新冠疫情期间一线医护人员心理健康洞察——工作场所担忧来源及应对策略
Insights into frontline healthcare workers' mental health amidst COVID-19 - Sources of workplace worries and coping strategies.
作者信息
Ismail Halim, Phan Yong-Hong, Chandriah Kausalyaa, Arman Mohd Ridzwan, Mokhtar Nurul Nabihah, Hamdan Siti Aishah, Yew Sheng Qian
机构信息
Department of Public Health Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000, Cheras, Kuala Lumpur, Malaysia.
出版信息
Heliyon. 2023 Sep 18;9(9):e20258. doi: 10.1016/j.heliyon.2023.e20258. eCollection 2023 Sep.
INTRODUCTION
This study was aimed to measure the prevalence of depression, anxiety, and stress as well as to evaluate the associations of these mental disorders with sociodemographic factors, workplace worries, and coping strategies among frontline HCWs in Kuala Lumpur, Malaysia during the COVID-19 pandemic.
METHODS
A cross-sectional study was conducted in a tertiary teaching hospital in Kuala Lumpur, Malaysia. Sociodemographic data questionnaire, Depression, Anxiety, and Stress Scale 21, sources of workplace worries questionnaire, and Brief-COPE inventory were randomly distributed to frontline HCWs who worked at the medical, emergency, and anaesthesiology departments. Data were analyzed using Chi-square tests and multivariable linear regression analysis.
RESULTS
A total of 137 frontline HCWs responded to the questionnaires. The prevalence of depression, anxiety, and stress was 69.3%, 77.4%, and 57.7%, respectively. None of the sociodemographic characteristics was associated with depression, anxiety, and stress. Depression was associated to all sources of workplace worries, except "fear of getting infected" (p = 0.089), while anxiety and stress were associated with all sources of workplace worries. Humour (β = 0.821), self-blame (β = 0.686), denial (β = 0.676), substance use (β = 0.835), and behavioural disengagement (β = 0.583) were positively correlated to depression. However, active coping (β = -0.648) and acceptance (β = -0.602) were negatively correlated to depression. On the other hand, active coping (β = 0.913), planning (β = 0.879), acceptance (β = 0.831), religion (β = 0.704), and self-distraction (β = 0.929) were positively correlated to stress. Only substance use (β = -0.417) was negatively correlated to stress. All coping strategies did not correlate to anxiety.
CONCLUSION
The high prevalence of depression, anxiety and stress is attributed by the various sources of workplace worries and the inappropriate coping strategies among the frontline HCWs. Measures that minimise workplace worries and inappropriate coping strategies must be implemented promptly.
引言
本研究旨在测量抑郁、焦虑和压力的患病率，并评估这些精神障碍与马来西亚吉隆坡新冠疫情期间一线医护人员的社会人口学因素、工作场所担忧及应对策略之间的关联。
方法
在马来西亚吉隆坡的一家三级教学医院开展了一项横断面研究。社会人口学数据问卷、抑郁、焦虑和压力量表21、工作场所担忧来源问卷以及简易应对方式问卷被随机分发给在医疗、急诊和麻醉科工作的一线医护人员。使用卡方检验和多变量线性回归分析对数据进行分析。
结果
共有137名一线医护人员回复了问卷。抑郁、焦虑和压力的患病率分别为69.3%、77.4%和57.7%。社会人口学特征均与抑郁、焦虑和压力无关。抑郁与除“害怕被感染”外的所有工作场所担忧来源相关（p = 0.089），而焦虑和压力与所有工作场所担忧来源相关。幽默（β = 0.821）、自责（β = 0.686）、否认（β = 0.676）、物质使用（β = 0.835）和行为脱离（β = 0.583）与抑郁呈正相关。然而，积极应对（β = -0.648）和接受（β = -0.602）与抑郁呈负相关。另一方面，积极应对（β = 0.913）、计划（β = 0.879）、接受（β = 0.831）、宗教（β = 0.704）和自我分心（β = 0.929）与压力呈正相关。只有物质使用（β = -0.417）与压力呈负相关。所有应对策略均与焦虑无关。
结论
抑郁、焦虑和压力的高患病率归因于工作场所的各种担忧来源以及一线医护人员不恰当的应对策略。必须立即采取措施尽量减少工作场所的担忧和不恰当的应对策略。
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