Depressive and Anxiety Symptoms of Healthcare Workers in Intensive Care Unit Under the COVID-19 Epidemic: An Online Cross-Sectional Study in China.
Depressive and Anxiety Symptoms of Healthcare Workers in Intensive Care Unit Under the COVID-19 Epidemic: An Online Cross-Sectional Study in China.
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COVID-19疫情下重症监护室医护人员的抑郁和焦虑症状： 中国在线横断面研究》。
DOI：
10.3389/fpubh.2021.603273
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发表时间：
2021
影响因子：
5.2
通讯作者：
Peng M
中科院分区：
文献类型：
--
作者：
Peng X;Meng X;Li L;Hu C;Liu W;Liu Z;Ma X;Xu D;Xing Z;Zhu Z;Liu B;Zhang L;Peng M
工作背景：自2019冠状病毒病（COVID-19）爆发以来，重症监护室（ICU）医护人员负责危重感染患者。然而，很少有研究关注ICU医护人员的心理健康。本研究旨在调查COVID-19对中国ICU医护人员的心理影响。研究方法：我们在线向中国ICU医护人员分发了9项患者健康问卷（PHQ-9）和7项广泛性焦虑障碍问卷（GAD-7）。受访者根据是否接触过COVID-19患者分为一线和二线。所有受访者的抑郁和焦虑症状进行评估的基础上，他们的问卷得分。结果如下：最终纳入研究的731名ICU医护人员中，男性303人（41.5%），医生383人（52.4%），年龄26-45岁617人（84.4%）。总的来说，482名（65.9%）ICU医护人员报告了抑郁症状，而429名（58.7%）报告了焦虑。一线（n = 325）和二线（n = 406）受访者之间的抑郁（P = 0.15）和焦虑程度（P = 0.56）没有显著差异。Logistic回归分析显示，女性、ICU工作时间>5年、夜班次数≥10次是抑郁、焦虑症状发生的危险因素。收入减少被单独确定为焦虑风险。此外，ICU工作时间>5年也被确定为发展中重度抑郁和焦虑症状的风险。结论：在中国COVID-19大流行缓解期，一线ICU工作与抑郁和焦虑症状的风险增加无关。应采取控制夜班人数、保障休假、增加收入等措施缓解心理健康问题。另外，对长期在ICU工作的患者应给予高度重视。
Background: Since the coronavirus disease-2019 (COVID-19) outbreak, intensive care unit (ICU) healthcare workers were responsible for the critical infected patients. However, few studies focused on the mental health of ICU healthcare workers. This study aimed to investigate the psychological impact of COVID-19 on ICU healthcare workers in China. Methods: We distributed the nine-item Patient Health Questionnaire (PHQ-9) and seven-item General Anxiety Disorder questionnaire (GAD-7) online to ICU healthcare workers in China. Respondents were divided into frontline and second-line according to whether they have contact with COVID-19 patients. Depressive and anxiety symptoms of all respondents were evaluated based on their questionnaire scores. Results: There were 731 ICU healthcare workers finally enrolled in our study, including 303 (41.5%) male, 383 (52.4%) doctors, and 617 (84.4%) aged 26–45 years. All in all, 482 (65.9%) ICU healthcare workers reported symptoms of depression, while 429 (58.7%) reported anxiety. There was no significant difference between frontline (n = 325) and second-line (n = 406) respondents in depression (P = 0.15) and anxiety severity (P = 0.56). Logistic regression analysis showed that being female, ICU work time >5 years, and night duty number ≥10 were risk factors of developing depressive and anxiety symptoms. Income reduction was separately identified as risk of anxiety. Additionally, ICU work time >5 years was also identified as risk of developing moderate–severe depressive and anxiety symptoms. Conclusions: Frontline ICU work was not associated with higher risk of depressive and anxiety symptoms during COVID-19 pandemic remission period in China. Actions like controlling night duty number, ensuring vacation, and increasing income should be taken to relieve mental health problem. Furthermore, we should pay close attention to those who had worked long years in ICU.
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影响因子：
15.1
作者：
Kang, Lijun;Ma, Simeng;Liu, Zhongchun
通讯作者：
Liu, Zhongchun
影响因子：
8.8
作者：
Shenoi, Asha N.;Kalyanaraman, Meena;Day, Scottie
通讯作者：
Day, Scottie
影响因子：
14.6
作者：
Nickell, LA;Crighton, EJ;Upshur, REG
通讯作者：
Upshur, REG
影响因子：
33.9
作者：
Kimball, Anne;Hatfield, Kelly M.;Jernigan, John A.
通讯作者：
Jernigan, John A.
影响因子：
3.3
作者：
Maunder, RG;Lancee, WJ;Fones, CSL
通讯作者：
Fones, CSL