PDF(Pubmed)
Abstract：
BACKGROUND: Healthcare workers (HCWs) are at increased risk of contracting coronavirus disease 2019 (COVID-19) as well as worsening mental health problems and insomnia. These problems can persist for a long period, even after the pandemic. However, less is known about this topic.
OBJECTIVE: To analyze mental health, insomnia problems, and their influencing factors in HCWs after the COVID-19 pandemic.
METHODS: This multicenter cross-sectional, hospital-based study was conducted from June 1, 2023 to June 30, 2023, which was a half-year after the end of the COVID-19 emergency. Region-stratified population-based cluster sampling was applied at the provincial level for Chinese HCWs. Symptoms such as anxiety, depression, and insomnia were evaluated by the Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index. Factors influencing the symptoms were identified by multivariable logistic regression.
RESULTS: A total of 2000 participants were invited, for a response rate of 70.6%. A total of 1412 HCWs [618 (43.8%) doctors, 583 (41.3%) nurses and 211 (14.9%) nonfrontline], 254 (18.0%), 231 (16.4%), and 289 (20.5%) had symptoms of anxiety, depression, and insomnia, respectively; severe symptoms were found in 58 (4.1%), 49 (3.5%), and 111 (7.9%) of the participants. Nurses, female sex, and hospitalization for COVID-19 were risk factors for anxiety, depression, and insomnia symptoms; moreover, death from family or friends was a risk factor for insomnia symptoms. During the COVID-19 outbreak, most [1086 (76.9%)] of the participating HCWs received psychological interventions, while nearly all [994 (70.4%)] of them had received public psychological education. Only 102 (7.2%) of the HCWs received individual counseling from COVID-19.
CONCLUSIONS: Although the mental health and sleep problems of HCWs were relieved after the COVID-19 pandemic, they still faced challenges and greater risks than did the general population. Identifying risk factors would help in providing targeted interventions. In addition, although a major proportion of HCWs have received public psychological education, individual interventions are still insufficient.
OBJECTIVE: To analyze mental health, insomnia problems, and their influencing factors in HCWs after the COVID-19 pandemic.
METHODS: This multicenter cross-sectional, hospital-based study was conducted from June 1, 2023 to June 30, 2023, which was a half-year after the end of the COVID-19 emergency. Region-stratified population-based cluster sampling was applied at the provincial level for Chinese HCWs. Symptoms such as anxiety, depression, and insomnia were evaluated by the Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index. Factors influencing the symptoms were identified by multivariable logistic regression.
RESULTS: A total of 2000 participants were invited, for a response rate of 70.6%. A total of 1412 HCWs [618 (43.8%) doctors, 583 (41.3%) nurses and 211 (14.9%) nonfrontline], 254 (18.0%), 231 (16.4%), and 289 (20.5%) had symptoms of anxiety, depression, and insomnia, respectively; severe symptoms were found in 58 (4.1%), 49 (3.5%), and 111 (7.9%) of the participants. Nurses, female sex, and hospitalization for COVID-19 were risk factors for anxiety, depression, and insomnia symptoms; moreover, death from family or friends was a risk factor for insomnia symptoms. During the COVID-19 outbreak, most [1086 (76.9%)] of the participating HCWs received psychological interventions, while nearly all [994 (70.4%)] of them had received public psychological education. Only 102 (7.2%) of the HCWs received individual counseling from COVID-19.
CONCLUSIONS: Although the mental health and sleep problems of HCWs were relieved after the COVID-19 pandemic, they still faced challenges and greater risks than did the general population. Identifying risk factors would help in providing targeted interventions. In addition, although a major proportion of HCWs have received public psychological education, individual interventions are still insufficient.
摘要：
背景：医护人员（HCWs）感染2019年冠状病毒病（COVID-19）的风险增加，心理健康问题和失眠恶化。这些问题会持续很长时间，即使在大流行之后。然而,对这个话题知之甚少。
目的：分析心理健康，失眠的问题,COVID-19大流行后HCWs及其影响因素。
方法：这种多中心横截面，以医院为基础的研究于2023年6月1日至2023年6月30日进行，这是在COVID-19紧急情况结束后的半年。在省级层面对中国的HCWs进行了地区分层的基于人群的整群抽样。焦虑等症状，抑郁症,和失眠通过广泛性焦虑障碍-7，患者健康问卷-9和失眠严重程度指数进行评估。通过多变量logistic回归确定影响症状的因素。
结果：总共邀请了2000名参与者，反应率为70.6%。共有1412名医护人员[618名(43.8%)医生,583名(41.3%)护士和211名(14.9%)非一线护士]，254（18.0%），231（16.4%），289人（20.5%）有焦虑症状，抑郁症,失眠，分别；58例(4.1%)出现严重症状，49（3.5%），和111名参与者（7.9％）。护士,女性性别,住院COVID-19是焦虑的危险因素，抑郁症,和失眠症状；此外，家人或朋友的死亡是失眠症状的危险因素.在COVID-19爆发期间，大多数[1086名（76.9%）]参与的HCW接受了心理干预，而其中几乎所有[994人（70.4%）]都接受了公共心理教育。只有102人（7.2%）接受了COVID-19的个人咨询。
结论：尽管在COVID-19大流行后，医护人员的心理健康和睡眠问题有所缓解，他们仍然面临挑战和比一般人口更大的风险。识别风险因素将有助于提供有针对性的干预措施。此外,尽管大部分HCW接受了公共心理教育，个人干预仍然不足。
目的：分析心理健康，失眠的问题,COVID-19大流行后HCWs及其影响因素。
方法：这种多中心横截面，以医院为基础的研究于2023年6月1日至2023年6月30日进行，这是在COVID-19紧急情况结束后的半年。在省级层面对中国的HCWs进行了地区分层的基于人群的整群抽样。焦虑等症状，抑郁症,和失眠通过广泛性焦虑障碍-7，患者健康问卷-9和失眠严重程度指数进行评估。通过多变量logistic回归确定影响症状的因素。
结果：总共邀请了2000名参与者，反应率为70.6%。共有1412名医护人员[618名(43.8%)医生,583名(41.3%)护士和211名(14.9%)非一线护士]，254（18.0%），231（16.4%），289人（20.5%）有焦虑症状，抑郁症,失眠，分别；58例(4.1%)出现严重症状，49（3.5%），和111名参与者（7.9％）。护士,女性性别,住院COVID-19是焦虑的危险因素，抑郁症,和失眠症状；此外，家人或朋友的死亡是失眠症状的危险因素.在COVID-19爆发期间，大多数[1086名（76.9%）]参与的HCW接受了心理干预，而其中几乎所有[994人（70.4%）]都接受了公共心理教育。只有102人（7.2%）接受了COVID-19的个人咨询。
结论：尽管在COVID-19大流行后，医护人员的心理健康和睡眠问题有所缓解，他们仍然面临挑战和比一般人口更大的风险。识别风险因素将有助于提供有针对性的干预措施。此外,尽管大部分HCW接受了公共心理教育，个人干预仍然不足。
