Lu Lifen, Sheng Di, Xia Xiaowei, Chen Guanghui, Liang Jiali, Shen Xiulan, Zheng Gui
Department of Nursing, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, People's Republic of China.
Ministry of Health, the Third Hospital of Ninghai County, Ningbo, Zhejiang, People's Republic of China.
Risk Manag Healthc Policy. 2024 Oct 23;17:2467-2482. doi: 10.2147/RMHP.S475482. eCollection 2024.
To investigate the emotional response of hospital staff to the Depression Anxiety Stress Scale-21 (DASS-21) over the COVID-19 pandemic and after the relaxation of prevention and control measures in Zhejiang Province, China, and identify influencing factors.
Multicenter online cross-sectional design.
From January 10, 2023, to January 20, 2023, 1054 hospital employees in Zhejiang, China, were recruited using WeChat. Data was gathered via online, self-administered surveys. -tests and one-way analyses of variance, Pearson's correlation analysis, and multiple linear stepwise regression analyses were used to examine the data.
More than 90% of hospital employees were infected with COVID-19. Through regression analysis, the following variables were found to be independent predictors of emotional response to DASS-21: resilience (-13.346, P < 0.0001), sleep (14.689, P < 0.0001), friend support (-4.278, P < 0.0001), education level (2.699, P = 0.007), and marriage (-2.214, P = 0.027). The emotional responses were not as severe as predicted, but they were still well above the Chinese norm. A longitudinal comparison of DASS-21 emotional responses with similar studies showed a parabolic downward trend over time.
Our results identified education level, marriage, friend support, resilience, and sleep as independent predictors of emotional responses to the DASS-21 among hospital workers in this outbreak. Improving the mental resilience and sleep status of staff is a key target. Unmarried medical personnel with higher education should be given greater attention and support by management. In addition, there is still room for further improvement in the government and societal responses to similar outbreaks. The study also found a parabolic downward trend in DASS-21 emotional responses among hospital workers during the COVID-19 outbreak over time.
调查中国浙江省医院工作人员在新冠疫情期间及防控措施放松后对抑郁焦虑压力量表-21（DASS-21）的情绪反应，并确定影响因素。
多中心在线横断面设计。
2023年1月10日至1月20日，通过微信招募了中国浙江省的1054名医院员工。数据通过在线自填式调查问卷收集。采用t检验、单因素方差分析、Pearson相关分析和多元线性逐步回归分析对数据进行检验。
超过90%的医院员工感染过新冠病毒。通过回归分析，发现以下变量是对DASS-21情绪反应的独立预测因素：心理韧性（-13.346，P<0.0001）、睡眠（14.689，P<0.0001）、朋友支持（-4.278，P<0.0001）、教育程度（2.699，P=0.007）和婚姻状况（-2.214，P=0.027）。情绪反应虽不像预期的那么严重，但仍远高于中国常模。将DASS-21情绪反应与类似研究进行纵向比较，发现其随时间呈抛物线状下降趋势。
我们的研究结果确定了教育程度、婚姻状况、朋友支持、心理韧性和睡眠是此次疫情中医院工作人员对DASS-21情绪反应的独立预测因素。提高员工的心理韧性和睡眠状况是关键目标。管理层应给予更多关注和支持学历较高的未婚医务人员。此外，政府和社会对类似疫情的应对仍有进一步改进的空间。该研究还发现，在新冠疫情期间，医院工作人员的DASS-21情绪反应随时间呈抛物线状下降趋势。
