摘要
目的:通过调查北京市某新冠肺炎定点收治医院和某精神专科医院医务人员心理健康状况及影响因素,为心理干预策略提供科学依据。方法:通过微信工作群在线发放电子调查问卷,包括一般状况、情绪感受自评、应激感受量表(Perceived Stress Scale,PSS-10)、9项患者健康问卷(Patient Health Questionnaires,PHQ-9)、7项广泛性焦虑障碍量表(Generalized Anxiety Disorder Scale,GAD-7)对两家医院医务人员进行心理状况横断面调查,并分析影响医务人员抑郁检出率的影响因素。计量资料采用均数±标准差进行描述、Wilcooxn秩和检验,分类资料采用频数(百分比)进行描述、χ2检验,抑郁检出率的影响因素采用Logistic回归分析。结果:共回收调查问卷1051份,新冠肺炎定点收治医院和精神专科医院的抑郁检出率分别为7.6%和5.8%,焦虑检出率分别为6.7%和4.7%,两家医院差异无显著性(P>0.05);抑郁状检出率分别为62.2%和39.5%;焦虑症状检出率分别为41.1%和21.6%,差异有显著性(P<0.05)。PSS-10总分[OR=1.2,95%CI(1.0~1.3),P=0.0074]、GAD总分[O R=1.6,95%CI(1.5~1.8),P<0.001]是抑郁的危险因素,年龄、担心感染(≥5分)、疲劳(≥5分)与是否抑郁之间无显著相关性(P均>0.05)。结论:疫情对医务人员心理状态影响较大,应激反应能力和焦虑水平可能是抑郁检出率的影响因素,有必要对其开展有针对性的心理干预。
Objective:This study aims to investigate the mental health status and influencing factors among medical staff in a designated COVID-19 hospital and a psychiatric hospital in Beijing,and provide scientific basis for psychological intervention strategies.Method:Online electronic questionnaires were distributed through WeChat work group,including general status,self-assessment of emotional feelings,Perceived Stress Scale(PSS-10),Patient Health Questionnaires Scale(PHQ-9),and Generalized Anxiety Disorder Scale(GAD-7).A cross-sectional survey was conducted and the influencing factors affecting the depression detection rate of medical staff were analyzed.The prevalence of anxiety and depression of different participants according to demographic characteristics were compared withχ2 test and Wilcooxn rank sum test.Logistic regression analysis Results:A total of 1051 question was used to analyze the influencing factors of depression detection rate.respectively,in the designated COVID-19 hospital and psychiatric hospital(P>0.05).The detection rates of depressive symptoms were 62.2%and 39.5%,respectively,and the detection rates of anxiety symptoms were naires were collected.The detection rates of depression and anxiety were 7.6%and 5.8%,6.7%and 4.7%,41.1%and 21.6%,respectively,with significant differences(P<0.05).The total score of PSS-10[OR=1.2,95%CI(1.0-1.3),P=0.0074]and the total score of GAD[OR=1.6,95%CI(1.5-1.8),P<0.001]were risk factors for depression,and there was no statistically significant difference in age,fear of infection(≥5 points),fatigue(≥5 points)and correlation between depression(all P>0.05).Conclusion:COVID-19 epidemic has a great impact on the mental health states of medical staff,and the stress response ability and anxiety level may be the factors affecting the detection rate of depression.So it is necessary to carry out targeted psychological intervention.
作者
李颖
赵贺
朱雪泉
冯媛
陈旭
王刚
LI Ying;ZHAO He;ZHU Xue-quan;FENG Yuan;CHEN Xu;WANG Gang(Beijing Anding Hospital of Capital Medical University,The National Clinical Research Center for Mental Disorders,Beijing Key Laboratory of Mental Disorders,Beijing 100088,China)
出处
《临床精神医学杂志》
2020年第6期434-437,共4页
Journal of Clinical Psychiatry
基金
国家重点研发计划重点专项(2017YFC1311100)
北京市科技计划项目(D171100007017001)。
