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中国辽宁省医护人员焦虑和抑郁的患病率及影响因素

Prevalence and Determinants of Anxiety and Depression Among Healthcare Workers in Liaoning Province, China.

作者信息

Lu Jiachen, Dou Xiaofeng, Yi Yaohui, Yu Yingying, Zhou Ling

机构信息

School of Public Health, Dalian Medical University, Dalian, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2024 Apr 23;17:983-993. doi: 10.2147/RMHP.S460118. eCollection 2024.

Abstract

PURPOSE

To assess the anxiety and depression and their predictors among healthcare workers in Liaoning Province, China.

METHODS

In order to explore the influencing factors and prevalence of anxiety and depression among healthcare workers, a cross-sectional research design was used to survey 500 healthcare workers using the 14-item Hospital Anxiety Depression Scale (HADS), the Rosenberg Self-Esteem Scale (RSES), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Survey of Perceived Organizational Support (SPOS).

RESULTS

About 47.12% of the healthcare workers suffered from anxiety and 71.63% suffered from depression. In our study, we found that the health status (OR: 0.540, 95% CI: 0.298-0.976), self-esteem (OR: 0.395, 95% CI: 0.251-0.619), PSS (OR: 0.621, 95% CI: 0.388-0.994), organizational support (OR: 0.533, 95% CI. 0.333-0.854) were protective factors for healthcare workers suffering from anxiety, and resistance to COVID-19 (OR: 1.703, 95% CI: 1.082-2.681) was a risk factor for healthcare workers suffering from anxiety, while good quality of life (OR: 0.385, 95% CI: 0.206-0.719) self-esteem (OR: 0.187, 95% CI: 0.110-0.317), and PSS (OR: 0.475, 95% CI: 0.267-0.847) were protective factors for healthcare workers suffering from depression, and at the age of 35-40 years (OR: 2.475, 95% CI: 1.140-5.369) and resistance to COVID-19 (OR: 2.219, 95% CI: 1.313-3.751) were risk factors for healthcare workers suffering from depression.

CONCLUSION

The anxiety and depression status of healthcare workers in China is poor, and hospital administrators should take positive measures to support healthcare workers and give positive expectations to alleviate negative emotions such as anxiety and depression.

摘要

目的

评估中国辽宁省医护人员的焦虑和抑郁状况及其预测因素。

方法

为探究医护人员焦虑和抑郁的影响因素及患病率,采用横断面研究设计,使用14项医院焦虑抑郁量表(HADS)、罗森伯格自尊量表(RSES)、领悟社会支持多维量表(MSPSS)和领悟组织支持调查量表(SPOS)对500名医护人员进行调查。

结果

约47.12%的医护人员患有焦虑症,71.63%的医护人员患有抑郁症。在本研究中,我们发现健康状况(OR:0.540,95%CI:0.298 - 0.976)、自尊(OR:0.395,95%CI:0.251 - 0.619)、领悟社会支持(OR:0.621,95%CI:0.388 - 0.994)、组织支持(OR:0.533,95%CI:0.333 - 0.854)是医护人员患焦虑症的保护因素,而对新冠病毒的抵抗力(OR:1.703,95%CI:1.082 - 2.681)是医护人员患焦虑症的危险因素;良好的生活质量(OR:0.385,95%CI:0.206 - 0.719)、自尊(OR:0.187,95%CI:0.110 - 0.317)和领悟社会支持(OR:0.475,95%CI:0.267 - 0.847)是医护人员患抑郁症的保护因素,而35 - 40岁(OR:2.475,95%CI:1.140 - 5.369)和对新冠病毒的抵抗力(OR:2.219,95%CI:1.313 - 3.751)是医护人员患抑郁症的危险因素。

结论

中国医护人员的焦虑和抑郁状况不佳,医院管理人员应采取积极措施支持医护人员,并给予积极期望以缓解焦虑和抑郁等负面情绪。

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