Sanftenberg Linda, Gschwendner Maresa, Grass Andreas, Rottenkolber Marietta, Zöllinger Isabel, Sebastiao Maria, Kühlein Thomas, Hindenburg Dagmar, Gágyor Ildikó, Wildgruber Domenika, Hausen Anita, Janke Christian, Hoelscher Michael, Teupser Daniel, Dreischulte Tobias, Gensichen Jochen
Institute of General Practice and Family Medicine, LMU University Hospital, LMU Munich, 80336 Munich, Germany.
Institute of General Practice, Friedrich-Alexander-University of Erlangen-Nuremberg, 91054 Erlangen, Germany.
Eur J Investig Health Psychol Educ. 2024 Feb 20;14(3):432-446. doi: 10.3390/ejihpe14030029.
Vaccinations against COVID-19 are of the utmost importance in long-term care facilities. During the pandemic, mental health issues increased significantly. This cross-sectional analysis aimed to assess the associations of depression and anxiety with health literacy in people in need of care and the association of depression and burnout with vaccination readiness against COVID-19 in health care workers (HCWs). Within our cross-sectional study, people in need of care were assessed for symptoms of depression (PHQ-9), anxiety (GAD-7), and health literacy (HLS-EU-Q16). Among HCWs, we assessed symptoms of depression (PHQ-9) and burnout (MBI-HSS), as well as psychological antecedents of vaccination (5C) to measure vaccination readiness against COVID-19. A multivariate regression analysis was performed. Symptoms of a major depression were significantly associated with reduced health literacy ( = 0.010) in people in need of care. Among HCWs, symptoms of depression and burnout reduced vaccination readiness against COVID-19 significantly. In particular, collective responsibility was reduced in HCWs suffering from burnout symptoms ( = 0.001). People in need of care and their HCWs could benefit from intensified target group-specific vaccination counseling. Additionally, more attention should be paid to the protection of mental health in long-term care facilities.
在长期护理机构中，新冠疫苗接种至关重要。在疫情期间，心理健康问题显著增加。这项横断面分析旨在评估需要护理的人群中抑郁和焦虑与健康素养之间的关联，以及医护人员中抑郁和职业倦怠与新冠疫苗接种意愿之间的关联。在我们的横断面研究中，对需要护理的人群进行了抑郁症状（PHQ - 9）、焦虑症状（GAD - 7）和健康素养（HLS - EU - Q16）的评估。在医护人员中，我们评估了抑郁症状（PHQ - 9）和职业倦怠（MBI - HSS），以及疫苗接种的心理前因（5C）以衡量新冠疫苗接种意愿。进行了多变量回归分析。在需要护理的人群中，重度抑郁症状与健康素养降低显著相关（ = 0.010）。在医护人员中，抑郁和职业倦怠症状显著降低了新冠疫苗接种意愿。特别是，患有职业倦怠症状的医护人员的集体责任感降低（ = 0.001）。需要护理的人群及其医护人员可受益于强化的针对特定目标群体的疫苗接种咨询。此外，应更加关注长期护理机构中的心理健康保护。
