Mental health of primary health care physicians and nurses following prolonged infection control rules: a national survey in China.

Autor:	Li CJ; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China., Zheng Y; Shouyilu Street Community Health Service Center, Wuhan, Hubei, China., Gan Y; Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China., Du Z; Department of Administrative Management, Shanggang Community Health Service Center, Shanghai, China., Cai X; Department of Administrative Management, Laoshan Community Health Service Center, Qingdao, Shandong, China., Li Y; Department of Administrative Management, Jinsong Community Health Service Center, Beijing, China., Wang W; Department of Administrative Management, Xinhua Shaocheng Community Health Service Center, Chengdu, Sichuan, China., Jiang T; Department of Administrative Management, Tianshui Wulin Street Community Health Service Center, Hangzhou, Zhejiang, China., Zhang Q; Department of Administrative Management, Jiexin Village Community Health Service Center, Lanzhou, Gansu, China., Niu L; Department of Administrative Management, Xinglin Street Community Health Service Center, Hefei, Anhui, China., Tao TJ; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China., Hou WK; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China.; Department of Psychology, The Education University of Hong Kong, Hong Kong, Hong Kong SAR, China.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2024 Aug 23; Vol. 12, pp. 1392845. Date of Electronic Publication: 2024 Aug 23 (Print Publication: 2024).
DOI:	10.3389/fpubh.2024.1392845
Abstrakt:	Introduction: This study examined the prevalence and correlates of probable mental health disorders, including psychological distress, somatization, depression, anxiety, phobic anxiety (PHO), obsessive-compulsive disorder (OCD), post-traumatic stress disorder (PTSD), and insomnia among Chinese primary health care (PHC) physicians and nurses amid the post-pandemic period in 2022. Method: Region-stratified sampling was conducted to recruit a national sample of 4,246 respondents from 31 July 2022 to 12 August 2022. A total of 692 primary healthcare institutions were identified in 30 provincial-level administrative regions of China. An online questionnaire was used for assessing probable mental health disorders using Symptoms Checklist-90-Revised (SCL-90-R) and PTSD Checklist for DSM-5 (PCL-5), and sleeping problems using Insomnia Severity Index (ISI). Data on demographics and work were also collected. Bivariate analysis and multiple logistic regression were conducted to identify significant correlates of probable mental health disorders. Results: A total of 4,246 valid questionnaires were identified. Results showed that relative to the prevalence of probable mental health disorders among health care workers at the early stage of the pandemic in China, there was an overall decreased prevalence except for somatization, PHO, and OCD among the current PHC physicians and nurses. Multiple logistic regressions showed that significant risk factors of common probable mental health disorders, namely psychological distress, SOM, DEP, ANX, PHO, OCD, PTSD, and insomnia, were female gender, multimorbidity, history of psychiatric disorders, quarantine experience, never asking anyone for help, and overtime work. Conclusion: Attention should be given to preexisting psychiatric and multimorbid conditions, social support, and work-related stressors. Regular assessment and psychological interventions are needed to enhance the mental health of PHC professionals even after public health crisis. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. (Copyright © 2024 Li, Zheng, Gan, Du, Cai, Li, Wang, Jiang, Zhang, Niu, Tao and Hou.)
Databáze:	MEDLINE
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