Factores asociados a los trastornos de la esfera mental en el personal de salud de la amazonia peruana al finalizar la pandemia COVID-19 / Factors associated with disorders of the mental sphere in health personnel in the peruvian amazon at the end of the COVID-19 pandemic

RESUMEN

Introducción:En el marco de esta pandemia, el personal de salud ha sufrido cambios psicológicos, debido a su relación directa con pacientes contagiados por COVID-19, convirtiéndose así en parte de un grupo vulnerable.Objetivo:Conocer los factores asociados a los trastornos de la esfera mental en el personal de salud amazónico durante la pandemia COVID-19.Material y Métodos:La población estuvo conformada por el personal de salud de dos establecimientos de I y II nivel, donde la muestra fue de 341 personas. El tipo de estudio es observacional, transversal analítico, se usó como instrumento una encuesta auto aplicada.Resultados:Se encontró mayor depresión en mujeres (RPa 1,71; IC95% 1,29-2,26; valor p<0,001) y menor depresión con tener mayor edad (RPa 0,98; IC95% 0,97-0,99; valor p=0,018). La ansiedad se asoció con tener familiares fallecidos (RPa 1,06; IC95% 1,01-1,12; valor p=0,029). El tener enfermedades previas (RPa 1,72; IC95% 1,27-2,32; valor p<0,001), tener colegas fallecidos (RPa 1,05; IC95% 1,05-1,06; valor p<0,001) y ser enfermera (RPa 1,40; IC95% 1,05-1,85; valor p=0,020) tuvo estrecha relación con el estrés post traumático (EPT).Conclusión:Se concluye que existe factores asociados a la depresión, ansiedad, estrés y EPT en el personal de salud amazónico durante la pandemia COVID-19. (AU)

ABSTRACT

Introduction:In the context of this pandemic, healthcare personnel have experienced psychological changes, due to their direct contact with COVID-19 infected patients, becoming part of a vulnerable group.Objective:To identify factors associated with mental health disorders among amazonic healthcare personnel during the COVID-19 pandemic.Material and Methods:The population consisted of healthcare personnel from two level I and II establishments, with a sample size of 341 individuals. The study design was observational, cross sectional, and a self-administered survey was used as the instrument.Results:A higher prevalence of depression was found in women (adjusted prevalence ratio [aPR] 1.71; 95% confidence interval [CI] 1.29-2.26; p-value <0.001), and a lower prevalence of depression was associated with older age (aPR 0.98; 95% CI 0.97-0.99; p-value=0.018). Anxiety was associated with having deceased family members (aPR 1.06; 95% CI 1.01-1.12; p-value=0.029). Having previous illnesses (aPR 1.72; 95% CI 1.27-2.32; p-value <0.001), having deceased colleagues (aPR 1.05; 95% CI 1.05-1.06; p-value <0.001), and being a nurse (aPR 1.40; 95% CI 1.05-1.85; p-value=0.020) was closely related to post traumatic stress (PTSD).Conclusion:It is concluded that there are factors associated with depression, anxiety, stress, and PTSD among amazonic healthcare personnel during the COVID-19 pandemic. (AU)