تاب‌آوری و اضطراب کرونا در ایران: نظرسنجی آنلاین بین کارکنان بهداشتی و غیربهداشتی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.

2 Assistant professor of child and adolescent psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Assistant professor of psychiatry, Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran. M.Sc. Department of Mental Health, Iran University of Medical Sciences, Tehran, Iran.

5 Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.

6 Assistant professor of psychiatry, Zabol University of Medical Sciences, Zabol, Iran.

7 Assistant professor of psychiatry, Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran.

8 Associate professor, Infectious Disease Research Center, Golestan University of Medical Sciences, Gorgan, Iran.

چکیده

مقدمه: کارکنان بهداشتی و درمانی در خط مقدم مبارزه با بیماری قرار دارند و بدون شک بیشترین مسئولیت و بار استرس را بر عهده دارند. آنها تحت فشار شدید جسمی و روحی هستند. این مطالعه اضطراب ناشی از کرونا و تاب‌آوری را در کارکنان مراقبت‌های بهداشتی و غیربهداشتی مقایسه کرد.
روش کار: این مطالعه مقطعی با استفاده از پرسشنامه خودگزارشی آنلاین در ایران انجام شد. نمونه شامل 102 کارمند بهداشت و درمان و 123 کارمند غیر بهداشتی بود که پرسشنامه شبکه اجتماعی را از 1 تا 9 مارس 2021 تکمیل کردند. شرکت کنندگان با استفاده از مقیاس تاب آوری Connor-Davidson (CD-RISC) و مقیاس اضطراب بیماری کرونا (CDAS) مورد ارزیابی قرار گرفتند. ). داده‌ها با استفاده از آمار توصیفی، مجذور خی، تی، من ویتنی، آنکووا و SPSS 16 تحلیل شدند.
یافته‌ها: کووید-19 منجر به اضطراب به‌طور معنی‌داری در کارکنان مراقبت‌های بهداشتی درعلائم جسمی نسبت به کارکنان غیربهداشتی شده است (037/0= P). همچنین، پرسنل بهداشتی نمره بالاتری در CDAS داشتند (029/0= P). امتیاز کلی CD-RISC نیز در بین کارکنان غیربهداشتی 9/13±6/90 و در بین کارکنان بهداشتی و درمانی 8/19±1/84 بود (036/0=P). پس از تعدیل برای اثر مخدوش‌کننده احتمالی سطح تحصیلات، مجدداً نمرات کل دو مقیاس بین دو گروه تفاوت معنی‌داری داشت (05/0P<).
نتیجه‌گیری: با توجه به نتایج، کووید-19 منجر به اضطراب بالاتر و تاب‌آوری کمتر در کارکنان مراقبت‌های بهداشتی نسبت به کارکنان غیربهداشتی شده است.

کلیدواژه‌ها

مراجع

  1. Tavakoli A, Vahdat K, Keshavarz M. [Novel coronavirus disease 2019 (COVID-19): An emerging infectious disease in the 21st century]. Iranian south medical journal 2020; 22(6): 432-50. (Persian)
  2. Kim AE, Brandstetter E, Graham C, Heimonen J, Osterbind A, McCulloch DJ, et al. Seattle Flu Study-Swab and Send: Study protocol for at-home surveillance methods to estimate the burden of respiratory pathogens on a City-Wide Scale. medRxiv 2020.
  3. Tuite AR, Bogoch II, Sherbo R, Watts A, Fisman D, Khan K. Estimation of coronavirus disease 2019 (COVID-19) burden and potential for international dissemination of infection from Iran. Ann Intern Med 2020; 172(10): 699-701.
  4. Zandifar A, Badrfam R. Iranian mental health during the COVID-19 epidemic. Asian J Psychiatr 2020; 51: 101990.
  5. Huang Y, Zhao N. Chinese mental health burden during the COVID-19 pandemic. Asian J Psychiatr 2020; 51: 102052.
  6. Shahini N, Mirzadeh M, Lashkarbolouk N. The comorbidity of somatic symptom and major depressive disorders in the times of COVID-19 lockdown in adolescence: A case-report study. SAGE Open Med Case Rep 2023; 11: 2050313X231179304.
  7. Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020; 7(3): 228-9.
  8. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. Can J Psychiatry 2009; 54(5): 302-11.
  9. Zhou Y, Liang Y, Tong H, Liu Z. Patterns of posttraumatic stress disorder and posttraumatic growth among women after an earthquake: a latent profile analysis. Asian J Psychiatr 2020; 51: 101834.
  10. Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. Survey of insomnia and related social psychological factors among medical staff involved in the 2019 novel coronavirus disease outbreak. Front Psychiatry 2020; 11: 306.
  11. Gong Y, Han T, Chen W, Dib HH, Yang G, Zhuang R, et al. Prevalence of anxiety and depressive symptoms and related risk factors among physicians in China: A cross-sectional study. PLoS One 2014; 9(7): e103242.
  12. Ransing R, Adiukwu F, Pereira-Sanchez V, Ramalho R, Orsolini L, Teixeira ALS, et al. Mental health interventions during the COVID-19 pandemic: A conceptual framework by early career psychiatrists. Asian J Psychiatr 2020; 51: 102085.
  13. Khabiri M, Khabiri R, Jafari M. [The relationship between emotional intelligence, resiliency and burnout in staff of the headquarters of Tehran University of Medical Sciences and Health Services]. Depiction of health 2019; 10(4): 259-69. (Persian)
  14. Dehkordi MK, Sakhi S, Gholamzad S, Azizpour M, Shahini N. Online Balint groups in healthcare workers caring for the COVID-19 patients in Iran. Psychiatry Res 2020; 290: 113034.
  15. Mosheva M, Hertz-Palmor N, Ilan SD, Matalon N, Pessach IM, Afek A, et al. Resilience mitigates anxiety in physicians during the COVID-19 outbreak. SSRN electronic journal 2020; DOI: 10.2139/ssrn.3576798
  16. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 2003; 18(2): 76-82.
  17. Roberts N, McAloney-Kocaman K, Lippiett K, Ray E, Welch L, Kelly C. Levels of resilience, anxiety, and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respir Med 2020; 176: 106219.
  18. Brown R, Wey H, Foland K. The relationship among change fatigue, resilience, and job satisfaction of hospital staff nurses. J Nurs Scholarsh 2018; 50(3): 306-13.
  19. Doo EY, Kim M, Lee S, Lee SY, Lee KY. Influence of anxiety and resilience on depression among hospital nurses: A comparison of nurses working with confirmed and suspected patients in the COVID-19 and non-COVID-19 units. J Clin Nurs 2021; 30(13-14): 1990-2000.
  20. Alipour A, Ghadami A, Farsham A, Dorri N. A new self-reported assessment measure for COVID-19 Anxiety Scale (CDAS) in Iran: A web-based study. Iran J Public Health 2020; 49(7): 1316-23.
  21. Samani S, Jokar B, Sahragard N. [Resiliency, mental health and life satisfaction]. Journal of psychiatry and clinical psychology 2006; 3(3): 290-95. (Persian)
  22. Venegas CL, Nkangu MN, Duffy MC, Fergusson DA, Spilg EG. Interventions to improve resilience in physicians who have completed training: A systematic review. PLoS One 2019; 14(1): e0210512.
  23. Ghazanfarpour M, Ashrafinia F, Zolala S, Ahmadi A, Jahani Y, Hosseininasab A. Investigating the Effectiveness of tele-counseling on mental health of staff in coronavirus reference clinics and hospitals. Trends Psychiatry Psychother 2022; 44: e20200176.
  24. Ahmadi B, Mosadeghrad AM, Karami B. [Effectiveness of resilience education on quality of working life among nursing personnel: A randomized controlled study]. Payesh (Health monitor) 2019; 18(3): 279-89. (Persian)
  25. Wei H, Roberts P, Strickler J, Corbett RW. Nurse leaders’ strategies to foster nurse resilience. J Nurs Manag 2019; 27(4): 681-7.
  26. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 17(5): 1729.
مجله اصول بهداشت روانی
دوره 25، شماره 5
مهر و آبان 1402
صفحه 297-302

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