Emotional Responses of Hospital Staff to the DASS-21 Survey During Mass COVID-19 Testing After the Relaxation of Prevention and Control Measures in Zhejiang, China, and Their Change Trajectory.

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2024-10-23 eCollection Date: 2024-01-01 DOI:10.2147/RMHP.S475482

Lifen Lu, Di Sheng, Xiaowei Xia, Guanghui Chen, Jiali Liang, Xiulan Shen, Gui Zheng

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引用次数: 0

Abstract

Aim: To investigate the emotional response of hospital staff to the Depression Anxiety Stress Scale-21 (DASS-21) over the COVID-19 pandemic and after the relaxation of prevention and control measures in Zhejiang Province, China, and identify influencing factors.

Design: Multicenter online cross-sectional design.

Methods: From January 10, 2023, to January 20, 2023, 1054 hospital employees in Zhejiang, China, were recruited using WeChat. Data was gathered via online, self-administered surveys. T-tests and one-way analyses of variance, Pearson's correlation analysis, and multiple linear stepwise regression analyses were used to examine the data.

Results: More than 90% of hospital employees were infected with COVID-19. Through regression analysis, the following variables were found to be independent predictors of emotional response to DASS-21: resilience (-13.346, P < 0.0001), sleep (14.689, P < 0.0001), friend support (-4.278, P < 0.0001), education level (2.699, P = 0.007), and marriage (-2.214, P = 0.027). The emotional responses were not as severe as predicted, but they were still well above the Chinese norm. A longitudinal comparison of DASS-21 emotional responses with similar studies showed a parabolic downward trend over time.

Conclusion: Our results identified education level, marriage, friend support, resilience, and sleep as independent predictors of emotional responses to the DASS-21 among hospital workers in this outbreak. Improving the mental resilience and sleep status of staff is a key target. Unmarried medical personnel with higher education should be given greater attention and support by management. In addition, there is still room for further improvement in the government and societal responses to similar outbreaks. The study also found a parabolic downward trend in DASS-21 emotional responses among hospital workers during the COVID-19 outbreak over time.

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浙江省放宽防控措施后大规模 COVID-19 检测期间医院员工对 DASS-21 调查的情绪反应及其变化轨迹。

目的：调查中国浙江省在COVID-19大流行期间和防控措施放松后医院工作人员对抑郁焦虑压力量表-21（DASS-21）的情绪反应，并找出影响因素：设计：多中心在线横断面设计：方法：2023 年 1 月 10 日至 2023 年 1 月 20 日，通过微信招募浙江省 1054 名医院员工。数据通过在线自填式调查收集。采用T检验、单因素方差分析、皮尔逊相关分析和多元线性逐步回归分析来检验数据：结果：90%以上的医院员工感染了 COVID-19。通过回归分析，发现以下变量是预测 DASS-21 情绪反应的独立因素：复原力（-13.346，P < 0.0001）、睡眠（14.689，P < 0.0001）、朋友支持（-4.278，P < 0.0001）、教育程度（2.699，P = 0.007）和婚姻（-2.214，P = 0.027）。情绪反应没有预测的那么严重，但仍远高于中国人的正常水平。DASS-21 情绪反应与类似研究的纵向比较显示，随着时间的推移，情绪反应呈抛物线下降趋势：我们的研究结果表明，教育水平、婚姻状况、朋友支持、复原力和睡眠是此次疫情中医院工作人员对 DASS-21 情绪反应的独立预测因素。改善工作人员的心理复原力和睡眠状况是一个关键目标。受过高等教育的未婚医务人员应得到管理层更多的关注和支持。此外，政府和社会在应对类似疫情时仍有进一步改进的空间。研究还发现，在 COVID-19 爆发期间，医院工作人员的 DASS-21 情绪反应随时间呈抛物线下降趋势。

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.