The Mental Health Center of Liaoning Province, Shenyang, Liaoning, China.
Liaoning Delight Mental Health Service Company Ltd, Shenyang, Liaoning, China.
PLoS One. 2023 Oct 17;18(10):e0287154. doi: 10.1371/journal.pone.0287154. eCollection 2023.
During the outbreak of COVID-19 in China, many health care workers have been involved in the front-line fight against the epidemic and have experienced major psychological challenges. This study was aimed at assessing the mental health of front-line health workers after 2 years of COVID-19 efforts. We recruited front-line health workers from Liaoning province who supported Hubei, the epicenter of the COVID-19 outbreak. The Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder scale (GAD-7), and Insomnia Severity Index (ISI) were used to assess psychological status. A total of 1101 of 1354 contacted individuals completed the survey (participation rate of 81.31%): 963 (87.5%) were 20-45 years of age, 919 (83.47%) were women, 845 (76.7%) were nurses, and 245 (22.3%) were physicians. After 2 years, the mental health symptoms among survey respondents were as follows: 46.6% had depression, 35.5% had anxiety, and 38.1% had insomnia. Thus, 2 years after the COVID-19 pandemic, the front-line health workers who had assisted Hubei province during the COVID‑19 pandemic in China still had high levels of depression, anxiety, and insomnia. Our findings suggest that the pandemic has had significant long-term effects on the mental health of front-line health workers. Therefore, mental health policies should offer long-term rather than short-term services.
在中国 COVID-19 疫情爆发期间,许多医护人员奋战在抗疫一线,经历了重大的心理挑战。本研究旨在评估 COVID-19 疫情爆发 2 年后一线医护人员的心理健康状况。我们招募了来自辽宁省支援湖北省抗疫一线的医护人员。采用患者健康问卷-9(PHQ-9)、广泛性焦虑障碍量表(GAD-7)和失眠严重程度指数(ISI)评估心理状态。共联系了 1354 人,其中 1101 人完成了调查(参与率 81.31%):963 人(87.5%)年龄在 20-45 岁之间,919 人(83.47%)为女性,845 人(76.7%)为护士,245 人(22.3%)为医生。2 年后,调查对象的心理健康症状如下:46.6%有抑郁症状,35.5%有焦虑症状,38.1%有失眠症状。因此,在中国 COVID-19 大流行 2 年后,援助湖北省的抗疫一线医护人员仍存在较高水平的抑郁、焦虑和失眠。我们的研究结果表明,这场大流行对一线医护人员的心理健康产生了重大的长期影响。因此,心理健康政策应提供长期而非短期服务。