新冠肺炎对医护人员和非医护人员康复后的压力影响、抑郁和焦虑的评价研究

N. Parikh, Dhruv H. Nakum, Bintal S. Patel, Manthan T. Miroliya, V. Darji, N. Shah
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引用次数: 0

摘要

背景:受新冠肺炎疫情影响,心理疾患有所增加。医疗保健人员和非医疗保健人员有不同的抱怨,如焦虑、抑郁、压力。公众中也有这种抱怨,但在COVID-19康复患者中更为常见。在这种背景下,我们进行了这项研究,找出了COVID-19的压力影响,医护人员和非医护人员之间的压力、焦虑和抑郁的患病率。方法:在艾哈迈达巴德的三级护理COVID医院进行了一项横断面研究,将50名COVID-19康复的卫生保健工作者(HCWs)和50名非卫生保健人员(NHCPs)纳入研究(年龄在18-65岁),并征得他们的同意。采用临床社会人口学量表、临床变量、事件影响量表修订版(IES-R)、患者健康问卷-9 (PHQ-9)和焦虑自评量表(ASRS)对患者进行评估。然后对结果进行统计分析。结果:生活压力事件和焦虑对健康护理人员的影响不显著(分别为14%和32%),对健康护理人员的影响为14%和30%。抑郁症在卫生保健工作者和卫生保健工作者中更为普遍(分别为44%和38%)。医疗疾病在国家卫生服务提供者中的比例(50%)高于普通卫生服务提供者(4%),与抑郁相关的比例(52.63%)高于普通卫生服务提供者(4.5%)。临床变量方面,NHCPs的氧气需要量(20%)也高于HCWs(4%),并且NHCPs和HCWs的焦虑(40%和12.5%)和抑郁(36.84%和4.5%)也显著相关。结论:卫生保健工作者的抑郁患病率明显高于卫生保健工作者,提示应加强卫生保健工作者和卫生保健工作者的心理健康,并应重视COVID-19恢复期患者的整体心理健康状况。
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Original Research Article_A study on the evaluation of Stressful Impact of the COVID-19, Depression and Anxiety among Healthcare Workers and Non-Health Care people who have recovered from COVID-19
Background: Due to the COVID-19, there is an increase in psychological complaints. Healthcare and nonhealthcare persons have had differential complaints like anxiety, depression, stress. Such complaints have also seen in the general public but more so in recovered patients from COVID-19. With this background, we conducted this study find out the stressful impact of COVID-19, prevalence of stress, anxiety and depression between healthcare workers and non-healthcare people. Methodology: A cross-sectional study was done in the tertiary-care COVID hospital in Ahmedabad. 50 healthcare workers (HCWs) and 50 non-healthcare people (NHCPs) who had recovered from COVID-19 were included (age 18-65 years) in the study after they consented for the same. They are assessed with a clinical socio-demographic proforma, clinical variables, Impact Of Event Scale-Revised (IES-R), Patient Health Questionnaire-9 (PHQ-9) and Anxiety-Self Rating Scale (ASRS). The results were then statistically analysed. Results: Distress by stressful life events and anxiety were not significant (14% and 32%), (14% and 30%) in HCWs and NHCPs respectively. Depression was more prevalent (44% and 38%) in HCWs and NHCPs respectively. Medical illness was more in NHCPs (50%) compared to HCWs (4%) and associated with depression (52.63%) in NHCPs as compared to HCW (4.5%). Clinical variables, O2 requirement was also more in NHCPs (20%) as compared to HCWs (4%) and also significantly associated with anxiety (40% and 12.5%) and depression (36.84% and 4.5%) in NHCPs and HCWs respectively. Conclusions: The prevalence of depression was much higher amongst HCWs and suggests more attention would be required for improving the mental health among HCWs and NHCPs and overall mental health needs attention in patients that are recovering from COVID-19.
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