Multinational Study to Assess Stress Levels Among the Health Care Workers of Radiation Oncology Community at the Outset of the COVID-19 Pandemic.
Multinational Study to Assess Stress Levels Among the Health Care Workers of Radiation Oncology Community at the Outset of the COVID-19 Pandemic.
复制标题
DOI：
10.1200/go.20.00647
复制
发表时间：
2021-04
影响因子：
4.5
通讯作者：
Agarwal JP
中科院分区：
文献类型：
--
作者：
Wadasadawala T;Kumar A;Laskar SG;Gondhowiardjo S;Mokal S;Goswami S;Giselvania A;Kapoor R;Das A;Pradhan S;Pujari L;Acharya B;Chapagain S;Mahantshetty U;Vadgaonkar R;Hussain QM;Akbarov K;Agarwal JP
评估亚洲国家放射肿瘤学社区卫生保健工作者（HCW）的压力水平。2020年5月至2020年7月，对孟加拉国、印度、印度尼西亚和尼泊尔29个三级癌症护理中心放射肿瘤科的HCW进行了研究。共确定了758名合格的HCW。采用7项广泛性焦虑症、9项患者健康问卷和22项事件影响量表（修订版）评估焦虑、抑郁和创伤后应激障碍。对影响心理健康的因素进行单因素和多因素分析。共有758名参与者从794 HCW进行了分析。中位年龄为31岁（IQR，27-28）。中度至重度焦虑、抑郁和压力的发生率分别为34.8%、31.2%和18.2%。60.9%的工作人员注意到严重的个人问题。在多变量分析中，在过去2周内存在COVID-19的常见报告症状，接触史（危害比[HR]，2.04; CI，1.15 - 3.63）和对预防措施的依从性（HR，1.69; CI，1.19至2.45）COVID-19显著预测焦虑增加（HR，2.67; CI，1.93至3.70），抑郁（HR，3.38; CI，2.36至4.84）和应激（HR，2.89; CI，1.88至4.43）（P < .001）。一个显着的区域差异也注意到焦虑，压力和个人问题。在COVID-19大流行期间进行的这项调查显示，放射肿瘤学社区中很大一部分医护人员经历了中度至重度的焦虑、抑郁和压力。这种趋势令人担忧，重要的是要在适当的时候识别和干预，以改善HCW的心理健康，以避免任何长期影响。
To evaluate stress levels among the health care workers (HCWs) of the radiation oncology community in Asian countries. HCWs of the radiation oncology departments from 29 tertiary cancer care centers of Bangladesh, India, Indonesia and Nepal were studied from May 2020 to July 2020. A total of 758 eligible HCWs were identified. The 7-Item Generalized Anxiety Disorder, 9-Item Patient Health Questionnaire, and 22-Item Impact of Events Scale-Revised were used for assessing anxiety, depression, and post-traumatic stress disorder. Univariate and multivariate analysis was done to identify the causative factors affecting mental health. A total of 758 participants from 794 HCWs were analyzed. The median age was 31 years (IQR, 27-28). The incidence of moderate to severe levels of anxiety, depression, and stress was 34.8%, 31.2%, and 18.2%, respectively. Severe personal concerns were noticed by 60.9% of the staff. On multivariate analysis, the presence of commonly reported symptoms of COVID-19 during the previous 2 weeks, contact history (harzard ratio [HR], 2.04; CI, 1.15 to 3.63), and compliance with precautionary measures (HR, 1.69; CI, 1.19 to 2.45) for COVID-19 significantly predicted for increasing anxiety (HR, 2.67; CI, 1.93 to 3.70), depression (HR, 3.38; CI 2.36 to 4.84), and stress (HR, 2.89; CI, 1.88 to 4.43) (P < .001). A significant regional variation was also noticed for anxiety, stress, and personal concerns. This survey conducted during the COVID-19 pandemic revealed that a significant proportion of HCWs in the radiation oncology community experiences moderate to severe levels of anxiety, depression, and stress. This trend is alarming and it is important to identify and intervene at the right time to improve the mental health of HCWs to avoid any long-term impacts.