斯里兰卡新冠疫情期间现场助产士的焦虑、抑郁及相关因素——一项描述性横断面研究

Anxiety, Depression, and Associated Factors Among the Field Midwives During COVID-19 Pandemic in Sri Lanka-A Descriptive Cross-Sectional Study.

作者信息

Pathirana Jmp, Edirisinghe N P, Amarasekara Aatd

机构信息

Department of Nursing and Midwifery, Faculty of Allied Health Sciences, University of Sri Jayewardenepura, Sri Lanka.

Department of Fundamentals of Nursing, Faculty of Nursing, University of Colombo, Sri Lanka.

出版信息

SAGE Open Nurs. 2024 Feb 8;10:23779608241231178. doi: 10.1177/23779608241231178. eCollection 2024 Jan-Dec.

DOI:10.1177/23779608241231178

PMID:38343994

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10854379/

Abstract

INTRODUCTION

Field midwives (FMs) in Sri Lanka, who care for women and children, were challenged during the COVID-19 pandemic. During COVID-19, the majority of research found that healthcare professionals experienced anxiety and depression.

OBJECTIVE

This study examined anxiety, depression, and related factors among FMs during the COVID-19 pandemic in Sri Lanka.

METHODS

A descriptive cross-sectional approach was used with 145 FMs from randomly selected Medical Officer of Health (MOH) areas in the Matara district. The data were collected by an interviewer-administered questionnaire containing the Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 tools. Descriptive statistics, chi-square test, and logistic regression examined and presented the data.

RESULTS

Among the participants, 54.5%, 31.0%, 8.3, and 6.2% experienced minimal, mild, moderate, and severe anxiety. Whereas 46.2%, 32.4%, 17.2%, 1.4%, and 2.8% of the participants had no or minimal, mild, moderate, moderately severe, and severe depression. Being in a family of COVID-19-infected family members, relatives, or friends (OR = 0.33, p = 0.018) and being in a nuclear family (OR = 0.47, p = 0.033) were found to be risk factors against depression while having a history of chronic diseases (OR = 5.87, p = 0.002) and having a sufficient amount of personal protective equipment (OR = 2.52, p = 0.041) were found to be protective. Similarly, having a history of chronic diseases (OR = 4.89, p = 0.002) was found to be protective against anxiety.

CONCLUSION

The majority of FMs had minimal anxiety and depression during the COVID-19 pandemic. The results will be valuable in formulating policies to support the psychological health of FMs in Sri Lanka.

摘要

引言

在斯里兰卡，负责照顾妇女和儿童的现场助产士在新冠疫情期间面临挑战。在新冠疫情期间，大多数研究发现医护人员经历了焦虑和抑郁。

目的

本研究调查了斯里兰卡新冠疫情期间现场助产士的焦虑、抑郁及相关因素。

方法

采用描述性横断面研究方法，对来自马特勒区随机选取的卫生医疗官（MOH）辖区的145名现场助产士进行研究。数据通过由访谈员实施的问卷收集，问卷包含广泛性焦虑障碍-7量表和患者健康问卷-9量表。采用描述性统计、卡方检验和逻辑回归对数据进行分析和呈现。

结果

在参与者中，54.5%、31.0%、8.3%和6.2%的人经历了轻度、中度、重度和极重度焦虑。而46.2%、32.4%、17.2%、1.4%和2.8%的参与者没有或有轻度抑郁症、中度抑郁症、中重度抑郁症和重度抑郁症。有感染新冠病毒的家庭成员、亲属或朋友（比值比=0.33，p=0.018）以及核心家庭（比值比=0.47，p=0.033）被发现是患抑郁症的危险因素，而有慢性病病史（比值比=5.87，p=0.002）和有足够的个人防护装备（比值比=2.52，p=0.041）被发现具有保护作用。同样，有慢性病病史（比值比=4.89，p=0.002）被发现对焦虑有保护作用。