Zhongguo quanke yixue (Mar 2024)
Status and Influencing Factors of Mental Health of Community Medical Personnel during the Normalized Prevention and Control of COVID-19
Abstract
Background Since the outbreak of COVID-19 infection, community medical personnel on the front lines of prevention and control of COVID-19 face the risk of direct contact with the virus, as well as problems such as high-intensity work, long working hours and high psychological pressure. Therefore, it is of great significance to explore the mental health status of community medical personnel and its internal relationship for the tailored implementation of mental health interventions. Objective To understand the mental health status of community medical personnel during the normalized prevention and control of COVID-19 and explore its influencing factors. Methods A total of 296 cases of community medical personnel in Zhongshan City were selected as the study subjects on December 2021 using a multi-stage random sampling method. The general information questionnaire, self-designed questionnaire of working pressure on COVID-19 prevention and control among community medical personnel, Generalized Anxiety Disorder 7 (GAD-7) and Patient Health Questionnaire 9 (PHQ-9) were administered for online investigation, and multivariate Logistic regression analysis was performed to explore the influencing factors of the perceived stress level on COVID-19 prevention and control, the presence of anxiety and depression of community medical personnel. Results Among the community medical personnel in Zhongshan City, the detection rate of high perceived working pressure on COVID-19 prevention and control was 10.1% (30/296) . The prevalence of anxiety and depression at moderate level was 7.1% (21/296) and 9.5% (28/296) , respectively. Gender, the existence of depression and the level of perceived working pressure on COVID-19 prevention and control were influencing factors of the presence of anxiety among community medical personnel (P<0.05) . Performing daily diagnosis and treatment during the epidemic, engaging in three-member team for door-to-door screening, the presence of anxiety and level of perceived working pressure on COVID-19 prevention and control were factors associated with the presence of depression among community medical personnel (P<0.05) . The presence of anxiety and depression were factors associated with the level of perceived working pressure on COVID-19 prevention and control among community medical personnel (P<0.05) . Conclusion The perceived working pressure on COVID-19 prevention and control and negative emotions of anxiety and depression are related and interacted with each other, and the relative shortage of epidemic prevention and control tasks and human resources, as well as the imbalance between labor effort and labor income, have exacerbated the synergistic effect of negative emotions among community medical personnel. And health administration department should be dedicated to build up long-term investment and development mechanism for community health service institutions in the new situation and strengthen health administration department according to the development characteristics and problems exposed at community health service institutions during the normalized prevention and control of COVID-19.
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