Psychological distress and sleep problems in healthcare workers in a developing context during COVID-19 pandemic: Implications for workplace wellbeing.
Psychological distress and sleep problems in healthcare workers in a developing context during COVID-19 pandemic: Implications for workplace wellbeing.
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DOI：
10.1016/j.pnpbp.2021.110292
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发表时间：
2021-08-30
影响因子：
5.6
通讯作者：
Halbreich U
中科院分区：
文献类型：
--
作者：
Olagunju AT;Bioku AA;Olagunju TO;Sarimiye FO;Onwuameze OE;Halbreich U
医护人员的情绪健康状况对病人护理的质量和卫生服务的有效运作至关重要。冠状病毒病-2019年(新冠肺炎)大流行对医护人员提出了独特的身体和情感要求，然而，在资源有限的情况下，人们对新冠肺炎大流行期间医护人员的情绪健康状况知之甚少。这项研究调查了尼日利亚一家新冠肺炎转诊医院的医护人员的心理困扰和睡眠问题的患病率。共有303名医务人员接受了12项一般健康问卷(GHQ-12)和匹兹堡睡眠质量指数(PSQI)的采访，以评估心理痛苦，并评估睡眠的多个方面，包括睡眠质量、潜伏期、持续时间、习惯效率、干扰、安眠药的使用和日间功能障碍。受试者多为男性，183人(60.4%)，平均年龄38.8岁(SD=88.9)。大多数参与者已婚(70.3%)，服役时间少于10年(72.9%)，没有内科合并症(92.1%)。心理困扰的发生率为23.4%，每十名参与者中就有六人报告有睡眠问题。最大比例的参与者报告在睡眠潜伏期(81.5%)、持续时间(71.3%)和日间功能障碍(69.6%)方面存在困难，而大约三分之一(32%)的参与者报告各自使用安眠药，并对睡眠质量存在困难。心理困扰与睡眠质量差有关(p=0.001；效应大小t=0.20)。在新冠肺炎大流行期间，心理困扰和睡眠问题的患病率是以前在类似情况下报告的几倍。建议为医护人员提供预防性心理社会支持服务。强烈建议在未来的紧急情况之前，为当地可行的行动模式创建一个对文化敏感的跨学科蓝图。
Emotional wellbeing of healthcare workers is critical to the quality of patient care, and effective function of health services. The corona virus disease-2019 (COVID-19) pandemic exerted unique physical and emotional demands on healthcare workers, however little is known about the emotional wellbeing of healthcare workers during the COVID-19 pandemic in resource-restricted settings. This study investigated the prevalence of psychological distress, and sleep problems in healthcare workers in a COVID-19 referral hospital in Nigeria. A total of 303 healthcare workers were interviewed with the 12-item General Health Questionnaire (GHQ-12) to evaluate psychological distress, and the Pittsburgh Sleep Quality Index (PSQI) to assess multidimensional aspects of sleep, including quality, latency, duration, habitual efficiency, disturbances, use of sleeping medications and daytime dysfunction. The participants were mostly males, 183(60.4%) and mean age was 38.8(SD = 8.9) years. Most of the participants were married (70.3%), had spent less than 10 years in service (72.9%), and had no medical comorbidity (92.1%). The prevalence of psychological distress was 23.4%, and six in every ten participants reported sleep problems. The largest proportion of participants reported difficulty in sleep latency (81.5%), duration (71.3%), and daytime dysfunction (69.6%), while approximately one third (32%) each reported using sleep medication, and had difficulty with sleep quality. Psychological distress was inter-related with poor sleep problems (p = 0.001; effect size = 0.2). The prevalence rates of psychological distress and sleep problems during the COVID-19 pandemic were several folds the rates previously reported in similar contexts. Preventative psychosocial support services for healthcare workers are indicated. The creation of a culturally-sensitive interdisciplinary blueprint for locally-viable actions model are strongly suggested ahead of future emergency situations.
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