R. Pal, Lori Selby, R. Sah, Tanishk Pal, V. Tripathi, Anshu Chhabra, Naresh K. Arora, R. Chandoke, Mahendra S. Rawat
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引用次数: 0
Abstract
Background: The COVID-19 pandemic has inflated the risks faced by healthcare workersand may increase their susceptibility to sleep and psychological problems. This cross-sectional observational study assessed the sleep and psychological problems due to the COVID-19 pandemic among healthcare workers of Employees State Insurance Corporation, an organized sector under the Ministry of Labour and Employment, India. Method: Logistic regression was used to evaluate factors associated with symptoms of anxiety, depression, insomnia and perceived stress among 492 healthcare workers in Employees State Insurance Corporation hospitals and dispensaries in Delhi and the National Capital Territory Region, India. Results: Logistic regression determined that factors of workplace type and frequency of hand washing were associated with anxiety;workplace type, job profile, occupation, formal COVID-19 training and adequate personal protective equipment were predictors of perceived stress;job profile was a common predictor of depression and insomnia;workplace type and formal COVID-19 training were associated with depression and insomnia, respectively. Limitations: This study was limited to healthcare workers in Employees State Insurance Corporation of Delhi and NCR which limits its generalizability to other regions of India. Conclusions: Healthcare workers are exposed to increased risk in the execution of their duties and require support to secure their wellbeing. Policies, systems for early detection of sleep and psychological problems, training, preparedness and efficacy in crisis management are suggested to reduce and prevent the occurrence of these problems among HCWs.
背景:2019冠状病毒病大流行加剧了医护人员面临的风险,并可能增加他们对睡眠和心理问题的易感性。这项横断面观察性研究评估了印度劳动和就业部下属的国有雇员保险公司(Employees State Insurance Corporation)卫生保健工作者因COVID-19大流行而出现的睡眠和心理问题。方法:采用Logistic回归分析方法,对印度德里和国家首都地区雇员国家保险公司医院和药房492名医护人员的焦虑、抑郁、失眠和感知压力症状的相关因素进行评估。结果:Logistic回归发现,工作场所类型和洗手频率与焦虑相关;工作场所类型、工作概况、职业、正式的COVID-19培训和充足的个人防护装备是感知压力的预测因子;工作概况是抑郁和失眠的常见预测因子;工作场所类型和正式的COVID-19培训分别与抑郁和失眠相关。局限性:本研究仅限于德里和NCR雇员国家保险公司的卫生保健工作者,这限制了其在印度其他地区的普遍性。结论:卫生保健工作者在履行职责时面临的风险增加,需要支持以确保他们的健康。建议在早期发现睡眠和心理问题的政策、制度、培训、危机管理的准备和有效性方面减少和预防这些问题在卫生保健工作者中发生。