Prevalence of depression and its impact on quality of life in frontline otorhinolaryngology nurses during the COVID-19 pandemic in China

doi:10.7717/peerj.11037

. 2021 Apr 20:9:e11037.

doi: 10.7717/peerj.11037. eCollection 2021.

Prevalence of depression and its impact on quality of life in frontline otorhinolaryngology nurses during the COVID-19 pandemic in China

Zi-Rong Tian^#¹, Xiaomeng Xie^#^{2

3}, Xiu-Ya Li⁴, Yue Li¹, Qinge Zhang⁵, Yan-Jie Zhao^{2

3}, Teris Cheung⁶, Gabor S Ungvari^{7

8}, Feng-Rong An⁵, Yu-Tao Xiang^{2

3}

Affiliations

¹ Department of Nursing, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
² Department of Public Health and Medicinal Administration & Centre for Cognitive and Brain Sciences, University of Macau, Macau SAR, China.
³ Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macau SAR, China.
⁴ Department of Otorhinolaryngology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
⁵ The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China.
⁶ School of Nursing, Hong Kong Polytechnic University, Hong Kong, SAR, China.
⁷ University of Notre Dame Australia, Fremantle, Australia.
⁸ Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia.

^# Contributed equally.

PMID: 33976957
PMCID: PMC8063879
DOI: 10.7717/peerj.11037

Prevalence of depression and its impact on quality of life in frontline otorhinolaryngology nurses during the COVID-19 pandemic in China

Zi-Rong Tian et al. PeerJ. 2021.

. 2021 Apr 20:9:e11037.

doi: 10.7717/peerj.11037. eCollection 2021.

Authors

Zi-Rong Tian^#¹, Xiaomeng Xie^#^{2

3}, Xiu-Ya Li⁴, Yue Li¹, Qinge Zhang⁵, Yan-Jie Zhao^{2

3}, Teris Cheung⁶, Gabor S Ungvari^{7

8}, Feng-Rong An⁵, Yu-Tao Xiang^{2

3}

Affiliations

¹ Department of Nursing, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
² Department of Public Health and Medicinal Administration & Centre for Cognitive and Brain Sciences, University of Macau, Macau SAR, China.
³ Institute of Advanced Studies in Humanities and Social Sciences, University of Macau, Macau SAR, China.
⁴ Department of Otorhinolaryngology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
⁵ The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders Beijing Anding Hospital & the Advanced Innovation Center for Human Brain Protection, Capital Medical University, School of Mental Health, Beijing, China.
⁶ School of Nursing, Hong Kong Polytechnic University, Hong Kong, SAR, China.
⁷ University of Notre Dame Australia, Fremantle, Australia.
⁸ Division of Psychiatry, School of Medicine, University of Western Australia, Perth, Australia.

^# Contributed equally.

PMID: 33976957
PMCID: PMC8063879
DOI: 10.7717/peerj.11037

Abstract

Objective: Exposure to the coronavirus disease 2019 (COVID-19) was associated with high risk of mental health problems among frontline nurses. This study examined the prevalence of depressive symptoms (depression hereafter) and its impact on quality of life (QOL) in otorhinolaryngology (ENT) nurses during the COVID-19 pandemic in China.

Methods: An online study was conducted between March 15 and March 20, 2020. Depression and QOL were assessed using standardized instruments.

Results: A total of 1,757 participants were recruited. The prevalence of depression was 33.75% (95% CI: 31.59%-35.97%). Results emerging from multiple logistic regression analysis showed that direct care of COVID-19 patients (OR: 1.441, 95% CI: 1.031-2.013, P = 0.032), and current smoking (OR: 2.880, 95% CI: 1.018-8.979, P = 0.048) were significantly associated with depression. After controlling for covariates, ENT nurses with depression had a lower overall QOL compared to those without depression (F_{(1, 1757)}= 536.80, P < 0.001).

Conclusions: Depression was common among ENT nurses during the COVID-19 pandemic in China. Considering the negative impact of depression on QOL and care quality, regular screening for depression should be conducted in ENT nurses and treatment should be provided.

Keywords: COVID-19; Depression; Nurse; Otorhinolaryngology; Quality of life.

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Conflict of interest statement

The authors declare there are no competing interests.

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Prevalence and correlates of depression and anxiety among Chinese international students in US colleges during the COVID-19 pandemic: A cross-sectional study.
Lin C, Tong Y, Bai Y, Zhao Z, Quan W, Liu Z, Wang J, Song Y, Tian J, Dong W. Lin C, et al. PLoS One. 2022 Apr 14;17(4):e0267081. doi: 10.1371/journal.pone.0267081. eCollection 2022. PLoS One. 2022. PMID: 35421199 Free PMC article.

References

1. An Y, Yang Y, Wang A, Li Y, Zhang Q, Cheung T, Ungvari GS, Qin M-Z, An F-R, Xiang Y-T. Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. Journal of Affective Disorders. 2020;276:312–315. doi: 10.1016/j.jad.2020.06.047. - DOI - PMC - PubMed
1. Anosike C, Isah A, Igboeli NU. Development and validation of a questionnaire for evaluating knowledge of risk factors for teen depression among health care trainees of a Nigerian university. Asia-Pacific Psychiatry. 2020;12(3):e12391. doi: 10.1111/appy.12391. - DOI - PubMed
1. Benedek DM, Fullerton C, Ursano RJ. First responders: mental health consequences of natural and human-made disasters for public health and public safety workers. Annual Review of Public Health. 2007;28:55–68. doi: 10.1146/annurev.publhealth.28.021406.144037. - DOI - PubMed
1. Chang ET, Lau EC, Moolgavkar SH. Smoking, air pollution, and lung cancer risk in the Nurses’ Health Study cohort: time-dependent confounding and effect modification. Critical Reviews in Toxicology. 2020;50(3):189–200. doi: 10.1080/10408444.2020.1727410. - DOI - PMC - PubMed
1. Chen M, Sheng L, Qu S. Diagnostic test of screening depressive disorder in general hospital with the Patient Health Questionnaire (in Chinese) Chinese Mental Health. 2015;29(4):241–245.

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[1] An Y, Yang Y, Wang A, Li Y, Zhang Q, Cheung T, Ungvari GS, Qin M-Z, An F-R, Xiang Y-T. Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. Journal of Affective Disorders. 2020;276:312–315. doi: 10.1016/j.jad.2020.06.047. - DOI - PMC - PubMed

[2] An Y, Yang Y, Wang A, Li Y, Zhang Q, Cheung T, Ungvari GS, Qin M-Z, An F-R, Xiang Y-T. Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak. Journal of Affective Disorders. 2020;276:312–315. doi: 10.1016/j.jad.2020.06.047. - DOI - PMC - PubMed

[3] Anosike C, Isah A, Igboeli NU. Development and validation of a questionnaire for evaluating knowledge of risk factors for teen depression among health care trainees of a Nigerian university. Asia-Pacific Psychiatry. 2020;12(3):e12391. doi: 10.1111/appy.12391. - DOI - PubMed

[4] Anosike C, Isah A, Igboeli NU. Development and validation of a questionnaire for evaluating knowledge of risk factors for teen depression among health care trainees of a Nigerian university. Asia-Pacific Psychiatry. 2020;12(3):e12391. doi: 10.1111/appy.12391. - DOI - PubMed

[5] Benedek DM, Fullerton C, Ursano RJ. First responders: mental health consequences of natural and human-made disasters for public health and public safety workers. Annual Review of Public Health. 2007;28:55–68. doi: 10.1146/annurev.publhealth.28.021406.144037. - DOI - PubMed

[6] Benedek DM, Fullerton C, Ursano RJ. First responders: mental health consequences of natural and human-made disasters for public health and public safety workers. Annual Review of Public Health. 2007;28:55–68. doi: 10.1146/annurev.publhealth.28.021406.144037. - DOI - PubMed

[7] Chang ET, Lau EC, Moolgavkar SH. Smoking, air pollution, and lung cancer risk in the Nurses’ Health Study cohort: time-dependent confounding and effect modification. Critical Reviews in Toxicology. 2020;50(3):189–200. doi: 10.1080/10408444.2020.1727410. - DOI - PMC - PubMed

[8] Chang ET, Lau EC, Moolgavkar SH. Smoking, air pollution, and lung cancer risk in the Nurses’ Health Study cohort: time-dependent confounding and effect modification. Critical Reviews in Toxicology. 2020;50(3):189–200. doi: 10.1080/10408444.2020.1727410. - DOI - PMC - PubMed

[9] Chen M, Sheng L, Qu S. Diagnostic test of screening depressive disorder in general hospital with the Patient Health Questionnaire (in Chinese) Chinese Mental Health. 2015;29(4):241–245.

[10] Chen M, Sheng L, Qu S. Diagnostic test of screening depressive disorder in general hospital with the Patient Health Questionnaire (in Chinese) Chinese Mental Health. 2015;29(4):241–245.

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Prevalence of depression and its impact on quality of life in frontline otorhinolaryngology nurses during the COVID-19 pandemic in China

Affiliations

Prevalence of depression and its impact on quality of life in frontline otorhinolaryngology nurses during the COVID-19 pandemic in China

Authors

Affiliations

Abstract

Conflict of interest statement

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