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尼日利亚 COVID-19 大流行期间一线医护人员的心理健康负担和促进因素:一项横断面研究。

Mental Health Burden and Facilitators Among Frontline Healthcare Professionals in Nigeria Amid COVID-19 Pandemic: A Cross-sectional Study.

机构信息

Department of Medical Services, Federal Neuropsychiatric Hospital, Barnawa, Kaduna, Nigeria.

Carleton Clinic, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust, Carlisle, Cumbria, United Kingdom.

出版信息

Niger J Clin Pract. 2024 Apr 1;27(4):475-482. doi: 10.4103/njcp.njcp_704_23. Epub 2024 Apr 29.

Abstract

BACKGROUND

During the COVID-19 pandemic, the frontline healthcare providers faced significant mental health stressors. Previous pandemics have revealed the need for psychosocial support and healthy coping mechanisms to mitigate mental health risks.

AIM

The study aimed to assess psychological impact and supportive mechanisms experienced by frontline healthcare workers treating COVID-19 patients in Kaduna State.

METHODS

This study involved 38 frontline healthcare providers mainly from Kaduna State Infectious Disease Treatment Center. Participants' mental health burden was captured through Hospital Anxiety and Depression Scale. Mental health facilitators were assessed through six tools: Ten-Item Values Inventory, healthy defense section of the Defense Style Questionnaire, Existential Anxiety Questionnaire, Brief Resilience Scale, Oslo Social Support Scale, and the Insomnia Severity Index.

RESULTS

The mean age of the study participants was 35.5 ± 6.6 years, with the majority being males (68.4%) and doctors (39.5%). More than a quarter of the participants showed appreciable symptoms of depression and anxiety. Psychosocial facilitators such as moral values, openness to change, self-transcendence, sublimation, anticipation, and humor scored above average for more than half of the participants. Most participants demonstrated moderate resilience and social support, with few experiencing sleep challenges. Comparisons of variables indicated "openness to change" was significantly higher among males, whereas symptoms of depression and anxiety were associated with higher levels of existential concerns and sleep challenges.

CONCLUSION

Our study finds that Nigerian frontline health workers experienced significant mental health challenges during the COVID-19 pandemic. It identified specific facilitators linked to gender and psychological burdens, informing the need for tailored support interventions.

摘要

背景

在 COVID-19 大流行期间,一线医护人员面临着巨大的心理健康压力。以往的大流行表明,需要提供社会心理支持和健康的应对机制,以减轻心理健康风险。

目的

本研究旨在评估在治疗 COVID-19 患者的卡杜纳州一线医护人员所经历的心理影响和支持机制。

方法

本研究涉及 38 名主要来自卡杜纳州传染病治疗中心的一线医护人员。通过医院焦虑和抑郁量表评估参与者的心理健康负担。通过以下六种工具评估心理健康促进因素:十项价值观量表、防御风格问卷的健康防御部分、存在焦虑问卷、简要韧性量表、奥斯陆社会支持量表和失眠严重程度指数。

结果

研究参与者的平均年龄为 35.5 ± 6.6 岁,其中大多数是男性(68.4%)和医生(39.5%)。超过四分之一的参与者表现出明显的抑郁和焦虑症状。社会心理促进因素,如道德价值观、对变化的开放性、自我超越、升华、期待和幽默,超过一半的参与者得分较高。大多数参与者表现出中等程度的韧性和社会支持,只有少数人存在睡眠问题。变量比较表明,男性的“对变化的开放性”明显较高,而抑郁和焦虑症状与更高的存在焦虑和睡眠挑战有关。

结论

我们的研究发现,尼日利亚一线卫生工作者在 COVID-19 大流行期间经历了重大的心理健康挑战。它确定了与性别和心理负担相关的特定促进因素,为有针对性的支持干预措施提供了信息。

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