Data_Sheet_1_Mental health of primary health care physicians and nurses following prolonged infection control rules: a national survey in China.pdf

IntroductionThis 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.
MethodRegion-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.
ResultsA 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.
ConclusionAttention 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.

引言
本研究于2022年疫情后时期，针对中国基层医疗卫生（primary health care, PHC）医师与护士群体中各类疑似精神健康障碍的患病率及其相关因素展开调研，涵盖心理困扰、躯体化、抑郁、焦虑、恐怖性焦虑（phobic anxiety, PHO）、强迫症（obsessive-compulsive disorder, OCD）、创伤后应激障碍（post-traumatic stress disorder, PTSD）与失眠等症状。

方法
本研究于2022年7月31日至8月12日期间，采用区域分层抽样法招募全国范围内的4246名调研对象。研究覆盖中国30个省级行政区的692家基层医疗卫生机构。通过在线问卷开展评估：采用症状自评量表90项修订版（Symptoms Checklist-90-Revised, SCL-90-R）与DSM-5创伤后应激障碍检查表（PTSD Checklist for DSM-5, PCL-5）评估疑似精神健康障碍，采用失眠严重指数量表（Insomnia Severity Index, ISI）评估睡眠问题；同时收集调研对象的人口学与工作相关数据。本研究采用双变量分析与多元logistic回归分析，以明确疑似精神健康障碍的显著相关因素。

结果
本研究共回收有效问卷4246份。结果显示，相较于中国疫情早期医疗卫生工作者的疑似精神健康障碍患病率，本次调研的基层医疗卫生医师与护士群体中，除躯体化、恐怖性焦虑与强迫症外，其余各类疑似精神健康障碍的总体患病率均有所下降。多元logistic回归分析结果表明，女性性别、共病状态、精神障碍病史、隔离经历、从不寻求他人帮助以及加班，均为常见疑似精神健康障碍（包括心理困扰、躯体化、抑郁、焦虑、恐怖性焦虑、强迫症、创伤后应激障碍与失眠）的显著危险因素。

结论
临床应关注基层医疗卫生从业者的既往精神障碍与共病状态、社会支持状况及工作相关应激因素。即便在公共卫生危机结束后，仍需开展常规精神健康评估与心理干预，以提升基层医疗卫生专业人员的心理健康水平。