Hilvano-Cabungcal Ana Melissa, Bonito Sheila R
Division of Urology, Department of Surgery, College of Medicine and Philippine General Hospital, University of the Philippines Manila.
Faculty of Management and Development Studies, University of the Philippines Open University.
Acta Med Philipp. 2025 Jan 15;59(1):57-65. doi: 10.47895/amp.vi0.8590. eCollection 2025.
Ensuring the total well-being of healthcare workers (HCWs), including their mental health and psychological well-being, is an essential aspect in the delivery of patient care and the preservation of the health workforce. This study aimed to determine the level of mental well-being and emotional state of HCWs in terms of depression, anxiety, and stress using the DASS-21 scale in a tertiary government hospital during the COVID-19 pandemic in the Philippines and to identify the job-related factors that may be associated with these outcomes.
This is an analytical, cross-sectional study among HCWs involved in direct patient care in a tertiary government hospital in the Philippines during the COVID-19 pandemic. Data collection was conducted from February to March 2022 through an online self-administered questionnaire, which included the Demand-Control-Support Questionnaire (DCSQ), and the 21-item Depression Anxiety Stress Scale (DASS-21). This was sent to doctors, nurses, and allied medical workers actively working in the clinical areas. All responses were collected and analyzed.
Three hundred sixty-four healthcare workers were included in the study. Majority were single (62.62%), living with immediate family (50.82%), and working in a COVID-designated area (62.09%). High prevalence of depression (49.18%), anxiety (61.54%), and stress (30.22%) was found among the HCWs. Work in high infection/COVID-designated areas was significantly associated with anxiety and stress, and high-job demand was significantly associated with all three mental health states compared to low job-demand.
Focus should be placed on modifying the condition of high job demand among healthcare workers working in hospitals. This includes ensuring optimum staffing levels and patient to HCW ratio which avoids HCWs from being subjected to high workloads and time pressures that subsequently increase risk for stress, anxiety, and depression.
确保医护人员的全面福祉，包括他们的心理健康和心理幸福感，是提供患者护理和维持卫生人力的一个重要方面。本研究旨在使用抑郁、焦虑和压力量表（DASS-21）确定菲律宾一家三级政府医院在新冠疫情期间医护人员的心理健康水平和情绪状态，并确定可能与这些结果相关的工作相关因素。
这是一项针对菲律宾一家三级政府医院参与直接患者护理的医护人员的分析性横断面研究。2022年2月至3月通过在线自填问卷进行数据收集，问卷包括需求-控制-支持问卷（DCSQ）和21项抑郁焦虑压力量表（DASS-21）。问卷发送给了在临床区域积极工作的医生、护士和专职医务人员。收集并分析所有回复。
364名医护人员纳入研究。大多数为单身（62.62%），与直系亲属同住（50.82%），并在新冠指定区域工作（62.09%）。医护人员中抑郁症（49.18%）、焦虑症（61.54%）和压力（30.22%）的患病率较高。与低工作需求相比，在高感染/新冠指定区域工作与焦虑和压力显著相关，高工作需求与所有三种心理健康状态均显著相关。
应重点改善医院医护人员高工作需求的状况。这包括确保最佳人员配备水平和患者与医护人员的比例，避免医护人员承受高工作量和时间压力，从而降低压力、焦虑和抑郁的风险。
