[与接触COVID-19相关的卫生人员抑郁症]。

Antonio Rendón-Moras, Patricia Pérez-Martínez, Yazmín Lizeth Martínez-Sánchez, Rafael Arias-Flores, Angelica Atzin Cedillo-López, Blanca Patricia Morales-Esponda
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引用次数: 0

摘要

背景:与抑郁症有关的因素有很多。目的:了解“21世纪全国医疗保健中心”(CMN SXXI)四家医院的医生和护士暴露于COVID-19与抑郁症的关系:肿瘤科、专科、心脏病科和儿科。材料和方法:在2022年1月对856名参与者进行了横断面研究,不包括工人,如CMN SXXI的医生和护士,残疾工人,有工会协议的员工,支持人员和/或工作时间不到一年的员工。通过自我填写的调查问卷,询问患者与新冠肺炎患者护理的职业接触程度、感染史和患者健康测试(PHQ-9)。分析采用简单频率测量、优势比(OR)、卡方和多元logistic回归,p≤0.05。结果:CMN SXXI医院医护人员抑郁患病率为32.2%(中重度);在多元回归中,未得到研究所的支持(OR: 1.60, CI95%: 1.08-2.39, p = 0.02)、高职业暴露(OR: 8.35, CI95%: 3.02-23.09, p小于0.0001)、每周为COVID-19患者服务超过5个工作日(OR: 2.51, CI95%: 1.35-4.49, p = 0.004)以及从未患过COVID-19作为保护因素(OR: 0.61, CI95%: 0.43-0.86, p = 0.01)。结论:新型冠状病毒肺炎辅助患者的抑郁患病率高于预期,与职业暴露程度有关。
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[Depression in health personnel associated with exposure to COVID-19].

Background: There are many working factors to do with depression.

Objective: To determine the association between the exposure to COVID-19 and depression in physicians and nurses from the four hospitals at "Centro Médico Nacional Siglo XXI" (CMN SXXI) took part in: Oncology, Specialties, Cardiology and Pediatrics.

Material and methods: A cross-sectional study of 856 participants took place in January 2022, excluding workers, such as physicians and nurses from the CMN SXXI, disabled workers, staff with a union agreement, support staff and/or staff with less than one year of work labour. Through a self-administered questionnaire, the degree of occupational exposure to patients care with COVID-19, a history of COVID-19 infection, and the patient's health quiz were asked (PHQ-9). The analysis included simple frequency measurements, odds ratio (OR), Chi squared and multiple logistics regression with p ≤ 0.05.

Results: The prevalence of depression in the medical and nursing staff at CMN SXXI was 32.2% (moderate to severe degree); In the multiple regression, an association was identified with not identifying support by the Institute (OR: 1.60, CI95%: 1.08-2.39, p = 0.02), high occupational exposure (OR: 8.35, CI95%: 3.02-23.09, p ˂ 0.0001), and more than 5 working days a week serving the COVID-19 patients (OR: 2.51, CI95%: 1.35-4.49, p = 0.004) and as a protective factor the fact that they have never had the COVID-19 (OR: 0.61, CI95%: 0.43-0.86, p = 0.01).

Conclusions: The prevalence of depression was higher than expected being associated with the degree of occupational exposure in the COVID-19 patients´ assistance.

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