Kassew Tilahun, Melkam Mamaru, Minichil Woredaw, Wondie Mesele, Ali Dawed
Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Psychiatry. 2024 Oct 22;15:1342002. doi: 10.3389/fpsyt.2024.1342002. eCollection 2024.
Coronavirus disease 2019 (COVID-19) outbreak is one of the public health problems that pose a serious mental health concern due to its high morbidity and mortality rate. The healthcare workers are at risk of developing mental health symptoms like depression and anxiety because they are the first point of contact in the diagnosis, treatment, and care of patients with COVID-19. This study aimed to systematically review the prevalence and the associated factors of depression and anxiety disorders among healthcare workers amid COVID-19 pandemic in Ethiopia.
A systematic review and meta-analysis study was conducted. Different primary studies that assessed the depressive and anxiety disorders during amid COVID-19 pandemic in the Ethiopian healthcare workers were extracted by Microsoft Excel and exported to STATA version 11 for further analysis. Random-effects model meta-analysis was used to the estimate pooled effect size and the effect of each study with their 95% confidence interval. Funnel plot analysis and Egger regression tests were conducted to detect the presence of publication bias. Subgroup analysis and sensitivity analysis were conducted.
Thirteen studies with 5,174 participants were included in this systematic review and meta-analysis study. The pooled prevalence of depression and anxiety disorders was 40.39% (95% CI: 28.54, 52.24) and 44.93% (95% CI: 31.39, 58.46), respectively. Being a woman, being married, working in the frontline, and having high perceived susceptibility were significantly associated with depression among the Ethiopian healthcare workers. Similarly, being a woman, being older in age, working in the frontline, and having high perceived susceptibility were the factors associated with anxiety disorder among the Ethiopian healthcare workers during the COVID-19 pandemic.
The prevalence of depression and anxiety disorders in the Ethiopian healthcare workers was high. The timely detection and appropriate management of mental health problems is essential for the quality of healthcare services, and proactive support methods for the female, married, and older-age healthcare professionals could result in these outcomes.
https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42022299074.
2019年冠状病毒病（COVID-19）疫情是一个公共卫生问题，因其高发病率和死亡率而引发了严重的心理健康问题。医护人员有出现抑郁和焦虑等心理健康症状的风险，因为他们是COVID-19患者诊断、治疗和护理的第一接触点。本研究旨在系统评价埃塞俄比亚COVID-19大流行期间医护人员中抑郁和焦虑障碍的患病率及相关因素。
进行了一项系统评价和荟萃分析研究。通过Microsoft Excel提取评估埃塞俄比亚医护人员在COVID-19大流行期间抑郁和焦虑障碍的不同原始研究，并导出到STATA 11版本进行进一步分析。采用随机效应模型荟萃分析来估计合并效应量以及每项研究的效应及其95%置信区间。进行漏斗图分析和Egger回归检验以检测发表偏倚的存在。进行了亚组分析和敏感性分析。
本系统评价和荟萃分析研究纳入了13项研究，共5174名参与者。抑郁和焦虑障碍的合并患病率分别为40.39%（95%CI：28.54，52.24）和44.93%（95%CI：31.39，58.46）。在埃塞俄比亚医护人员中，女性、已婚、在一线工作以及高感知易感性与抑郁显著相关。同样，在COVID-19大流行期间，女性、年龄较大、在一线工作以及高感知易感性是埃塞俄比亚医护人员中与焦虑障碍相关的因素。
埃塞俄比亚医护人员中抑郁和焦虑障碍的患病率较高。及时发现和适当管理心理健康问题对于医疗服务质量至关重要，针对女性、已婚和年龄较大的医护专业人员采取积极的支持方法可能会带来这些结果。
