Abstract：
BACKGROUND: Healthcare professionals are in short supply worldwide, especially in China, which can result in increased stress in the work environment and allostatic load for Chinese hospital staff. This study aimed to investigate the prevalence of anxiety and depressive symptoms and their relationship with total stress, allostatic overload, sleep quality, and episodic memory among Chinese hospital staff.
METHODS: In this cross-sectional study, self-assessments including Generalized Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire-9 (PHQ-9), PsychoSocial Index (PSI), Pittsburgh Sleeping Quality Index (PSQI), and MemTrax test were used to evaluate participants\' anxiety symptoms, depressive symptoms, total stress, allostatic load/overload, sleep quality, and episodic memory.
RESULTS: A total of 9433 hospital staff from 304 cities participated. Anxiety prevalence was 21.0 % (95 % confidential interval (CI) 20.2 %, 21.8 %), while the prevalence of depressive symptoms was at 21.4 % (95 % CI 20.5 %, 22.2 %). 79.8 % (95 % CI 79.0 %, 80.6 %) of the hospital staff had allostatic overload. Poor sleep quality affected 50.4 % of participants, and 32.1 % experienced poor episodic memory.
CONCLUSIONS: This study utilized a convenience sampling approach, relying on an online survey as its data collection method.
CONCLUSIONS: Hospital staff in China are facing a stressful environment with a high prevalence of anxiety and depressive symptoms, significant allostatic overload, poor sleep quality, and compromised episodic memory. It is imperative that local management and community structures enhance their support and care for these essential workers, enabling them to manage and withstand the stresses of their professional roles effectively.
METHODS: In this cross-sectional study, self-assessments including Generalized Anxiety Disorder 7-item (GAD-7), Patient Health Questionnaire-9 (PHQ-9), PsychoSocial Index (PSI), Pittsburgh Sleeping Quality Index (PSQI), and MemTrax test were used to evaluate participants\' anxiety symptoms, depressive symptoms, total stress, allostatic load/overload, sleep quality, and episodic memory.
RESULTS: A total of 9433 hospital staff from 304 cities participated. Anxiety prevalence was 21.0 % (95 % confidential interval (CI) 20.2 %, 21.8 %), while the prevalence of depressive symptoms was at 21.4 % (95 % CI 20.5 %, 22.2 %). 79.8 % (95 % CI 79.0 %, 80.6 %) of the hospital staff had allostatic overload. Poor sleep quality affected 50.4 % of participants, and 32.1 % experienced poor episodic memory.
CONCLUSIONS: This study utilized a convenience sampling approach, relying on an online survey as its data collection method.
CONCLUSIONS: Hospital staff in China are facing a stressful environment with a high prevalence of anxiety and depressive symptoms, significant allostatic overload, poor sleep quality, and compromised episodic memory. It is imperative that local management and community structures enhance their support and care for these essential workers, enabling them to manage and withstand the stresses of their professional roles effectively.
摘要：
背景：医疗保健专业人员在全球范围内供不应求，尤其是在中国,这可能会导致中国医院员工的工作环境压力和同种异体负荷增加。本研究旨在调查焦虑和抑郁症状的患病率及其与总压力的关系。同种异体过载，睡眠质量,以及中国医院工作人员的情景记忆。
方法：在这项横断面研究中，自我评估，包括广泛性焦虑症7项（GAD-7），患者健康问卷-9（PHQ-9），社会心理指数(PSI)匹兹堡睡眠质量指数(PSQI)和MemTrax测试用于评估参与者的焦虑症状，抑郁症状,总应力,静载/过载，睡眠质量,和情景记忆。
结果：共有来自304个城市的9433名医院工作人员参加。焦虑患病率为21.0%(95%保密区间(CI)20.2%，21.8%），而抑郁症状的患病率为21.4%(95%CI20.5%,22.2%）。79.8%（95%CI79.0%，80.6%）的医院工作人员出现了同种异体超负荷。睡眠质量差影响了50.4%的参与者，32.1%的人经历了糟糕的情景记忆。
结论：本研究采用了方便抽样的方法，依靠在线调查作为其数据收集方法。
结论：中国医院工作人员正面临着紧张的环境，焦虑和抑郁症状的患病率很高，显著的同种异体过载，睡眠质量差,和受损的情景记忆。地方管理层和社区结构必须加强对这些基本工人的支持和照顾，使他们能够有效地管理和承受职业角色的压力。
方法：在这项横断面研究中，自我评估，包括广泛性焦虑症7项（GAD-7），患者健康问卷-9（PHQ-9），社会心理指数(PSI)匹兹堡睡眠质量指数(PSQI)和MemTrax测试用于评估参与者的焦虑症状，抑郁症状,总应力,静载/过载，睡眠质量,和情景记忆。
结果：共有来自304个城市的9433名医院工作人员参加。焦虑患病率为21.0%(95%保密区间(CI)20.2%，21.8%），而抑郁症状的患病率为21.4%(95%CI20.5%,22.2%）。79.8%（95%CI79.0%，80.6%）的医院工作人员出现了同种异体超负荷。睡眠质量差影响了50.4%的参与者，32.1%的人经历了糟糕的情景记忆。
结论：本研究采用了方便抽样的方法，依靠在线调查作为其数据收集方法。
结论：中国医院工作人员正面临着紧张的环境，焦虑和抑郁症状的患病率很高，显著的同种异体过载，睡眠质量差,和受损的情景记忆。地方管理层和社区结构必须加强对这些基本工人的支持和照顾，使他们能够有效地管理和承受职业角色的压力。
