尼日利亚一线医护人员在 COVID-19 大流行中的心理健康负担和促进因素:横断面研究。

Pub Date : 2024-04-01 Epub Date: 2024-04-29 DOI:10.4103/njcp.njcp_704_23
T Abiola, A J Yusuf, M G Ibrahim, O O Fajimolu, N Hayatudeen, J U Ohaeri, O Udofia, M S Jidda
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摘要

背景:在 COVID-19 大流行期间,一线医护人员面临着巨大的心理健康压力。目的:本研究旨在评估卡杜纳州治疗 COVID-19 患者的一线医护人员所经历的心理影响和支持机制:这项研究涉及 38 名一线医护人员,他们主要来自卡杜纳州传染病治疗中心。通过医院焦虑和抑郁量表了解参与者的心理健康负担。心理健康促进因素通过六种工具进行评估:十项价值观量表、防御风格问卷的健康防御部分、存在性焦虑问卷、简明复原力量表、奥斯陆社会支持量表和失眠严重程度指数:研究参与者的平均年龄为(35.5 ± 6.6)岁,男性(68.4%)和医生(39.5%)占大多数。超过四分之一的参与者表现出明显的抑郁和焦虑症状。半数以上的参与者在道德价值观、对改变的开放性、自我超越、升华、预期和幽默等心理社会促进因素方面的得分高于平均水平。大多数参与者表现出适度的适应能力和社会支持,很少有人遇到睡眠问题。变量比较表明,男性的 "变革开放度 "明显更高,而抑郁和焦虑症状与更高水平的生存担忧和睡眠挑战相关:我们的研究发现,尼日利亚一线医务工作者在 COVID-19 大流行期间经历了严重的心理健康挑战。研究确定了与性别和心理负担相关的具体促进因素,从而说明有必要采取有针对性的支持干预措施。
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Mental Health Burden and Facilitators Among Frontline Healthcare Professionals in Nigeria Amid COVID-19 Pandemic: A Cross-sectional Study.

Background: During the COVID-19 pandemic, the frontline healthcare providers faced significant mental health stressors. Previous pandemics have revealed the need for psychosocial support and healthy coping mechanisms to mitigate mental health risks.

Aim: The study aimed to assess psychological impact and supportive mechanisms experienced by frontline healthcare workers treating COVID-19 patients in Kaduna State.

Methods: This study involved 38 frontline healthcare providers mainly from Kaduna State Infectious Disease Treatment Center. Participants' mental health burden was captured through Hospital Anxiety and Depression Scale. Mental health facilitators were assessed through six tools: Ten-Item Values Inventory, healthy defense section of the Defense Style Questionnaire, Existential Anxiety Questionnaire, Brief Resilience Scale, Oslo Social Support Scale, and the Insomnia Severity Index.

Results: The mean age of the study participants was 35.5 ± 6.6 years, with the majority being males (68.4%) and doctors (39.5%). More than a quarter of the participants showed appreciable symptoms of depression and anxiety. Psychosocial facilitators such as moral values, openness to change, self-transcendence, sublimation, anticipation, and humor scored above average for more than half of the participants. Most participants demonstrated moderate resilience and social support, with few experiencing sleep challenges. Comparisons of variables indicated "openness to change" was significantly higher among males, whereas symptoms of depression and anxiety were associated with higher levels of existential concerns and sleep challenges.

Conclusion: Our study finds that Nigerian frontline health workers experienced significant mental health challenges during the COVID-19 pandemic. It identified specific facilitators linked to gender and psychological burdens, informing the need for tailored support interventions.

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