Mental health status and related influencing factors of front-line medical staff in Wenzhou during regular epidemic prevention and control
SONG Yuya1, LAI Xinyi2, LIN Jie3
1.Department of Organization,Wenzhou Medical University, Wenzhou 325035, China; 2.School of Mental Health, Wenzhou Medical University,Wenzhou 325035, China; 3.School of Public Health and Management, Wenzhou Medical University, Wenzhou 325035, China
SONG Yuya,LAI Xinyi,LIN Jie. Mental health status and related influencing factors of front-line medical staff in Wenzhou during regular epidemic prevention and control[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2023, 53(2): 166-172，封三.
Abstract：Objective: To investigate medical staff’s mental health status and its influencing factors during regular epidemic prevention and control so as to provide sufficient evidence for timely and effective psychological prevention and intervention. Methods: From March to April 2022, 581 front-line medical staff in Wenzhou were included in this study by convenience sampling method. They completed the general information questionnaire,Occupational Stress Scale, Social Support Scale, Self -Assessment Work-Family Conflict Item, Depression Anxiety Stress Scale-21 Short Version and Insomnia Severity Index through online questionnaire survey platform. A total of 558 valid questionnaires were collected. The general information questionnaire, DASS-21 Scale and ISI Scale were used to evaluate the mental health status of front-line medical staff and demographic variables were compared among them. Besides, stepwise regression analysis was used to explore the potential influencing factors of mental health. Results: Of all the medical staff surveyed, 280 (50.18%) had anxiety, 272 (48.75%) had depression, and 356 (63.80%) had symptoms of insomnia. Women had higher scores of anxiety than men (P<0.05); the scores of anxiety (P<0.01), depression (P<0.05) and insomnia (P<0.01) of nurses, those with a bachelor's degree or below and those with poorer physical conditions were more severe than those with higher education and those with other occupations and better physical health; in addition, the scores of anxiety (P<0.001), depression (P<0.001) and insomnia (P<0.001) of those who worked less than 3 years were lower than those with longer service years.Stepwise regression analysis found that poor physical condition (β=2.72, P<0.01; β=2.50, P<0.05; β=2.54,P<0.01), higher level of occupational stress (β=1.29, P<0.001; β=1.29, P<0.001; β=0.61, P<0.001) and more intense work-family conflict (β=1.04, P<0.001; β=0.89, P<0.01; β=0.66, P<0.01) were risk factors of anxiety,depression and insomnia among front-line medical staff during the normalization of the epidemic, while higher level of social support (β=-0.30, P<0.01; β=-0.51, P<0.001; β=-0.24, P<0.01) was a protective factor of the three; working >3-5 years (β=2.77, P<0.01) and >5-10 years (β=2.16, P<0.05) were risk factors for depression and insomnia, respectively; and nurses were at high risk for anxiety and insomnia (β=-2.34, P<0.01; β=-1.39,P<0.05). Conclusion: It is necessary to pay closer attention to the front-line medical staff’s mental health status during regular epidemic prevention and control. And it is recommended that governments at all levels take the lead in negotiating various departments and giving full play to the positive role of social support by reducing occupational stress of the front-line medical staff, and providing psychological services such as personalized psychological assistance to improve the psychological prevention and intervention system.
