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新型冠状病毒肺炎疫情期间医护人员的心理健康状况:伊朗西南部的一项在线问卷调查研究。

Mental health status in healthcare workers during COVID-19 pandemic: An online questionnaire study in the southwest Iran.

机构信息

Department of Biostatistics and Epidemiology, Clinical Sciences Research Institute, School of Health, Ahvaz Jundisapur University of Medical Sciences, Ahvaz, Iran.

Expert in Charge of Preventing Substance and Alcohol Use, Vice Chancellor for Health, Khuzestan Health Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

PLoS One. 2024 Apr 26;19(4):e0298058. doi: 10.1371/journal.pone.0298058. eCollection 2024.

Abstract

OBJECTIVES

This study aimed to evaluate Mental Health Status, such as stress, anxiety, or depression symptoms, during the Covid-19 pandemic in healthcare workers at Ahvaz Jundishapur University of Medical Sciences.

METHODS

This study is an online cross-sectional study conducted on healthcare professionals at Ahvaz Jundishapur University of Medical Science from November 25, 2020, to March 30 2021. PHQ9 and Kessler collected outcome variables of depression, anxiety, and psychological distress questionnaires.

RESULTS

In total, 2552 healthcare workers in 24 hospitals and 212 Comprehensive health centers were enrolled in this study. The mean age of participants was 37.94 ± 8.07 years, and 25.3% were male. There was a significant difference between the mean Kessler and PHQ9 Scale scores on males and females (P< 0.001). Also, the results showed a significant difference between depression, anxiety, and stress and working in the intensive care unit. According to the result of the Kessler scale, 27% of participants had moderate to severe. Most respondents (65.5%) in all professions had moderate to severe mental distress scores according to the Kessler scale. The logistic regression model results illustrated the relationship between depression and anxiety with gender, workplace, support from families, and collogue job satisfaction, and feeling the stress of media coverage of COVID-19 were statistically significant (P< 0.05).

CONCLUSIONS

The present study revealed that medical and health workers suffer from mental health problems. In this study, up to one-fifth of medical staff had stress, anxiety, or depression symptoms, and more than half had psychological distress. Low educational level, lack of family support, lack of colleague's support, and being a female were the significant risk factors for stress, anxiety, and psychological distress in medical staff.

摘要

目的

本研究旨在评估阿瓦兹 Jundishapur 医科大学卫生保健工作者在新冠疫情期间的心理健康状况,如压力、焦虑或抑郁症状。

方法

这是一项于 2020 年 11 月 25 日至 2021 年 3 月 30 日期间在阿瓦兹 Jundishapur 医科大学进行的在线横断面研究。采用 PHQ9 和 Kessler 量表收集抑郁、焦虑和心理困扰问卷的结果变量。

结果

共有 24 家医院和 212 家综合健康中心的 2552 名医护人员参与了这项研究。参与者的平均年龄为 37.94 ± 8.07 岁,25.3%为男性。男性和女性的 Kessler 和 PHQ9 量表评分均值之间存在显著差异(P<0.001)。此外,研究结果表明抑郁、焦虑和压力与在重症监护病房工作之间存在显著差异。根据 Kessler 量表的结果,27%的参与者有中度至重度抑郁。根据 Kessler 量表,所有职业中大多数受访者(65.5%)的心理健康中度至重度困扰评分较高。逻辑回归模型结果表明,抑郁和焦虑与性别、工作场所、家庭支持以及同事工作满意度之间存在关系,并且对媒体对 COVID-19 报道的压力的感受具有统计学意义(P<0.05)。

结论

本研究表明,医护人员患有心理健康问题。在这项研究中,多达五分之一的医务人员有压力、焦虑或抑郁症状,超过一半的人有心理困扰。低教育水平、缺乏家庭支持、缺乏同事支持以及女性是医护人员压力、焦虑和心理困扰的显著危险因素。

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本文引用的文献

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J Affect Disord. 2022 Feb 1;298(Pt A):431-441. doi: 10.1016/j.jad.2021.11.026. Epub 2021 Nov 14.
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