METHODS: Eligible healthcare workers employed within 23 different healthcare organisations located in the Loddon Mallee region of Victoria, Australia, were included. In this cohort study, a total of 1313 participants were recruited from November 2020-May 2021. Symptoms of depression, anxiety, post-traumatic stress, and burnout were measured using the Patient Health Questionnaire-9 (PHQ-9), Generalised Anxiety Disorder-7 (GAD-7), Impact of Events Scale-6 (IES-6), and Copenhagen Burnout Inventory (CBI), respectively. Resilience and optimism were measured using the Brief Resilience Scale and Life Orientation Test-Revised (LOT-R), respectively. Subjective fear of COVID-19 was measured using the Fear of COVID-19 Scale.
RESULTS: These cross-sectional baseline findings demonstrate that regional/rural healthcare workers were experiencing moderate/severe depressive symptoms (n = 211, 16.1%), moderate to severe anxiety symptoms (n = 193, 14.7%), and high personal or patient/client burnout with median total scores of 46.4 (IQR = 28.6) and 25.0 (IQR = 29.2), respectively. There was a moderate degree of COVID-19-related fear. However, most participants demonstrated a normal/high degree of resilience (n = 854, 65.0%). Based on self-reporting, 15.4% had a BMI from 18.5 to 24.9 kgm2 and 37.0% have a BMI of 25 kgm2 or over. Overall, 7.3% of participants reported they were current smokers and 20.6% reported alcohol consumption that is considered moderate/high-risk drinking. Only 21.2% of the sample reported consuming four or more serves of vegetables daily and 37.8% reported consuming two or more serves of fruit daily. There were 48.0% the sample who reported having poor sleep quality measured using the Pittsburgh Sleep Quality Index (PSQI).
CONCLUSIONS: Regional/rural healthcare workers in Victoria, Australia, were experiencing a moderate to high degree of psychological distress during the early stages of the pandemic. However, most participants demonstrated a normal/high degree of resilience. Findings will be used to inform policy options to support healthcare workers in responding to future pandemics.
方法:在维多利亚州LoddonMallee地区的23个不同医疗机构中受雇的合格医护人员,澳大利亚,包括在内。在这项队列研究中,从2020年11月至2021年5月,共招募了1313名参与者.抑郁症的症状,焦虑,创伤后应激,和倦怠使用患者健康问卷-9(PHQ-9)进行测量,广泛性焦虑症-7(GAD-7),事件影响量表-6(IES-6),和哥本哈根职业倦怠清单(CBI),分别。使用简短弹性量表和修订的生活取向测试(LOT-R)测量弹性和乐观度,分别。对COVID-19的主观恐惧是使用COVID-19恐惧量表进行测量的。
结果:这些横断面基线研究结果表明,地区/农村医护人员正在经历中度/重度抑郁症状(n=211,16.1%),中度至重度焦虑症状(n=193,14.7%),和高个人或患者/客户倦怠,中位数总分46.4(IQR=28.6)和25.0(IQR=29.2),分别。有中度与COVID-19相关的恐惧。然而,大多数参与者表现出正常/高度的弹性(n=854,65.0%)。根据自我报告,15.4%的BMI为18.5至24.9kgm2,37.0%的BMI为25kgm2或以上。总的来说,7.3%的参与者报告说他们是当前吸烟者,20.6%的参与者报告饮酒被认为是中度/高风险饮酒。只有21.2%的样本报告每天食用四份或更多份蔬菜,37.8%报告每天食用两份或更多份水果。有48.0%的样本报告使用匹兹堡睡眠质量指数(PSQI)测量的睡眠质量差。
结论:维多利亚州的地区/农村医护人员,澳大利亚,在大流行的早期阶段经历了中度到高度的心理困扰。然而,大多数参与者表现出正常/高度的弹性。研究结果将用于提供政策选择,以支持医护人员应对未来的大流行。