Mohamed Nur Adam, Mohamed Yusuf Abdirisak, Ali Tigad Abdisad, Gabow Adan Ali, Hilowle Fartun Mohamed
Mogadishu Somali Turkiye Recep Tayyip Erdogan Training and Research Hospital, Department of Psychiatry and Behavioral Sciences, Mogadishu, Somalia.
Faculty of Medicine and Surgery, Somali National University, Mogadishu, Somalia.
Risk Manag Healthc Policy. 2024 Oct 28;17:2573-2585. doi: 10.2147/RMHP.S488303. eCollection 2024.
Depression, a prevalent mental health issue, can significantly impact healthcare workers (HCWs), leading to decreased productivity, increased turnover, and high medical errors. However, there is a dearth of information regarding depression among healthcare professionals in Somalia. Therefore, this study aimed to assess the magnitude and risk factors associated with depressive symptoms among healthcare professionals in Mogadishu, Somalia.
A hospital-based cross-sectional study was conducted among HCWs at Erdogan Hospital, in the capital city of Somalia. Data was collected using questionnaires on socio demographic, work-related characteristics and Patient Health Questionnaire-9 (PHQ-9). Bivariate and multivariate logistic regression analyses were conducted to identify variables associated with depressive symptoms. A p-values of 0.05 as a cutoff for a significant association.
The prevalence of depressive symptoms among healthcare professionals was 48.9% (95% CI: 45.4-56.9%). In multivariable analysis, being female (AOR = 2.05; 95% CI: 1.17-3.60), being a nurse (AOR = 3.11; 95% CI: 1.14-8.48), unmarried (AOR = 1.83; 95% CI: 1.04-3.21), having insufficient sleep (AOR = 2.61; 95% CI: 1.45-4.70), a family history of mental illness (AOR = 3.31; 95% CI: 1.49-7.36), lack of physical activity (AOR = 2.59; 95% CI: 1.19-5.62), and having low social support (AOR = 3.06; 95% CI: 1.17-7.98) were all associated with increased odds of experiencing depressive symptoms.
The study showed that nearly half of healthcare professionals experienced depressive symptoms. The study underscores the importance of efficient screening methods for identifying psychological symptoms in healthcare professionals, which is essential for enhancing their mental health and patient care. Therefore, we recommend that healthcare institutions and policymakers develop and implement screening measures to identify and improve the mental health well-being of HCWs, as well as provide high-quality patient care.
抑郁症是一种普遍存在的心理健康问题,会对医护人员产生重大影响,导致工作效率下降、人员流动增加以及医疗差错率升高。然而,索马里医护人员中关于抑郁症的信息匮乏。因此,本研究旨在评估索马里摩加迪沙医护人员中抑郁症状的严重程度及其相关风险因素。
在索马里首都的埃尔多安医院对医护人员开展了一项基于医院的横断面研究。通过问卷调查收集社会人口统计学、工作相关特征以及患者健康问卷-9(PHQ-9)的数据。进行二元和多因素逻辑回归分析以确定与抑郁症状相关的变量。以p值0.05作为显著关联的临界值。
医护人员中抑郁症状的患病率为48.9%(95%置信区间:45.4 - 56.9%)。在多变量分析中,女性(优势比[AOR]=2.05;95%置信区间:1.17 - 3.60)、护士(AOR = 3.11;95%置信区间:1.14 - 8.48)、未婚(AOR = 1.83;95%置信区间:1.04 - 3.21)、睡眠不足(AOR = 2.61;95%置信区间:1.45 - 4.70)、有精神疾病家族史(AOR = 3.31;95%置信区间:1.49 - 7.36)、缺乏体育锻炼(AOR = 2.59;95%置信区间:1.19 - 5.62)以及社会支持低(AOR = 3.06;95%置信区间:1.17 - 7.98)均与出现抑郁症状的几率增加相关。
该研究表明近一半的医护人员有抑郁症状。该研究强调了有效筛查方法对于识别医护人员心理症状的重要性,这对于增进他们的心理健康和患者护理至关重要。因此,我们建议医疗机构和政策制定者制定并实施筛查措施,以识别并改善医护人员的心理健康状况,同时提供高质量的患者护理。