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严重急性呼吸综合征冠状病毒2(SARS-CoV-2)奥密克戎变异株出现期间越南医护人员的焦虑和压力:一项横断面研究

Anxiety and stress among Vietnamese health workers during the emergence of the SARS-CoV-2 Omicron variant: a cross-sectional study.

作者信息

Hoat Nguyen Van, Lien Hoang Quynh, Duc Tran Quang, Luu Nguyen Bich, Minh Hoang Van

机构信息

Quality Management Department, Hanoi Medical University Hospital, Ton That Tung, Dong Da, Hanoi, Vietnam.

Faculty of Technology, Dong Nai Technology University, Bien Hoa City, Vietnam.

出版信息

J Med Life. 2024 Oct;17(10):940-947. doi: 10.25122/jml-2024-0275.

Abstract

The prevalence and contributing factors of mental health issues among health workers in Vietnam during the early 2022 Omicron wave remain underexplored. This study investigated the prevalence and factors associated with anxiety and stress among health workers in a Vietnamese hospital during this period. A cross-sectional study, conducted from February 28 to April 14, 2022, at Hanoi Medical University Hospital, assessed anxiety and stress among 754 frontline health workers using the DASS-21 questionnaire via a Google survey. Logistic regression models were used to identify factors linked to anxiety and stress. Among healthcare workers, 22% experienced stress, and 33% anxiety. Multivariable logistic regression analysis revealed that direct contact with COVID-19 patients significantly increased the likelihood of experiencing stress (OR = 2.12, < 0.01). Additionally, discrimination from relatives and friends was associated with higher odds of having anxiety (OR = 2.45, < 0.001). Furthermore, a heavy workload significantly increased the odds of having anxiety (OR = 1.95, < 0.001). Lastly, a lack of support from colleagues was linked to higher odds of experiencing stress (OR = 2.77, < 0.05). The prevalence of mental health issues among Vietnamese health workers remained significant during the initial Omicron wave. Identified factors associated with these problems hold important policy implications for enhancing pandemic preparedness in Vietnam and worldwide.

摘要

2022年初奥密克戎毒株浪潮期间,越南医护人员心理健康问题的患病率及影响因素仍未得到充分研究。本研究调查了这一时期越南一家医院医护人员中焦虑和压力的患病率及相关因素。2022年2月28日至4月14日在河内医科大学附属医院开展了一项横断面研究,通过谷歌调查问卷使用DASS-21问卷对754名一线医护人员的焦虑和压力状况进行评估。采用逻辑回归模型来确定与焦虑和压力相关的因素。在医护人员中,22%的人经历过压力,33%的人有焦虑情绪。多变量逻辑回归分析显示,直接接触新冠患者会显著增加经历压力的可能性(比值比=2.12,<0.01)。此外,受到亲戚和朋友的歧视与患焦虑症的几率较高有关(比值比=2.45,<0.001)。此外,繁重的工作量显著增加了患焦虑症的几率(比值比=1.95,<0.001)。最后,缺乏同事的支持与经历压力的几率较高有关(比值比=2.77,<0.05)。在奥密克戎毒株浪潮初期,越南医护人员心理健康问题的患病率仍然很高。确定的与这些问题相关的因素对加强越南乃至全球的大流行防范具有重要的政策意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd21/11665749/34e733b47eee/JMedLife-17-940-g001.jpg

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