The prevalence of common mental disorders among healthcare professionals during the COVID-19 pandemic at a tertiary Hospital in Addis Ababa, Ethiopia.
The prevalence of common mental disorders among healthcare professionals during the COVID-19 pandemic at a tertiary Hospital in Addis Ababa, Ethiopia.
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DOI：
10.1016/j.jadr.2021.100246
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发表时间：
2021-12
影响因子：
--
通讯作者：
Kassu RA
中科院分区：
文献类型：
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作者：
Mulatu HA;Tesfaye M;Woldeyes E;Bayisa T;Fisseha H;Kassu RA
2019冠状病毒病（COVID-19）导致了前所未有的发病率、死亡率和卫生系统危机，导致医护人员（HCW）遭受重大心理压力。该研究旨在确定埃塞俄比亚圣保罗医院在COVID-19大流行期间HCW中常见精神障碍症状的患病率。自我管理的横断面研究进行了收集社会人口学信息和精神障碍的症状，使用有效的测量工具。因此，PHQ-9、GAD-7、ISI和IES-R分别用于评估抑郁、焦虑、失眠和苦恼症状的存在。采用卡方检验、非参数分析和Logistic回归分析等方法对常见精神障碍的危险因素进行分析。共有420名医护人员参与了调查。抑郁、焦虑、失眠和心理困扰的发生率分别为20.2%、21.9%、12.4%和15.5%。前线医护人员的心理健康症状得分高于非前线医护人员。二元Logistic回归分析显示，已婚与抑郁水平高有关。此外，在一线工作是一个独立的风险因素，与高水平的抑郁症，焦虑和心理困扰的症状。这是一项单中心横断面研究，研究结果可能不具有全国代表性或无法揭示因果关系。很大一部分保健工作者患有精神障碍症状。一线医护人员出现严重症状的风险更大。因此，应实施心理干预，以支持卫生专业人员，特别是一线工作人员。
Coronavirus disease 2019 (COVID-19) has resulted in unprecedented morbidity, mortality, and health system crisis leading to a significant psychological destress on healthcare workers (HCWs). The study aimed to determine the prevalence of symptoms of common mental disorders among HCWs during the COVID-19 pandemic at St. Paul's Hospital, Ethiopia. A self-administered cross-sectional study was conducted to collect socio-demographic information and symptoms of mental disorders using validated measurement tools. Accordingly, PHQ-9, GAD-7, ISI, and IES-R were used to assess the presence of symptoms of depression, anxiety, insomnia, and distress, respectively. Chi-square test, non-parametric, and logistic regression analysis were used to detect risk factors for common mental disorders. A total of 420 healthcare workers participated in the survey. The prevalence of symptoms of depression, anxiety, insomnia, and psychological distress was 20.2%, 21.9%, 12.4%, and 15.5% respectively. Frontline HCWs had higher scores of mental health symptoms than non-frontline healthcare workers. Binary logistic regression analysis showed that being married was associated with a high level of depression. Furthermore, working in a frontline position was an independent risk factor associated with a high-level of symptoms of depression, anxiety, and psychological distress. It is a single-center cross-sectional study and the findings may not be nationally representative or reveal causality. A significant proportion of healthcare workers are suffering from symptoms of mental disorders. Frontline HCWs were at a greater risk of severe symptoms. Therefore, psychological interventions should be implemented to support health professionals, especially frontline workers.