Abstract
Purpose: To evaluate the knowledge, anxiety, depression, and sleep quality toward COVID-19 among Chinese medical staff from tertiary and basic-level hospitals in central south areas of China.Method: A structured questionnaire was composed of Demographic and clinical characteristics of medical staff, Knowledge toward COVID-19 including epidemiology and clinical manifestations, The Self-rating anxiety scale (SAS), Center for Epidemiologic Studies Depression Scale (CES-D), and The Pittsburgh Sleep Quality Index (PSQI). It was administered to medical staff from tertiary hospitals (Group A) (n = 407) and basic-level hospitals (Group B) (n = 388) during February 2020 and May 2020.Results: Medical staff in group A had a stronger knowledge toward COVID-19 than group B (23.69 ± 5.83 & 18.15 ± 6.35, p < 0.001). Mild anxiety symptoms were found in both groups. The SAS scores (Mean ± SD) of group B were 58.87 ± 10.17, which was significantly higher than that of group A (52.59 ± 12.09, p < 0.001). There were no significant differences in CES-D scores between the two groups (p = 0.981). The mean score of total PSQI in group B (8.41 ± 3.03) was statistically higher than that of group A (7.31 ± 3.74, p < 0.001). Additionally, the scores of sub-components of group B, including subjective sleep quality, sleep latency, sleep disorder, sleeping medication use and daytime dysfunction, were significantly higher compared to Group A (p < 0.05).Conclusions: Our study showed greater anxiety, more severe depression and poorer sleep quality among medical staff in central south areas of China during the COVID-19 outbreak. Additionally, compared to the tertiary hospital group, medical staff from basic-level hospitals had poorer knowledge toward COVID-19 and worse mental health conditions. In addition, residence, specialty, title and education level may also be factors of knowledge of COVID-19 and psychiatry problems. In light of this information, more attention should be paid to early identification and intervention of symptoms of anxiety and depression in susceptible medical staff from the basic-level hospitals.
Highlights
The 2019 coronavirus disease (COVID-19) epidemic, which is the largest outbreak of atypical pneumonia since the severe acute respiratory syndrome (SARS) outbreak in 2003, is still a global health threat by far [1]
The scores of sub-components of group B, including subjective sleep quality, sleep latency, sleep disorder, sleeping medication use and daytime dysfunction, were significantly higher compared to Group A (p < 0.05) (Figures 3B–H)
This study was one of the first hospital-based attempts to investigate the knowledge, anxiety, depression and sleep quality of medical staff in China during the outbreak of COVID-19 and analyze whether they were associated with some demographic characteristics, especially the hospital levels
Summary
The 2019 coronavirus disease (COVID-19) epidemic, which is the largest outbreak of atypical pneumonia since the severe acute respiratory syndrome (SARS) outbreak in 2003, is still a global health threat by far [1]. The outbreak was first revealed in Wuhan City, Hubei Province, in late December 2019 when clusters of pneumonia cases of unknown etiology were found to be related to epidemiologically linked exposure to a seafood market and untraced exposures [2]. The Chinese government has implemented strict public health measures against the spread of COVID19 and dispatched medical staff from all over the country to support the first line of Hubei epidemic situation [6]. Many individuals stayed at home and socially isolated themselves to prevent being infected, leading to a “desperate plea” [8, 9]
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