新冠肺炎时期医院工作孕妇心理健康状况评价的横断面研究

Aazam Sadat Heydari Yazdi, Mahboubeh Eslamzadeh, Bita Najjari, M. Emadzadeh, Z. Feyzi, F. Modaresi, Sara Mirzaeian, F. Behdani
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引用次数: 0

摘要

许多妇女和孕妇是新冠肺炎时代的一线医护人员,她们担心新冠肺炎可能对胎儿产生影响。在新冠肺炎疫情期间,由于医护人员的压力和高工作量,医护人员存在不同类型精神健康障碍的潜在风险。我们旨在评估2020年8月至2020年12月伊朗COVID-19时代怀孕医护人员心理健康状况与COVID-19相关焦虑水平的相关性。本横断面研究包括2020年8月至2020年12月在伊朗医院工作的64名怀孕临床住院医师、普通医生、护士和其他医务人员,采用谷歌Form平台上的匿名在线调查。在线调查包括社会人口学问题、妊娠相关问题以及医疗/药物史问题。波斯语版一般健康问卷-28 [GHQ-28]和冠状疾病焦虑量表[CDAS]也由参与者填写。参与者的平均年龄和胎龄分别为31.3±3.9岁和24.5±10.1周。9.4% [n: 6]孕妇的心理问题为中度[总分GHQ-28> 40]。四个亚类中出现中度/重度问题的频率分别为9[14.1%]、25[39.0%]、7[10.9%]和10[15.6%]。包括躯体症状、焦虑/失眠、社交障碍和抑郁。根据CDAS的数据,26.5%的参与者患有中度至重度与COVID-19相关的焦虑。妊娠医护人员与新冠肺炎相关焦虑及其亚类(生理和心理)与GHQ-28总分及其亚类(躯体症状、焦虑/失眠、社交功能障碍、抑郁)显著相关[P<0.01]。根据目前的研究结果,超过25%的怀孕医护人员患有中度至重度COVID-19相关焦虑;因此,政策制定者在COVID-19大流行期间关注怀孕医护人员的心理健康至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Mental Health Status of the Pregnant Women Working in Hospitals during Covid-19 Era: a cross-sectional study
Many of women and pregnant women are front-line health care workers in the COVID-19 era and are worried about the possible impacts of COVID-19 on their fetus. Due to the pressure and high working load on the healthcare workers during the COVID-19 crisis, the healthcare workers were potentially at risk of different types of mental health disorders. We aimed to evaluate the correlation between mental health status and the level of COVID-19 related anxiety in pregnant healthcare workers in the COVID-19 era in Iran from August 2020 to December 2020. This cross-sectional study included 64 pregnant clinical residents, general physicians, nurses and other medical staff who worked in the hospitals in Iran, from August 2020 to December 2020 using an anonymous online survey available on Google Form platform. The online survey consisted of socio-demographic questions, pregnancy-related questions, and questions about medical/drug history. The Persian versions of General Health Questionnaire – 28 [GHQ-28], and Corona Disease Anxiety Scale [CDAS] were also filled by the participants. The mean age and gestational age of the participants were 31.3±3.9 years, and 24.5±10.1 weeks respectively. Psychological problems were moderate [total score GHQ-28> 40] in 9.4% [n: 6] of the pregnant healthcare workers. The frequency of moderate/severe problems in the four subclasses, including somatic symptoms, anxiety/insomnia, social dysfunction, and depression were 9[14.1%], 25[39.0%], 7[10.9%], and 10[15.6%], respectively. According to CDAS, 26.5% of participants had moderate to severe COVID-19 related anxiety. COVID-19 related anxiety and its subclasses, physical and psychological, were significantly correlated with GHQ-28 total score and its subclasses, including somatic symptoms, anxiety/insomnia, social dysfunction, and depression among pregnant health care workers [P<0.01]. According to the results of the current study, over 25% of the pregnant health care workers have moderate to severe COVID-19 related anxiety; so, it is crucial for policymakers to focus on the mental health of the pregnant health care workers during the COVID-19 pandemic.
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