Department of Microbiology, Pathology and Forensic Medicine, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
Department of Anatomy, Physiology and Biochemistry, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
Inquiry. 2024 Jan-Dec;61:469580241248124. doi: 10.1177/00469580241248124.
The coronavirus disease 2019 (COVID-19) pandemic has presented a globally challenging situation for human physical and mental health. Healthcare workers (HCWs) are affected by increased levels of anxiety, stress, and insomnia. This study aimed to evaluate the effect of COVID-19 on HCWs anxiety, stress, and insomnia levels. This cross-sectional study employed the Hospital Anxiety and Depression Scale, Perceived Stress Scale 10, and Insomnia Severity Index to assess anxiety, stress, and insomnia among HCWs at 10 COVID-19 isolation and treatment hospitals/centers after the first COVID-19 wave in Jordan. A web-based survey was used to collect data from 183 participants. Statistical analysis of factors affecting the mean scores of anxiety, stress, and insomnia was carried using student -test or ANOVA while factors associated with differences in anxiety, stress, and insomnia frequencies were tested using Chi-square/Fisher exact test. Multivariate analysis was performed to determine the independent risk factors. Among participants, 97.3% reported moderate to severe levels of stress, 68% reported borderline to high abnormal levels of anxiety, and 32% had moderate to severe insomnia. The mean of anxiety total score was 9.8 ± 4.8, stress total score was 22.7 ± 4.5, and insomnia total score was 11.0 ± 7.1. Significant positive correlations were noted between anxiety, stress, and insomnia ( < .005). Female gender, migraine, less working years, increased time spent with patients, lower workforce, clinical insomnia and high stress were significant independent factors associated with anxiety ( < .05). Younger age, being single or divorced, heart disease, smoking, occupation (nurses), lower workforce, vaccination dose, and anxiety were significant independent factors associated with insomnia ( < .05). Increased time spent with patients, lower workforce, lower spouse and colleagues support, sadness due to isolation and anxiety were significant independent factors associated with stress. HCWs at COVID-19 centers had high levels of stress, anxiety, and insomnia. Appropriate interventions to maintain HCWs mental health are recommended.
新型冠状病毒肺炎（COVID-19）大流行给人类身心健康带来了全球性挑战。医护人员（HCWs）面临着焦虑、压力和失眠水平的升高。本研究旨在评估 COVID-19 对 HCWs 焦虑、压力和失眠水平的影响。这项横断面研究采用医院焦虑和抑郁量表、压力感知量表 10 项和失眠严重程度指数，评估了 COVID-19 首次在约旦波后，10 家 COVID-19 隔离和治疗医院/中心的 HCWs 的焦虑、压力和失眠水平。使用网络调查从 183 名参与者中收集数据。使用学生 t 检验或 ANOVA 分析影响焦虑、压力和失眠平均得分的因素，使用卡方/Fisher 确切检验测试与焦虑、压力和失眠频率差异相关的因素。进行多变量分析以确定独立的危险因素。在参与者中，97.3%报告了中度至重度压力水平，68%报告了边缘至高度异常的焦虑水平，32%有中度至重度失眠。焦虑总分平均为 9.8±4.8，压力总分平均为 22.7±4.5，失眠总分平均为 11.0±7.1。焦虑、压力和失眠之间存在显著的正相关（ < .005）。女性、偏头痛、工作年限较短、与患者相处时间增加、劳动力减少、临床失眠和高压力是与焦虑相关的显著独立因素（ < .05）。年龄较小、单身或离异、心脏病、吸烟、职业（护士）、劳动力减少、疫苗接种剂量和焦虑是与失眠相关的显著独立因素（ < .05）。与患者相处时间增加、劳动力减少、配偶和同事支持较少、因隔离而悲伤和焦虑是与压力相关的显著独立因素。COVID-19 中心的 HCWs 压力、焦虑和失眠水平较高。建议采取适当的干预措施来维护 HCWs 的心理健康。
