Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India.
Survey of prevalence of anxiety and depressive symptoms among 1124 healthcare workers during the coronavirus disease 2019 pandemic across India.
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DOI：
10.1016/j.mjafi.2020.07.006
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发表时间：
2021-07-01
期刊：
影响因子：
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通讯作者：
Abhisheka, Kumar
中科院分区：
文献类型：
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作者：
Gupta, Simmi;Prasad, Ajay Shankar;Abhisheka, Kumar
背景技术：在2019年冠状病毒病第二阶段进行了一项前瞻性研究方法：在COVID-19大流行期间（2020年3月30日至2020年4月2日），由1124名医护人员完成了自填问卷。采用卡方检验（Bonferroni校正）和二元logistic回归分析人口统计学数据、COVID-19相关问题和医院焦虑抑郁量表评分。结果：该研究由1124名HCWs组成，其中包括749名医生，207名护士，135名护理人员，23名管理人员和10名支持人员。焦虑和抑郁症状的患病率分别为37.2%和31.4%。焦虑的危险因素是女性（30.6%比45.5%），年龄组（20-35岁）（50.4%比61.2%），未婚（21.2%比30.6%）和职业（护士）（14.7%比26.4%）。保护因素为工龄20年以上（23.4%比14.8%）。抑郁症的危险因素是年龄组（20-35岁）（51.3% vs 61.3%）和在初级保健医院工作（16.2% vs 23.4%）。保护性因素为工作性质（医生）（69.9%vs59.6%）和工作年限超过20年（22.3%vs15.5%）。结论：近1/3的医务人员存在焦虑和抑郁症状。焦虑症状的危险因素是女性性别，年轻的年龄和工作概况（护士）和抑郁症状的年轻和在初级保健医院工作。未来的研究应确定战略，为医务人员提供一个更安全和支持性的工作环境，以面对流行病/大流行病。
BACKGROUND: A prospective study was conducted during the second phase of the coronavirus disease 2019 (COVID-19) pandemic in India to assess the prevalence of anxiety and depressive symptoms among healthcare workers (HCWs) and factors that influence the outcome.METHODS: A self-administered questionnaire was completed by 1124 HCWs during the COVID-19 pandemic (March 30, 2020, to April 2, 2020). Demographic data, questions on COVID-19 and scores of the Hospital Anxiety and Depression Scale were analysed using the chi-square test (Bonferroni correction) and binary logistic regression.RESULTS: The study consists of 1124 HCWs, including 749 doctors, 207 nurses, 135 paramedics, 23 administrators and ten supporting staff members. The prevalence of anxiety and depressive symptoms were reported as 37.2% and 31.4%, respectively. The risk factors for anxiety were female gender (30.6% vs 45.5%), age group (20-35 years) (50.4% vs 61.2%), unmarried (21.2% vs 30.6%) and job profile (nurse) (14.7% vs 26.4%). The protective factor was having service of more than 20 years (23.4% vs 14.8%). The risk factors for depression were age group (20-35 years) (51.3% vs 61.3%) and employed at a primary care hospital (16.2% vs 23.4%). The protective factors were job profile (doctor) (69.9% vs 59.6%) and having service of more than 20 years (22.3% vs 15.5%).CONCLUSION: Approximately one-third of the HCWs reported anxiety and depressive symptoms. The risk factors for anxiety symptoms were female gender, younger age and job profile (nurse) and for depressive symptoms were younger age and working at a primary care hospital. Future research studies should identify strategies for providing a safer and supportive work environment for HCWs to face epidemics/pandemics.