COVID-19大流行期间医生创伤后应激障碍的患病率

Mohammad Nurunnabi, Anika Nazia, Nabeel Chowdhury, Mubashira Binta Alam, Md Moinul Islam, Mst Siddika Sultana, Nadira Sultana Kakoly
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摘要

面对冠状病毒病(COVID-19)的全球灾难,医护人员承受了巨大的身体和心理负担。由于他们在第一线的作用,他们是直接面对致命病毒的最暴露群体,这增加了他们在这次大流行期间的心理健康问题。该研究被设计为一项横断面研究,旨在评估达卡市在COVID-19大流行期间有意选择的政府和私立医院的314名在职医生的PTSD患病率。采用“事件影响量表-修订”(IES-R)构建问卷。平均年龄32.2±4.7岁。其中五分之一(21.0%)的人通过rt-PCR检测呈阳性。最常见的合并症是支气管哮喘(74.2%)、高血压(32.3%)和糖尿病(19.4%)。大约一半的医生(48.6%)患有轻度创伤后应激障碍。经显著性检验,轻度PTSD患病率水平与医师年龄、性别、婚姻状况、工作环境、医师COVID-19阳性结果及是否合患有显著相关性(p < 0.05)。轻度创伤后应激障碍的患病率在25-35岁年龄组(49.1%)、女性(49.8%)、未婚(50.0%)、在私人场所工作(51.5%)、曾经呈COVID-19阳性(59.1%)和有合并症(51.6%)中较高。这项研究表明,大约一半的医生患有轻度创伤后应激障碍。一线医生对COVID-19相关精神障碍和恐惧的高度负担,要求政府和政策制定者及时考虑采取适当的预防措施。孟加拉国Med . 2021年9月;51 (1): 52-58
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Post-traumatic stress disorder among Physicians during the COVID-19 Pandemic
The healthcare professionals endured a major physical as well as psychological burden against the coronavirus disease (COVID-19) global catastrophe. Owing to their role in the frontline, they were the most exposed group who faced the deadly virus head-on which increased their mental health problems during this pandemic. The study was designed as a cross-sectional study to assess the prevalence of PTSD among 314 working physicians from the purposively selected government and private hospitals during the COVID-19 pandemic in Dhaka city. ‘Impact of Event Scale-Revised’ (IES-R) was used to construct the questionnaire. The mean age of the physician was 32.2±4.7 years. One-fifth of them (21.0%) diagnosed COVID-19 positive by the rt-PCR test. The most prevalent co-morbidities were found bronchial asthma (74.2%), hypertension (32.3%) and diabetes mellitus (19.4%). About half of the physicians (48.6%) had mild PTSD. The test of significance denotes the significant associations of the prevalence of mild PTSD level with physician’s age, gender, marital state, work settings, results of COVID-19 positive and had co-morbidities in physicians (p<0.05). The prevalence of mild PTSD was higher in the age group of 25-35 years (49.1%), in females (49.8%), unmarried (50.0%), work in private settings (51.5%), ever been COVID-19 positive (59.1%) and had co-morbidities (51.6%). This study reveals that about half the physicians are suffering from mild PTSD. A high encumbrance of COVID-19 related mental disorders and fear among frontline physicians’ entreaties to government and policymakers' prompt regard for taking appropriate preventive measures. Bangladesh Med J. 2021 Sept; 51(1): 52-58
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