摘要
目的对新型冠状病毒肺炎(COVID-19)流行期间战斗在抗疫一线的医护人员的心理健康进行评估。方法抽取103名2020-01~2020-02工作在新型冠状病毒肺炎临床一线的医护人员,对其进行自制问卷、领悟社会支持量表(PSSS)、90项症状自评量表(SCL-90)及心理弹性量表(CD-RISC)的评估。对SCL-90和PSSS、CD-RISC得分进行Spearman相关性分析和线性回归分析。结果①超过50%的医护人员担心并认为其感染新型冠状病毒肺炎的危险性高。②与中国常模相比,医护组的PSSS评分中家庭支持、其他支持及PSSS总分显著增高(P<0.001),CD-RISC评分中坚韧性、自强性、乐观性及总分显著增高(P<0.001),SCL-90评分中强迫症状、焦虑、恐怖、精神病性因子分显著增高(P<0.05)。③Spearman相关性分析结果显示,SCL-90总分和阳性症状数均与医护人员的年龄、工作年限、文化程度正相关(P<0.05),与PSSS、CD-RISC评分负相关(P<0.05)。线性回归显示,SCL-90总分与工作年限[t=2.614,P=0.010,95%CI(0.368,2.691)]、文化程度[t=3.142,P=0.002,95%CI(12.484,55.281)]、CD-RISC总分[t=-4.447,P<0.001,95%CI(-1.438,-0.551)]具有显著相关性。结论抗疫一线医护人员的心理健康受损。年龄增加、工作年限较长、文化程度较高是心理健康的危险因素,而高社会支持水平和心理弹性水平是心理健康的保护因素。
Objective To evaluate the mental health of medical workers who were on the front line during the epidemic of corona virus disease 2019(COVID-19).Methods A total of 103 medical workers working in the first line of COVID-19 from January to February in 2020 were selected and evaluated by self-made questionnaire,perceived social support scale(PSSS),symptom check-list(SCL-90)and Connor-Davidson resilience scale(CD-RISC).Spearman correlation analysis and linear regression analysis were performed on the scores of SCL-90,PSSS and CD-RISC.Results①More than 50%of the medical workers were concerned and believed to be at high risk of COVID-19 infection.②Compared with the Chinese norm,the scores of family support,other support and total score of PSSS in the medical workers were significantly increased(P<0.001),the scores of toughness,self-improvement,optimism and total score of CD-RISC were significantly increased(P<0.001),and the scores of obsessive-compulsive symptoms,anxiety,fear and psychosis were significantly increased in SCL-90(P<0.05).③Spearman correlation analysis results showed that the total score of SCL-90 and the number of positive symptoms were positively correlated with the age,work seniority and education level of medical workers(P<0.05),but negatively correlated with PSSS and CD-RISC scores(P<0.05).Linear regression showed that the total score of SCL-90 was significantly correlated with working years[t=2.614,P=0.010,95%CI(0.368,2.691)],educational level[t=3.142,P=0.002,95%CI(12.484,55.281)],and total score of CD-RISC[t=-4.447,P<0.001,95%CI(-1.438,-0.551)].Conclusion The mental health of the medical workers on the front line of COVID-19 is impaired.Higher age,longer working years and higher education are risk factors for mental health,while the high level of social support and mental resilience are protective factors for mental health.
作者
邵灿
杜粉静
崔珍逖
林子涵
周莉娜
SHAO Can;DU Fenjing;CUI Zhenti;LIN Zihan;ZHOU Lina(Department of Psychiatry,First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Department of Infectious Disease,First Affiliated Hospital of Xi’an Jiaotong University;Xi’an Jiaotong University Health Science Center)
出处
《山西医科大学学报》
CAS
2020年第5期449-453,共5页
Journal of Shanxi Medical University
