Liu Zi-Han, Li Yue, Tian Zi-Rong, Zhao Yan-Jie, Cheung Teris, Su Zhaohui, Chen Pan, Ng Chee H, An Feng-Rong, Xiang Yu-Tao
Department of Psychiatry, The Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, Guangdong, China.
Department of Nursing, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Front Psychol. 2023 Aug 24;14:1218747. doi: 10.3389/fpsyg.2023.1218747. eCollection 2023.
Nurses in Ophthalmology Department (OD) had a high risk of infection during the novel coronavirus disease 2019 (COVID-19) pandemic. This study examined the prevalence, correlates, and network structure of depression, and explored its association with quality of life (QOL) in Chinese OD nurses.
Based on a cross-sectional survey, demographic and clinical data were collected. Depression was measured with the 9-item Self-reported Patient Health Questionnaire (PHQ-9), and QOL was measured using the World Health Organization Quality of Life Questionnaire-brief version (WHOQOL-BREF). Univariate analyses, multivariate logistic regression analyses, and network analyses were performed.
Altogether, 2,155 OD nurses were included. The overall prevalence of depression among OD nurses was 32.71% (95%CI: 30.73-34.70%). Multiple logistic regression analysis revealed that having family or friends or colleagues who were infected (OR = 1.760, = 0.003) was significantly associated with higher risk of depression. After controlling for covariates, nurses with depression reported lower QOL ( = 596.784, < 0.001) than those without depression. Network analyses revealed that ', ' and were the key central symptoms.
Depression was common among OD nurses during the COVID-19 pandemic. Considering the negative impact of depression on QOL and daily life, regular screening for depression, timely counselling service, and psychiatric treatment should be provided for OD nurses, especially those who had infected family/friends or colleagues. Central symptoms identified in network analysis should be targeted in the treatment of depression.
在2019年新型冠状病毒病（COVID-19）大流行期间，眼科护士面临较高的感染风险。本研究调查了中国眼科护士抑郁的患病率、相关因素和网络结构，并探讨了其与生活质量（QOL）的关联。
基于横断面调查收集人口统计学和临床数据。使用9项患者健康问卷自评版（PHQ-9）测量抑郁，使用世界卫生组织生活质量简表（WHOQOL-BREF）测量生活质量。进行单因素分析、多因素逻辑回归分析和网络分析。
共纳入2155名眼科护士。眼科护士中抑郁的总体患病率为32.71%（95%CI：30.73-34.70%）。多因素逻辑回归分析显示，有感染的家人、朋友或同事（OR = 1.760，P = 0.003）与抑郁风险较高显著相关。在控制协变量后，抑郁护士的生活质量得分低于无抑郁护士（P = 596.784，P < 0.001）。网络分析显示，“ ”、“ ”和“ ”是关键的核心症状。
在COVID-19大流行期间，抑郁在眼科护士中很常见。考虑到抑郁对生活质量和日常生活的负面影响，应定期为眼科护士，尤其是那些有感染的家人/朋友或同事的护士进行抑郁筛查、提供及时的咨询服务和心理治疗。网络分析中确定的核心症状应作为抑郁治疗的靶点。
