Page 156 - Livre électronique du Congrès CNP 2021

MENTAL HEALTH STATUS OF TUNISIAN HEALTHCARE
WORKERS DURING COVID19 PANDEMIC

Youssfi I,Mejri , Mhamdi S, Dabboussi S, Aichaouia C, Moatemri Z, Khadhraoui M

P94 PNEUMOLOGY DEPARTMENT, MILITARY HOSPITAL OF TUNIS

Introduction :

Health care workers(HCW) are first-line fighters treating patients with COVID-19. They are at a
high risk of COVID-19 infection and may endure mental health disorders facing this new source
of distress.

Aim : Assess the prevalence of anxiety, insomnia and depression among Tunisian HCW during
COVID19 pandemic.

Methods :

A cross-sectional study based on a self-administrated questionnaire in February 2021 has
included HCW of the military hospital of Tunis. Depression, anxiety and insomnia were assessed
by the French versions of the Hospital Anxiety and Depression Scale (HAD) and the Insomnia
Severity Index (ISI).

Results :

A total of 110 HCW responded to the questionnaire. Sex ratio was 0.89. Fifty seven (51.8%) were
single. The mean age was 33.7 years (SD 9.3). Our participants were doctors in 45.5%, and
nurses in 26.4%.The mean professional seniority was 9.5 years (SD 9.9).HCW worked in medical
services in 77.3% and in COVID units in 81.8%. The mean scores of anxiety and depression were
8.31(SD 4.27) and 8.43(SD 3.63) respectively. Anxiety and depression was found in 30% and
25.5% of HCW. The mean score of ISI was 8.71(SD 7.64). Insomnia was found in 41.8%. This
disorder was moderate and severe in respectively 6.4% and 10%. Anxiety and depression was
found in respectively 32.3% and 23.5% of the HCW tested COVID19 positive(p=0.08). Insomnia
was found in 50% of these HCW. Anxiety varied significantly with age(p=0.01), working in COVID
units(p=0.05) and quarantine after work(p=0.015). Depression varied signficantly with changing
of habitat (p=0.017) and having co-workers infected(p=0.04). Insomnia severity was linked to
age(p=0.01),less compensatory rest(p=0.012) and paradoxically to attending COVID training
sessions(p=0.027).

Conclusions:

HCW have high levels of insomnia, anxiety and depression. The risk of being infected with
COVID19 appeared to increase the severity of insomnia. These consequences on the mental
health among HCW were predictable and should encourage psychological support and prevention
measures.

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