Cancer Center, Shanxi Bethune Hospital, Shanxi Academy of Medical Science, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, China; Department of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Geriatrics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Affect Disord. 2024 Sep 1;360:126-136. doi: 10.1016/j.jad.2024.05.143. Epub 2024 May 28.
Healthcare professionals are in short supply worldwide, especially in China, which can result in increased stress in the work environment and allostatic load for Chinese hospital staff. This study aimed to investigate the prevalence of anxiety and depressive symptoms and their relationship with total stress, allostatic overload, sleep quality, and episodic memory among Chinese hospital staff.
In this cross-sectional study, self-assessments including Generalized Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire-9 (PHQ-9), PsychoSocial Index (PSI), Pittsburgh Sleeping Quality Index (PSQI), and MemTrax test were used to evaluate participants' anxiety symptoms, depressive symptoms, total stress, allostatic load/overload, sleep quality, and episodic memory.
A total of 9433 hospital staff from 304 cities participated. Anxiety prevalence was 21.0 % (95 % confidential interval (CI) 20.2 %, 21.8 %), while the prevalence of depressive symptoms was at 21.4 % (95 % CI 20.5 %, 22.2 %). 79.8 % (95 % CI 79.0 %, 80.6 %) of the hospital staff had allostatic overload. Poor sleep quality affected 50.4 % of participants, and 32.1 % experienced poor episodic memory.
This study utilized a convenience sampling approach, relying on an online survey as its data collection method.
Hospital staff in China are facing a stressful environment with a high prevalence of anxiety and depressive symptoms, significant allostatic overload, poor sleep quality, and compromised episodic memory. It is imperative that local management and community structures enhance their support and care for these essential workers, enabling them to manage and withstand the stresses of their professional roles effectively.
全球范围内医疗保健专业人员短缺，尤其是在中国，这可能导致工作环境中的压力增加，对中国医院工作人员造成压力过载。本研究旨在调查中国医院工作人员焦虑和抑郁症状的患病率，以及它们与总应激、压力过载、睡眠质量和情景记忆的关系。
在这项横断面研究中，使用广泛性焦虑障碍 7 项量表（GAD-7）、患者健康问卷 9 项量表（PHQ-9）、心理社会指数（PSI）、匹兹堡睡眠质量指数（PSQI）和 MemTrax 测试来评估参与者的焦虑症状、抑郁症状、总应激、压力过载、睡眠质量和情景记忆。
共有来自 304 个城市的 9433 名医院工作人员参与了研究。焦虑症的患病率为 21.0%（95%可信区间[CI]：20.2%，21.8%），而抑郁症的患病率为 21.4%（95%CI：20.5%，22.2%）。79.8%（95%CI：79.0%，80.6%）的医院工作人员存在压力过载。50.4%的参与者睡眠质量较差，32.1%的参与者情景记忆较差。
本研究采用便利抽样方法，依靠在线调查作为数据收集方法。
中国医院工作人员面临着压力大的工作环境，焦虑和抑郁症状患病率高，压力过载明显，睡眠质量差，情景记忆受损。当地管理和社区结构必须加强对这些一线工作人员的支持和关怀，使他们能够有效地管理和承受职业角色的压力。
