一家三级医院的麻醉护理人员在 COVID-19 大流行期间的抑郁、焦虑和压力流行率、应对策略以及与工作相关的连贯感:横断面研究

Meghna Jiwanmall, Jerry Joseph Joel, Aparna Williams, S. Jiwanmall, Bharath Kumar, Ekta Rai
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摘要

许多研究报告了麻醉专业人员在 COVID-19 大流行等压力情况下普遍存在的心理问题;然而,探索大流行期间麻醉专业人员的应对策略和工作满意度的数据却很有限。 在这项观察性横断面研究中,我们向 150 名麻醉医护人员(医生和专职医护人员 [AHS])发放了三份经过验证的问卷,即抑郁、焦虑和压力量表 21、简明问题应对取向量表和工作相关连贯感量表(Work-SoC)。根据年龄(<30 岁 vs. ≥30 岁)、性别(男性 vs. 女性)和职业(医生 vs. AHS),比较了不同组别参与者的抑郁、焦虑和压力发生率、工作相关连贯性(Work-SoC)状况和应对策略。 与年龄≥30 岁的参与者相比,年龄<30 岁的参与者报告了更多的抑郁(P = 0.0134)和压力(P = 0.0453)。年龄较小的参与者采用以情绪为中心的应对方式和回避型应对方式,而年龄较大的参与者则采用以情绪为中心的应对方式和以问题为中心的应对方式。同样,在医生和助理医疗服务人员中也经常观察到以问题为中心的应对方式。工作意义和可理解性评估显示,年轻的参与者(P = 0.0088)和更多的 AHS 受访者(P = 0.000)认为工作意义差,但医生则认为工作可理解性差(P = 0.058)。 年轻的专业人员在大流行期间更容易受到压力和抑郁的影响。与 AHS 类似,他们认为工作条件没有回报,意义不大。医生认为工作条件难以管理、不可预测和缺乏组织性。在应对策略方面存在着与年龄相关的差异,老年人采取的应对策略更为积极主动。
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Prevalence of Depression, Anxiety, and Stress along with Coping Strategy and Work-related Sense of Coherence in Anesthesia Care Providers during the COVID-19 Pandemic in a Tertiary Care Hospital: A Cross-sectional Study
Numerous studies have reported the prevalence of psychological issues in anesthesia professionals during stressful situations like the COVID-19 pandemic; however, there are limited data exploring the coping strategies and work satisfaction in this workforce during the pandemic. In this observational cross-sectional study, three validated questionnaires, namely, the Depression, Anxiety and Stress Scale 21, the Brief-Coping Orientation to Problems Experienced inventory, and the Work-related Sense of Coherence (Work-SoC) scale, were handed out to 150 anesthesia health-care providers (doctors and allied health staff [AHS]). The prevalence of depression, anxiety, and stress; Work-SoC conditions; and coping strategies were compared between groups of participants based on age (<30 years vs. ≥30 years), gender (males vs. females), and occupation (doctors vs. AHS). Participants aged <30 years reported more depression (P = 0.0134) and stress (P = 0.0453) compared to participants aged ≥30 years. Younger participants used emotion-focused and avoidant coping styles, whereas older participants used coping styles that were emotion focused and problem focused. Similarly, a problem-focused coping style was observed frequently among both doctors and AHS. Work-SoC assessment showed that younger participants (P = 0.0088) and more AHS respondents (P = 0.000) attributed poor meaningfulness, but doctors reported poor comprehensibility (P = 0.058) to their working conditions. Younger professionals were more susceptible to stress and depression during the pandemic. Similar to AHS, they perceived work conditions as unrewarding and less meaningful. Doctors perceived working conditions as unmanageable, unpredictable, and unstructured. There were age-related differences in coping strategies where older adults engaged in more proactive coping.
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