COVID-19 大流行后医护人员的心理健康和失眠问题:多中心横断面研究

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Wei Ding, Minzhong Wang, Xianwei Zeng, Zhen-Hua Liu, Yao Meng, Hui-Ting Hu, Yuan Zhang, Yu-Guang Guan, Fan-Gang Meng, Jian-Guo Zhang, Shu Wang
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引用次数: 0

摘要

背景医疗保健工作者(HCWs)感染 2019 年冠状病毒病(COVID-19)以及精神健康问题和失眠恶化的风险增加。这些问题可能会持续很长时间,甚至在大流行之后。然而,人们对这一主题的了解却较少。目的 分析 COVID-19 大流行后高危人群的心理健康、失眠问题及其影响因素。方法 该多中心横断面医院研究于 2023 年 6 月 1 日至 2023 年 6 月 30 日(COVID-19 紧急事件结束后半年)进行。研究以省级为单位,对中国医护人员进行了地区分层人群集群抽样。焦虑、抑郁和失眠等症状由广泛性焦虑症-7、患者健康问卷-9 和失眠严重程度指数进行评估。通过多变量逻辑回归确定了影响症状的因素。结果 共邀请了 2000 名参与者,回复率为 70.6%。共有 1412 名医护人员[618 名(43.8%)医生、583 名(41.3%)护士和 211 名(14.9%)非一线人员]、254 名(18.0%)、231 名(16.4%)和 289 名(20.5%)有焦虑、抑郁和失眠症状;58 名(4.1%)、49 名(3.5%)和 111 名(7.9%)有严重症状。护士、女性和因 COVID-19 住院是焦虑、抑郁和失眠症状的危险因素;此外,家人或朋友的死亡也是失眠症状的危险因素。在 COVID-19 爆发期间,大多数参与的医护人员[1086 人(76.9%)]接受了心理干预,几乎所有医护人员[994 人(70.4%)]都接受了公共心理教育。只有 102 名 (7.2%) 高危工人接受了 COVID-19 提供的个别辅导。结论 尽管在 COVID-19 大流行后,高危行业工人的心理健康和睡眠问题得到了缓解,但他们仍然面临着挑战和比一般人群更大的风险。找出风险因素将有助于提供有针对性的干预措施。此外,虽然大部分高危职业工作者接受了公共心理教育,但个别干预措施仍然不足。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental health and insomnia problems in healthcare workers after the COVID-19 pandemic: A multicenter cross-sectional study
BACKGROUND Healthcare workers (HCWs) are at increased risk of contracting coronavirus disease 2019 (COVID-19) as well as worsening mental health problems and insomnia. These problems can persist for a long period, even after the pandemic. However, less is known about this topic. AIM To analyze mental health, insomnia problems, and their influencing factors in HCWs after the COVID-19 pandemic. METHODS This multicenter cross-sectional, hospital-based study was conducted from June 1st, 2023 to June 30th, 2023, which was a half-year after the end of the COVID-19 emergency. Region-stratified population-based cluster sampling was applied at the provincial level for Chinese HCWs. Symptoms such as anxiety, depression, and insomnia were evaluated by the Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index. Factors influencing the symptoms were identified by multivariable logistic regression. RESULTS A total of 2000 participants were invited, for a response rate of 70.6%. A total of 1412 HCWs [618 (43.8%) doctors, 583 (41.3%) nurses and 211 (14.9%) nonfrontline], 254 (18.0%), 231 (16.4%), and 289 (20.5%) had symptoms of anxiety, depression, and insomnia, respectively; severe symptoms were found in 58 (4.1%), 49 (3.5%), and 111 (7.9%) of the participants. Nurses, female sex, and hospitalization for COVID-19 were risk factors for anxiety, depression, and insomnia symptoms; moreover, death from family or friends was a risk factor for insomnia symptoms. During the COVID-19 outbreak, most [1086 (76.9%)] of the participating HCWs received psychological interventions, while nearly all [994 (70.4%)] of them had received public psychological education. Only 102 (7.2%) of the HCWs received individual counseling from COVID-19. CONCLUSION Although the mental health and sleep problems of HCWs were relieved after the COVID-19 pandemic, they still faced challenges and greater risks than did the general population. Identifying risk factors would help in providing targeted interventions. In addition, although a major proportion of HCWs have received public psychological education, individual interventions are still insufficient.
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