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. 2022 Feb;272(1):81-93.
doi: 10.1007/s00406-021-01239-x. Epub 2021 May 18.

Two-stage mental health survey of first-line medical staff after ending COVID-19 epidemic assistance and isolation

Li Xu #  1 , Dingyun You #  2 , Chengyu Li  2 , Xiyu Zhang  3 , Runxu Yang  4 , Chuanyuan Kang  5 , Nianshi Wang  3 , Yuxiong Jin  1 , Jing Yuan  1 , Chao Li  1 , Yujun Wei  1 , Ye Li  6 , Jianzhong Yang  7
Affiliations

Two-stage mental health survey of first-line medical staff after ending COVID-19 epidemic assistance and isolation

Li Xu et al. Eur Arch Psychiatry Clin Neurosci. 2022 Feb.

Abstract

Facing with COVID-19 epidemic such a catastrophic health emergency, the mental health status of medical staff deserves attention. We conducted a two-stage of psychological status monitoring after the end of the assistance and 14 days of isolation, further targeted the vulnerable groups in need of intervention. The study is a cross-sectional survey on 1156 Yunnan medical staff aid to Hubei. Used Cluster sampling method to collect data at 2 time points (at the end of returning from Wuhan and the 14th day of isolation), from March 18, 2020 to April 6, 2020. Female and nurse had higher rates of depressive symptoms than male and doctors and other occupations. The proportion of female with mild and above moderate anxiety levels (22.91%, 2.61%) was higher than male (17.35%, 1.03%) (p < 0.05). Female had a better impaired sleep quality (45.06%, 17.49%) more than male (28.57%, 7.94%). Medical staff supported in Wuhan and with junior professional titles reported a higher proportion of sleep quality impairment. At the 14th isolation day stage, the proportion of nurses changed from depression to health (9.15%) and from health to depression (6.1%) better than doctors. The front-line medical staffs had suffered greater psychological pressure in the treatment process of major public health emergency. Researches on the dynamic monitor for the change of psychological status after aiding epidemic areas were still in relatively blank stage. Targeting the vulnerable characteristics of aiding medical staff is significant for effective psychological intervention and sustainable operation of health system.

Keywords: COVID-19; Medical staff; Mental health.

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Figures

Fig. 1
Fig. 1
Proportion of changes in depression and quality of sleep before and after isolation
Fig. 2
Fig. 2
Mean ± SD of the difference between the scores of depression and sleep scale before and after isolation
Fig. 3
Fig. 3
Psychological intervention process of anti-epidemic medical staff
See this image and copyright information in PMC

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