Evaluation of the mental health of health professionals in the COVID-19 era. What mental health conditions are our health care workers facing in the new wave of coronavirus?
Evaluation of the mental health of health professionals in the COVID-19 era. What mental health conditions are our health care workers facing in the new wave of coronavirus?
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DOI：
10.1111/ijcp.14607
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发表时间：
2021-07-14
影响因子：
2.6
通讯作者：
Quintana, Jose M.
中科院分区：
文献类型：
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作者：
Martin, Josune;Padierna, Angel;Quintana, Jose M.
背景-本研究的目的是分析心理健康和健康相关的生活质量（HRQoL）的广泛样本的医护人员（HCWs）在西班牙，并确定潜在的因素，有显着影响他们的心理健康和HRQoL。方法采用前瞻性队列研究方法，对2089名医务人员进行广泛性焦虑7项量表（GAD-7）、患者健康问卷（PHQ-9）、影响事件量表（IES-R）、抑郁严重程度指数（ISI）和健康相关生活质量问卷（EQ-5D）的调查。还记录了与Covid-19相关的社会人口统计学和临床数据。采用描述性统计、单变量分析和多变量线性回归模型来确定与心理健康和HRQoL相关的因素。结果参与者中女性占80.87%，男性占19.13%;年龄在55岁以下的占82.38%;医生占39.13%，护士或辅助人员占50.17%; 80.42%的卫生工作者直接治疗过新冠肺炎患者，12.28%的卫生工作者自己检测出新冠肺炎阳性。38.58%的医护人员有临床抑郁症状，51.75%的医护人员有临床焦虑症状，60.4%的医护人员有临床应激症状，21.57%的医护人员有临床失眠症状。年龄较大的专业人员（>55岁）报告焦虑，抑郁，失眠和压力的发生率较低。直接接触过新型冠状病毒患者似乎是我们的医护人员遭受更大焦虑、抑郁、压力和失眠以及HRQoL更差的解释变量。心理状态最差的是护理之家工作人员。结论我们的研究证实，在COVID-19大流行期间，HCW中的焦虑、抑郁、压力、失眠和HRQoL受到影响。
Background The aims of this study were to analyse the mental health and health-related quality of life (HRQoL) of a broad sample of healthcare workers (HCWs) in Spain and to identify potential factors that have a significant effect on their mental health and HRQoL. Method This prospective cohort study comprised 2089 HCWs who completed the Generalized Anxiety Disorder 7-item (GAD-7) Scale, the Patient Health Questionnaire-9 (PHQ-9), the Impact Event Scale-Revised (IES-R), the Insomnia Severity Index (ISI), and the health-related quality of life Questionnaire (EQ-5D). Sociodemographic and clinical data in relation to Covid-19 were also recorded. Descriptive statistics, univariable analysis and multivariable linear regression models were applied to identify factors associated with mental health and HRQoL. Results 80.87% of participants were female and 19.13% male; 82.38% were aged under 55 years; 39.13% were physicians and 50.17% were nurses or auxiliaries; 80.42% of the health workers have directly treated patients with Covid-19 and 12.28% have themselves tested positive for Covid-19. 38.58% of HCWs had clinical depression; over half (51.75%) had clinical anxiety; 60.4% had clinical stress; and 21.57% had clinical insomnia. Older professionals (>55 years) reported lower rates of anxiety, depression, insomnia, and stress. Having worked directly with Covid-19 patients appears to be an explanatory variable of suffering greater anxiety, depression, stress and insomnia, and of having a worse HRQoL amongst our HCWs. The group of HCWs suffering the worst mental state were nursing home workers. Conclusions Our study confirms that symptomatology of anxiety, depression, stress, insomnia, and HRQoL were affected amongst HCW during the Covid-19 pandemic.