Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Shouyilu Street Community Health Service Center, Wuhan, Hubei, China.
Front Public Health. 2024 Aug 23;12:1392845. doi: 10.3389/fpubh.2024.1392845. eCollection 2024.
This study examined the prevalence and correlates of probable mental health disorders, including psychological distress, somatization, depression, anxiety, phobic anxiety (PHO), obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and insomnia among Chinese primary health care (PHC) physicians and nurses amid the post-pandemic period in 2022.
Region-stratified sampling was conducted to recruit a national sample of 4,246 respondents from 31 July 2022 to 12 August 2022. A total of 692 primary healthcare institutions were identified in 30 provincial-level administrative regions of China. An online questionnaire was used for assessing probable mental health disorders using Symptoms Checklist-90-Revised (SCL-90-R) and PTSD Checklist for DSM-5 (PCL-5), and sleeping problems using Insomnia Severity Index (ISI). Data on demographics and work were also collected. Bivariate analysis and multiple logistic regression were conducted to identify significant correlates of probable mental health disorders.
A total of 4,246 valid questionnaires were identified. Results showed that relative to the prevalence of probable mental health disorders among health care workers at the early stage of the pandemic in China, there was an overall decreased prevalence except for somatization, PHO, and OCD among the current PHC physicians and nurses. Multiple logistic regressions showed that significant risk factors of common probable mental health disorders, namely psychological distress, SOM, DEP, ANX, PHO, OCD, PTSD, and insomnia, were female gender, multimorbidity, history of psychiatric disorders, quarantine experience, never asking anyone for help, and overtime work.
Attention should be given to preexisting psychiatric and multimorbid conditions, social support, and work-related stressors. Regular assessment and psychological interventions are needed to enhance the mental health of PHC professionals even after public health crisis.
本研究调查了 2022 年大流行后期中国基层医疗（PHC）医生和护士中常见精神健康障碍（包括心理困扰、躯体化、抑郁、焦虑、恐惧症（PHO）、强迫症（OCD）、创伤后应激障碍（PTSD）和失眠）的患病率及其相关因素。
采用分层区域抽样方法，于 2022 年 7 月 31 日至 8 月 12 日期间从全国招募了 4246 名受访者。在中国 30 个省级行政区中确定了 692 家基层医疗机构。采用症状清单 90 修订版（SCL-90-R）和创伤后应激障碍检查表 5 版（PCL-5）评估可能的精神健康障碍，以及使用失眠严重程度指数（ISI）评估睡眠问题。还收集了人口统计学和工作相关数据。采用单变量分析和多逻辑回归分析确定可能的精神健康障碍的显著相关因素。
共识别出 4246 份有效问卷。结果表明，与中国大流行早期医护人员精神健康障碍的患病率相比，当前 PHC 医生和护士的总体患病率有所下降，但躯体化、PHO 和 OCD 除外。多逻辑回归显示，常见精神健康障碍（包括心理困扰、躯体化、抑郁、焦虑、恐惧症、强迫症、创伤后应激障碍和失眠）的显著危险因素包括女性性别、多种合并症、精神病史、隔离经历、从不向任何人求助和加班。
应关注预先存在的精神和多种合并症、社会支持和与工作相关的压力源。即使在公共卫生危机之后，也需要定期评估和心理干预来增强 PHC 专业人员的心理健康。
