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High Work-related Stress and Anxiety Response to COVID-19 among Healthcare Workers: A Cross-Sectional Online Survey Study in South Korea

机译:与医疗工作者中的Covid-19与Covid-19的高效相关的压力和焦虑反应:韩国的横断面在线调查研究

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BACKGROUND:Healthcare workers experienced severe psychological impacts of the COVID-19 outbreak. It is important to establish a process of psychological assessment and interventions for healthcare workers affected by epidemics.OBJECTIVE:We investigated the risk factors associated with the psychological impact of each healthcare worker group, to help optimize psychological interventions for healthcare workers in countries affected by COVID-19.METHODS:Participants (N = 1,787) from two hospitals in Korea, completed an online survey from April 14 to 30, 2020, by obtaining information on demographics, psychiatric history and the Stress and Anxiety to Viral Epidemics-9 (SAVE-9), Patient Health Questionnaire-9 (PHQ-9), and Generalized Anxiety Disorder-7 (GAD-7) scales. Logistic regression analyses were performed to assess contributing factors as predictor variables and healthcare workers' depression as outcome variables.RESULTS:Among the 1,783 healthcare workers, compared with other healthcare workers, nursing professionals had significantly higher levels of depression (PHQ-9 score; 5.5 ± 4.6 vs. 3.8 ± 4.2; P .01), general anxiety (GAD-7 score; 4.0 ± 4.1 vs. 2.7 ± 3.6; P .01), and virus-related anxiety symptoms (SAVE-9 score; 21.6 ± 5.9 vs. 18.6 ± 6.3; P .01). In the nursing professionals group, single workers reported more severe depressive symptoms than married workers (PHQ-9 score ≥ 10; 20.3% vs. 14.1%; P .01), and junior (40 years) workers reported more anxiety about the viral epidemic (SAVE-9 anxiety score; 15.6 ± 4.1 vs. 14.7 ± 4.4; P .01). Logistic regression analysis revealed that the hospital factor (adjusted odds ratio [aOR] = 1.45, 95% confidence interval, CI [1.06-1.99]), nursing professionals (aOR = 1.37, 95% CI [1.02-1.98]), single workers (aOR = 1.51, 95% CI [1.05-2.16]), higher stress and anxiety to the viral infection (high SAVE-9 score, aOR = 1.20, 95% CI [1.17-1.24]), and past psychiatric history (aOR = 3.26, 95% CI [2.15-4.96]) were positively associated with depression.CONCLUSIONS:Psychological support and interventions should be considered for healthcare workers, especially nursing professionals, those who are single, and those with high SAVE-9 level.
机译:背景:医疗保健工人经历了Covid-19爆发的严重心理影响。重要的是建立受到ePIDEMICS影响的医疗保健工人的心理评估和干预措施。目的:我们调查了与每个医疗员工集团的心理影响相关的风险因素,以帮助优化受科迪德影响国家的医疗保健工人的心理干预措施-19.方法:来自韩国两家医院的参与者(n = 1,787),通过获得有关人口统计学,精神病史和对病毒流行病学的压力和焦虑的信息,完成了一个在线调查,从而从4月14日至30日到病毒流行病人 - 9(保存 - 9),患者健康调查问卷-9(PHQ-9)和广义焦虑症-7(GAD-7)尺度。逻辑回归分析进行评估为预测因素变量和医疗工作者的抑郁症作为结果变量评估贡献因素。结果:与其他医疗工作者相比,养老金的抑郁症水平较高(PHQ-9分数; 5.5 ±4.6与3.8±4.2; p& 01),一般焦虑(Gad-7得分; 4.0±4.1与2.7±3.6; p& 0.01),病毒相关的焦虑症状(节省9分; 21.6±5.9与18.6±6.3; p& 01)。在护理专业人士集团中,单身工人报告比已婚工人更严重的抑郁症状(PHQ-9得分≥10; 20.3%与14.1%; P <.01),初级(& 40年)工人报告更多焦虑关于病毒流行病(节省9焦虑评分; 15.6±4.1与14.7±4.4; P <.01)。逻辑回归分析表明,医院因素(调整的赔率比[AOR] = 1.45,95%置信区间,CI [1.06-1.99]),护理专业人员(AOR = 1.37,95%CI [1.02-1.98]),单身工人(AOR = 1.51,95%CI [1.05-2.16]),对病毒感染的压力和焦虑较高(高豁免-9分,AOR = 1.20,95%CI [1.17-1.24]和过去的精神历史(AOR = 3.26,95%CI [2.15-4.96]与抑郁症是正相关的。结论:应考虑医疗工作者,特别是护理专业人员,那些单身的人和高保低级别的人和干预措施。

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