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新型冠状病毒肺炎:重症监护病房中与焦虑和抑郁症状相关的因素

COVID-19: Factors associated with symptoms of anxiety and depression in the ICU.

作者信息

Díaz-Mayorga Laura Andrea, Vivas-López Harol Giovanni, Torres Contreras Claudia Consuelo, Z Rojas Lyda, C Serrano Norma, Serrano-García Angie Yarlady, Parra Ortiz Margarita Rosa, Quintero-Lesmes Doris Cristina

机构信息

Universidad de Santander. Facultad de Ciencias Médicas y de la Salud. Instituto de Investigación Masira, Bucaramanga, Santander, Colombia.

Fundación Cardiovascular de Colombia, Floridablanca, Santander, Colombia.

出版信息

Rev Cuid. 2025 Mar 26;16(1):e3998. doi: 10.15649/cuidarte.3998. eCollection 2025 Jan-Apr.

Abstract

INTRODUCTION

The COVID-19 pandemic led to a high prevalence of anxiety and depression among healthcare personnel.

OBJECTIVE

To assess the prevalence and independent risk factors associated with anxiety and depression symptoms among healthcare staff working in Intensive Care Units (ICUs) during the COVID-19 pandemic in Bucaramanga and its metropolitan area.

MATERIALS AND METHODS

This was an analytical cross-sectional study. Anxiety and depression were measured using the Hopkins Symptom Checklist-25 (HSCL-25). Bivariate and multivariate analyses were conducted using linear regressions to investigate associated factors.

RESULTS

A total of 288 people were included in the study. The prevalence of anxiety and depression symptoms was 8.34% (95% CI: 5.41-12.14%). In the bivariate analysis, six factors were associated with depression and anxiety symptoms; however, only three remained in the multivariate analysis: female sex (β=0.085, 95% CI: 0.019 - 0.151), experiencing COVID-19 symptoms in the past 14 days (β= 0.115, 95% CI: 0.024 - 0.205), and having worked in general ICUs and COVID-19 ICUs (β =0.009, 95% CI: 0.025 - 0.173).

DISCUSSION

The prevalence of anxiety and depression symptoms was considerably lower than reported in the scientific literature.

CONCLUSION

In the studied population, although the prevalence of depression and anxiety symptoms was low, three independent factors were found to be statistically associated with the presence of these mental symptoms.

摘要

引言

新冠疫情导致医护人员中焦虑和抑郁的患病率很高。

目的

评估在布卡拉曼加及其大都市区新冠疫情期间,重症监护病房(ICU)工作的医护人员中焦虑和抑郁症状的患病率及相关独立危险因素。

材料与方法

这是一项分析性横断面研究。使用霍普金斯症状清单-25(HSCL-25)测量焦虑和抑郁。采用线性回归进行双变量和多变量分析以研究相关因素。

结果

共有288人纳入研究。焦虑和抑郁症状的患病率为8.34%(95%置信区间:5.41 - 12.14%)。在双变量分析中,六个因素与抑郁和焦虑症状相关;然而,多变量分析中仅三个因素保留:女性(β = 0.085,95%置信区间:0.019 - 0.151)、在过去14天内出现新冠症状(β = 0.115,95%置信区间:0.024 - 0.205)以及曾在普通ICU和新冠ICU工作(β = 0.009,95%置信区间:0.025 - 0.173)。

讨论

焦虑和抑郁症状的患病率显著低于科学文献报道。

结论

在所研究的人群中,尽管抑郁和焦虑症状的患病率较低,但发现有三个独立因素与这些精神症状的存在具有统计学关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d2/12143909/275b69c12b22/2346-3414-cuid-16-01-e3998-gf1.jpg

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