Analysis on mental health status and needs of health care workers in designated medical institutions of tuberculosis during the epidemic period of COVID-19 (preprint)

ABSTRACT

Background: Coronavirus disease 2019 (COVID-19) has spread rapidly in China and other overseas areas, which has aroused widespread concern. The sharp increase in the number of patients has led to great psychological pressure on health care workers. The purpose of this study is to understand their mental health status and needs, so as to provide a scientific basis for alleviating the psychological pressure of health care workers. Methods: Using a cross-sectional study design, 511 health care workers were randomly selected from two designated tuberculosis medical institutions in Anhui Province. The basic situation, perceived social support, depression level, loneliness and COVID-19 related knowledge were collected and analyzed by questionnaire. Results: There were 139 people in epidemic prevention and control positions (27.20%). Depression level female was higher than male; nurse was higher than doctor; middle and junior job titles were higher than senior titles; junior college degree or below were higher than bachelor's degree, master's degree and above; isolation ward, fever clinic and pre-check triage were significantly higher than those of non-prevention and control positions ( P < 0.05). Loneliness scores doctors were higher than that of medical technicians, and isolation ward, fever clinic and pre-check triage were higher than those of non-prevention and control positions ( P < 0.05). Social support doctors were lower than that of medical technicians, and isolation ward, fever clinic and pre-check triage were significantly lower than those of non-prevention and control positions ( P < 0.05). The score of social support was negatively correlated with depression and loneliness ( P < 0.001), while depression was positively correlated with loneliness ( P < 0.001). Health care workers most want to receive one-to-one psychological counseling (29.75%), and provide crisis management (24.07%). The awareness rate of health care workers on COVID-19's knowledge was relatively high. Conclusions: The psychological problems of health care workers, especially women, nurses with low educational background, low professional title, and staff in the epidemic prevention and control positions are relatively serious. We should focus on this population, and take targeted intervention measures.