Department of Cancer Center, Second People's Hospital of Neijiang, Neijiang, Sichuan, China.
Southwest Medical University, Luzhou, Sichuan, China.
Medicine (Baltimore). 2024 Oct 25;103(43):e40190. doi: 10.1097/MD.0000000000040190.
Hospital staff in the COVID-19 local outbreak were facing different situations, their mental status and influencing factors were also different. The aim of this study is to investigate the anxiety and depression of hospital staff and its potential influence factors during the COVID-19 local outbreak. This was a cross-sectional survey based on a hospital with a local outbreak of COVID-19. We collected the demographic characteristics, COVID-19-related issues, self-rating anxiety scale (SAS), and self-rating depression scale (SDS) of participants through an anonymous questionnaire. Factors associated with anxiety and depression were explored through univariate and multivariate analyses. We also constructed nomograms and calibration curves to predict the probability of anxiety and depression. A total of 800 people completed the questionnaire. 239 (29.9%) of them were doctors, 249 (31.1%) of them were nurses and 312 (39.0%) of them were others. There were 173 (21.6%) cases had anxiety, including 36 (20.8%) doctors, 76 (43.9%) nurses and 61 (35.3%) from other occupations and 281 (35.1%) cases had depression, including 64 (22.8%) doctors, 101 (35.9%) nurses, and 116 (41.3%) from other occupations. Nurses had higher SAS and SDS score than doctors and others (F = 17.856, P < .001 and F = 14.376, P < .001). In addition, multivariate analysis found that occupation, education level, health condition, and reduced sleep were significant influences on anxiety and depression. At the same time, reduced income was also significantly associated with anxiety. During the local outbreak of COVID-19, hospital staff still had varying degrees anxiety and depression. Occupation, education level, health condition and reduced sleep were both significant influencing factors for anxiety and depression. The mental state of hospital staff, including nonmedical-related staff should still be taken seriously.
在 COVID-19 本地疫情中，医院工作人员面临着不同的情况，他们的精神状态和影响因素也不同。本研究旨在调查 COVID-19 本地疫情期间医院工作人员的焦虑和抑郁状况及其潜在影响因素。这是一项基于发生本地疫情的医院的横断面调查。我们通过匿名问卷收集参与者的人口统计学特征、COVID-19 相关问题、自评焦虑量表（SAS）和自评抑郁量表（SDS）。通过单因素和多因素分析探讨与焦虑和抑郁相关的因素。我们还构建了列线图和校准曲线来预测焦虑和抑郁的概率。共有 800 人完成了问卷。其中 239 人（29.9%）为医生，249 人（31.1%）为护士，312 人（39.0%）为其他人员。有 173 例（21.6%）出现焦虑，其中医生 36 例（20.8%），护士 76 例（43.9%），其他人员 61 例（35.3%）；281 例（35.1%）出现抑郁，其中医生 64 例（22.8%），护士 101 例（35.9%），其他人员 116 例（41.3%）。护士的 SAS 和 SDS 评分均高于医生和其他人员（F=17.856，P<0.001 和 F=14.376，P<0.001）。此外，多因素分析发现，职业、教育水平、健康状况和睡眠减少是焦虑和抑郁的显著影响因素。同时，收入减少也与焦虑显著相关。在 COVID-19 本地疫情期间，医院工作人员仍存在不同程度的焦虑和抑郁。职业、教育水平、健康状况和睡眠减少是焦虑和抑郁的显著影响因素。应重视医院工作人员的精神状态，包括非医务人员。
