Naser Abdallah Y, Mustafa Ali Moaath, Sammour Abd Al-Karim H, Skaik Adnan N, Abed Ahmed, Musallam Ruba, Alsarafandi Muath, Halimy Mohammed I, Aljerjawi Shadi, Habboub Ahmed E, Rassoul Mohamad A, Ghali Abdullah, Loubani Mahmoud, Ramleth Ruth-Kari, Irfan Bilal, Silevany Farashin, Hamarshi Majdi S, Abukhalaf Amer Hamad Issa, Alzghoul Bashar N
Department of Applied Pharmaceutical Sciences and Clinical Pharmacy, Faculty of Pharmacy, Isra University, Amman, Jordan.
Cleveland Clinic Taussig Cancer Center, Cleveland, OH.
Medicine (Baltimore). 2025 Sep 5;104(36):e44195. doi: 10.1097/MD.0000000000044195.
The increased workload and constant fear for life can cause significant stress and depression among healthcare workers (HCWs). The aim of this study was to measure psychological stress, depression, and their causes in HCWs who practiced in the Gaza strip since the 2023 Israel-Gaza war. We conducted a cross-sectional survey between April 2024 and January 2025 for Palestinian and international HCWs who practiced in the Gaza strip after October 7, 2023. The survey collected demographic data and measured depression using the patient health questionnaire-9 (PHQ-9), stress using the perceived stress scale (PSS-10), and anxiety using the Generalized anxiety disorder-7 (GAD-7) scale. Out of 380 HCWs who agreed to fill out the survey, 231 completed it. Most HCW from Gaza had to change their residence, work for free, and had a HCW die since war. Most international HCW from Gaza had to work for free, work for 7-30 days continuously, not take a weekly break from work, had healthcare colleagues die since war, worked in a facility that was subject to Israeli military activity, and experienced food insecurity. Most HCW (~90%) experienced severe depression, severe anxiety, and severe stress. HCWs in the Gaza Strip and on medical missions face severe working conditions, including significant workplace-related aggression and injury. The widespread depression and anxiety in HCWs in Gaza may result in long-term consequences and a psychological toll on population health.
工作量的增加以及对生命的持续恐惧会给医护人员带来巨大压力和抑郁情绪。本研究的目的是衡量自2023年以色列-加沙战争以来在加沙地带工作的医护人员的心理压力、抑郁状况及其成因。我们在2024年4月至2025年1月期间对2023年10月7日之后在加沙地带工作的巴勒斯坦和国际医护人员进行了一项横断面调查。该调查收集了人口统计学数据，并使用患者健康问卷9（PHQ-9）测量抑郁，使用感知压力量表（PSS-10）测量压力，使用广泛性焦虑障碍7（GAD-7）量表测量焦虑。在同意填写调查问卷的380名医护人员中，231人完成了调查。大多数来自加沙的医护人员不得不更换住所、免费工作，并且自战争以来有同事死亡。大多数来自加沙的国际医护人员不得不免费工作、连续工作7至30天、不每周休息、自战争以来有医护同事死亡、在受以色列军事活动影响的设施中工作，并且经历了粮食不安全状况。大多数医护人员（约90%）经历了严重抑郁、严重焦虑和严重压力。加沙地带以及执行医疗任务的医护人员面临着恶劣的工作条件，包括与工作场所相关且严重的攻击行为和伤害。加沙医护人员中普遍存在的抑郁和焦虑可能会导致长期后果，并对民众健康造成心理负担。
