中国新冠疫情后时期医护人员的心理状况：一项回顾性多中心横断面研究
Psychological status of healthcare workers in the post-COVID 19 period in China: a retrospective multicentric cross-sectional study.
作者信息
Wang Xiaoli, Fu Fang, Gan Aihua, Wu Yuqian, Pan Wenjing, Zhou Xin, Zhang Xiaohui
机构信息
Division of Academic Affairs, Huizhou Health Sciences Polytechnic, Huizhou, China.
College of Nursing, Huizhou Health Sciences Polytechnic, Huizhou, China.
出版信息
Front Psychiatry. 2025 Apr 7;16:1520361. doi: 10.3389/fpsyt.2025.1520361. eCollection 2025.
OBJECTIVE
This study aimed to assess the depression, anxiety, sleep disorders, and post-traumatic stress disorder (PTSD) among healthcare workers (HCWs) in Huizhou in the post-pandemic period.
METHODS
A retrospective multicentric cross-sectional study was conducted from April 25 to May 25, 2023, involving 4,618 HCWs from 46 hospitals in Guangdong Province, China. Psychological well-being was measured using the PHQ-9, GAD-7, Insomnia Severity Index (ISI), and PTSD scales. Chi-square test and multivariable logistic regression were used to identify factors associated with depression, anxiety, insomnia and PTSD.
RESULTS
The rates of anxiety, depression, insomnia, and PTSD were 45.0%, 59.4%, 40.5%, and 10.5%, respectively. HCWs who did not experience negative events were more likely to show anxiety (OR=2.082, 95%CI:1.734-2.499), depression (OR=2.013, 95%CI:1.647-2.460) and insomnia (OR=2.013, 95%CI:1.683-2.409).
CONCLUSION
There was a high prevalence of anxiety, depression, insomnia, and PTSD in the HCWs after the COVID-19 pandemic.
目的
本研究旨在评估疫情后惠州市医护人员的抑郁、焦虑、睡眠障碍和创伤后应激障碍（PTSD）情况。
方法
于2023年4月25日至5月25日进行了一项回顾性多中心横断面研究，纳入了来自中国广东省46家医院的4618名医护人员。使用患者健康问卷-9（PHQ-9）、广泛性焦虑障碍量表（GAD-7）、失眠严重程度指数（ISI）和创伤后应激障碍量表来测量心理健康状况。采用卡方检验和多变量逻辑回归来确定与抑郁、焦虑、失眠和创伤后应激障碍相关的因素。
结果
焦虑、抑郁、失眠和创伤后应激障碍的发生率分别为45.0%、59.4%、40.5%和10.5%。未经历负面事件的医护人员更易出现焦虑（OR=2.082，95%CI：1.734-2.499）、抑郁（OR=2.013，95%CI：1.647-2.460）和失眠（OR=2.013，95%CI：1.683-2.409）。
结论
新冠疫情后医护人员中焦虑､抑郁､失眠和创伤后应激障碍的患病率较高。
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