Zavuga Robert, Kawungezi Peter Chris, Agaba Brian, Migisha Richard, Kadobera Daniel, Kwesiga Benon, Okello Paul Edward, Bulage Lilian, Aceng Freda Loy, Batiibwe Emmanuel, Ario Alex Riolexus
Uganda Public Health Fellowship Program- Uganda, National Institute of Public Health, Kampala, Uganda.
Department of Integrated Epidemiology, Surveillance and Public Health Emergencies, Ministry of Health, Kampala, Uganda.
BMC Psychol. 2025 Jul 7;13(1):750. doi: 10.1186/s40359-025-03079-z.
Healthcare workers (HCWs) often face mental resilience challenges during public health emergencies, including disease outbreaks. On September 20, 2022, the Uganda Ministry of Health declared an outbreak of Sudan virus disease (SVD). We assessed the level and factors associated with workplace resilience among HCWs working at the epicenter of the SVD outbreak in Mubende and Kassanda districts, Uganda.
In March 2023, we conducted a cross-sectional survey among all HCWs (clinical and non-clinical) who served in three facilities directly involved in the SVD response between September 20, 2022─January 23, 2023 (the outbreak period) in Mubende and Kassanda Districts. Risk perception was assessed using 12 statements with a 4-point Likert-type scale. We assessed resilience using the Connor-Davidson Resilience Scale (CD-RISC-10). Resilience was categorized as either resilient or not resilient. Logistic regression was used to identify factors associated with resilience.
Of 429 eligible HCWs, 400 (93%) participated in the study, and all completed the survey. Mean age was 35 years (range: 20-58); 222 (56%) were male and median work experience was 8 years (range: 1-38). One hundred and ten (28%) were support staff and 72 (18%) were nurses; 344 (86%) worked > 40 h per week. Overall, 23% (95%CI: 9-25%) were resilient. Most participants (89%) reported fear of contracting SVD and concern about workplace stigma if infected. Higher resilience was associated with age > 40 years (adjusted odds ratio [AOR] = 2.1; CI = 1.3-3.5), work experience > 10 years (AOR = 2.2; CI = 1.1-4.7), working > 40 h per week (AOR = 6.8; CI = 2.1-23), and receiving SVD-specific counseling (AOR = 3.3; CI = 1.7-6.5).
Most HCWs at the SVD outbreak epicenter had low resilience, largely related to fear of infection and stigma. Older age, longer work experience, and access to psychological counselling were associated with higher resilience. Providing targeted mental health support and reducing workplace infection concerns could help strengthen HCW resilience in future outbreaks.
医护人员在包括疾病暴发在内的突发公共卫生事件期间常常面临心理韧性挑战。2022年9月20日，乌干达卫生部宣布苏丹病毒病（SVD）暴发。我们评估了在乌干达穆本德和卡桑达区SVD疫情中心工作的医护人员的工作场所心理韧性水平及相关因素。
2023年3月，我们对2022年9月20日至2023年1月23日（疫情暴发期）在穆本德和卡桑达区直接参与SVD应对工作的三个机构中服务的所有医护人员（临床和非临床）进行了横断面调查。使用12条陈述和4点李克特量表评估风险认知。我们使用康纳-戴维森心理韧性量表（CD-RISC-10）评估心理韧性。心理韧性分为有心理韧性和无心理韧性两类。采用逻辑回归确定与心理韧性相关的因素。
在429名符合条件的医护人员中，400名（93%）参与了研究，且全部完成了调查。平均年龄为35岁（范围：20 - 58岁）；222名（56%）为男性，工作年限中位数为8年（范围：1 - 38年）。110名（28%）为辅助人员，72名（18%）为护士；344名（86%）每周工作超过40小时。总体而言，23%（95%置信区间：9% - 25%）具有心理韧性。大多数参与者（89%）报告担心感染SVD以及担心如果感染会在工作场所受到污名化。较高的心理韧性与年龄大于40岁（调整优势比[AOR] = 2.1；置信区间 = 1.3 - 3.5）、工作经验大于10年（AOR = 2.2；置信区间 = 1.1 - 4.7）、每周工作超过40小时（AOR = 6.8；置信区间 = 2.1 - 23）以及接受SVD专项咨询（AOR = 3.3；置信区间 = 1.7 - 6.5）相关。
SVD疫情中心的大多数医护人员心理韧性较低，主要与担心感染和污名化有关。年龄较大、工作经验较长以及获得心理咨询与较高的心理韧性相关。提供有针对性的心理健康支持并减少对工作场所感染的担忧，可能有助于在未来疫情暴发时增强医护人员的心理韧性。
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