COVID-19 and Anxiety amongst Doctors: A Pakistani Perspective.
COVID-19 and Anxiety amongst Doctors: A Pakistani Perspective.
复制标题
DOI：
10.29271/jcpsp.2020.supp2.106
复制
发表时间：
2020-10-01
期刊：
影响因子：
--
通讯作者：
Islam, Farrukh
中科院分区：
文献类型：
--
作者：
Arshad, Abdul Rehman;Islam, Farrukh
目的：研究设计：横断面研究。研究地点和持续时间：2020年3月期间，白沙瓦联合军事医院和卡拉奇联合军事医院Malir的肾脏科。方法：通过雪球抽样技术在线接触在巴基斯坦不同地区工作的医生。排除有精神疾病史者。采用广泛性焦虑七项量表（GAD-7）进行问卷调查。结果：431名医生，其中男性238名（55.2%）的反应进行了评价。他们中的大多数年龄小于30岁（286人; 66.4%），正在接受培训（335人; 77.7%），在公立医院工作（347人; 80.5%）。轻度焦虑120例（27.8%），中度焦虑103例（23.9%），重度焦虑42例（9.7%）。GAD-7的中位评分为6（四分位距= 3 - 11）。女医生的得分高于男性（7比5; p=0.024）。不同工作单位和不同职业地位的医生在得分上无显著差异。与男性相比，女性焦虑的比例更高（67.9% vs. 56.3%; p=0.014）。不同专业地位、工作场所类型和不同年龄组的医生之间焦虑的频率没有差异。最常见的焦虑原因是缺乏个人防护设备（83.8%的医生）;以及担心他们可能将感染传播给家人（79.8%的医生）。结论：COVID-19大流行对医生的心理健康产生了重大影响。需要更多地关注女医生，以确保她们的精神健康。关键词：焦虑症，流行病，个人防护装备，劳动力。
OBJECTIVE: To assess anxiety in Pakistani doctors in context of COVID-19 pandemic and evaluate possible causes.STUDY DESIGN: Cross-sectional study.PLACE AND DURATION OF STUDY: Departments of Nephrology, Combined Military Hospital Peshawar and Combined Military Hospital Malir, Karachi, during March 2020.METHODOLOGY: Doctors working in different parts of Pakistan were approached online through snowball sampling technique. Those with history of psychiatric disorders were excluded. They were administered a questionnaire including Seven-item Generalised Anxiety Disorder Scale (GAD-7). Reasons why they felt anxious were also explored.RESULTS: Responses from 431 doctors, including 238 (55.2%) males, were evaluated. Most of them were younger than 30 years (286; 66.4%), in training (335; 77.7%), and working in public hospitals (347; 80.5%). Mild, moderate and severe anxiety was seen in 120 (27.8%), 103 (23.9%) and 42 (9.7%) doctors, respectively. Median score on GAD-7 was 6 (interquartile range = 3 - 11). Lady doctors had higher scores than males (7 vs. 5; p=0.024). No significant differences in scores were found amongst doctors from different workplaces or of different professional status. A greater proportion of females had anxiety as compared to males (67.9% vs. 56.3%; p=0.014). Frequency of anxiety was not different amongst doctors of different professional status, types of workplace and amongst different age groups. Commonest reasons for anxiety were lack of personal protective equipment (83.8% doctors); and the fear that they could spread infection to family members (79.8% doctors).CONCLUSION: COVID-19 pandemic has had a major impact on the psychological well-being of doctors. Greater attention needs to be paid towards lady doctors to ensure their mental well-being. Key Words: Anxiety disorders, Pandemic, Personal protective equipment, Workforce.