengdu, China.
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.
Medicine (Baltimore). 2023 Aug 25;102(34):e34661. doi: 10.1097/MD.0000000000034661.
We aimed to investigate the status of depression and anxiety among leaders and staff in pharmacy intravenous admixture services (PIVAS) and analyze influencing factors to provide a reference for improving their mental health status. This study involved a multi-center cross-sectional survey. PIVAS leaders and staff from across China were invited to participate. The Generalized Anxiety Disorder-7 and 9-item Patient Health Questionnaire were used to measure the status of anxiety and depression. A multiple linear regression model was used to analyze influencing factors. In total, 137 PIVAS leaders and 501 staff were included in this study. The results showed that 43.8% (60/137) of the leaders had anxiety and 38.7% (53/137) had depression. Among staff, 47.3% (237/501) had anxiety and 46.5% (233/501) had depression. Multiple linear regression showed that for PIVAS leaders, the degree of recognition by doctors was associated with anxiety scores, whereas PIVAS charge standard, PIVAS profit and loss situation, and the degree of recognition by doctors were associated with depression scores. For PIVAS staff, satisfaction with working in PIVAS was associated with anxiety scores, and job title, working hours per day, and satisfaction with working in PIVAS were associated with depression scores. Depression and anxiety are common among PIVAS leaders and staff working in hospitals in China. Hospitals should implement measures to improve the mental health of PIVAS leaders and staff.
本研究旨在调查医院静脉用药调配中心（PIVAS）领导及工作人员的抑郁和焦虑状况，并分析其影响因素，为改善其心理健康状况提供参考。本研究采用多中心横断面调查方法，选取全国 PIVAS 领导及工作人员进行问卷调查，采用广泛性焦虑障碍 7 项量表（GAD-7）和 9 项患者健康问卷（PHQ-9）评估焦虑和抑郁状况，采用多元线性回归模型分析影响因素。共纳入 137 名 PIVAS 领导和 501 名工作人员，结果显示：领导中焦虑发生率为 43.8%（60/137），抑郁发生率为 38.7%（53/137）；工作人员中焦虑发生率为 47.3%（237/501），抑郁发生率为 46.5%（233/501）。多元线性回归分析显示，对于 PIVAS 领导，医生认可度与焦虑评分有关，而 PIVAS 收费标准、PIVAS 盈亏状况、医生认可度与抑郁评分有关；对于 PIVAS 工作人员，对 PIVAS 工作的满意度与焦虑评分有关，职称、每天工作时长、对 PIVAS 工作的满意度与抑郁评分有关。中国医院 PIVAS 领导及工作人员中抑郁和焦虑较为常见，医院应采取措施改善 PIVAS 领导及工作人员的心理健康状况。
