Health Management Centre, First Affiliated Hospital of Army Medical University, Chongqing, China.
Front Public Health. 2023 Aug 25;11:1249255. doi: 10.3389/fpubh.2023.1249255. eCollection 2023.
Since 8 January 2023 China has liberalized its control of COVID-19. In a short period of time, the infection rate of COVID-19 in China has risen rapidly, which has brought a heavy burden to medical staff. This study aimed to investigate the psychological status, stress, insomnia, effort-reward imbalance, resilience, and influencing factors of medical staff in China during the period of epidemic policy liberalization.
This survey was conducted from 6 February to 27 March 2023 with non-random sampling. An online questionnaire survey was conducted using HADS, PSS-14, ISI, ERI, and the resilience assessment scale for medical staff. The levels of psychological, stress, insomnia, effort-reward imbalance, and resilience of medical staff during the pandemic policy opening period were measured.
A total of 2,038 valid questionnaires were collected. 68.5% and 53.9% of medical staff had different degrees of anxiety and depression, respectively. Excessive stress, insomnia, and high effort and low reward were 40.2%, 43.2%, and 14.2%, respectively. Gender, Profession, education level, and age are important factors that lead to anxiety and depression. Women, nurses, higher education, longer working years and hours, high effort, and low reward are risk factors for the above conditions. There was a certain correlation among the five scales, among which anxiety, depression, stress, insomnia, effort-reward imbalance, and other factors were positively correlated, while resilience was negatively correlated with these factors.
This study found that anxiety, depression, stress, insomnia, and other psychological problems of medical staff in China during the policy opening period of COVID-19 were more serious than before. At the individual and organizational levels, it is necessary to improve the well-being of medical staff, optimize the allocation of human resources, and promote the mental health of medical staff with a focus on prevention and mitigation, with the entry point of improving resilience and preventing the effort-reward imbalance.
自 2023 年 1 月 8 日起，中国放宽了对 COVID-19 的控制。在短时间内，中国 COVID-19 的感染率迅速上升，这给医务人员带来了沉重的负担。本研究旨在调查中国在疫情政策放宽期间医务人员的心理状态、压力、失眠、努力-回报失衡、韧性以及影响因素。
本调查于 2023 年 2 月 6 日至 3 月 27 日采用非随机抽样进行。使用 HADS、PSS-14、ISI、ERI 和医务人员韧性评估量表进行在线问卷调查。测量了疫情政策开放期间医务人员的心理、压力、失眠、努力-回报失衡和韧性水平。
共收集了 2038 份有效问卷。分别有 68.5%和 53.9%的医务人员存在不同程度的焦虑和抑郁。过度压力、失眠和高努力低回报分别为 40.2%、43.2%和 14.2%。性别、职业、教育程度和年龄是导致焦虑和抑郁的重要因素。女性、护士、高学历、工作年限和工作时间长、高努力和低回报是上述情况的危险因素。五个量表之间存在一定的相关性，其中焦虑、抑郁、压力、失眠、努力-回报失衡等因素呈正相关，而韧性与这些因素呈负相关。
本研究发现，中国 COVID-19 疫情政策开放期间医务人员的焦虑、抑郁、压力、失眠等心理问题比以往更为严重。在个人和组织层面，有必要提高医务人员的幸福感，优化人力资源配置，以预防和减轻为重点，关注提高韧性和防止努力-回报失衡，促进医务人员的心理健康。
