摘要
目的:了解新型冠状病毒肺炎(COVID-19)流行期医护人员的心理健康状态及相关因素。方法:采用心理健康自评问卷(SRQ-20,总分≥7分阳性)、广泛性焦虑量表(GAD-7,总分≥6分阳性)和病人健康问卷(PHQ-9,总分≥5分阳性)对320名一线医护人员、538名非一线医护人员和917名普通居民进行测评,并评估自身受影响的主观感受。结果:医护人员总体SRQ-20、GAD-7和PHQ-9筛查阳性率分别为11.1%、18.1%、19.2%。一线医护人员和非一线医护人员SRQ-20、GAD-7和PHQ-9筛查阳性率差异无统计学意义(均P>0.05),非一线医护人员SRQ-20、GAD-7和PHQ-9筛查阳性率均低于普通居民(均P<0.05)。Logistic回归模型显示,医护人员的“疫情对生活的主观影响程度”得分越高,SRQ-20、GAD-7和PHQ-9筛查阳性率越高(OR=3.73、4.22、4.05)。结论:一线和非一线医护人员心理健康问题检出率差异不显著,疫情对生活的主观影响可能是医护人员出现心理健康问题的危险因素。
Objective:To explore the mental health status and related factors among the medical personnel during the COVID-19 epidemic.Methods:In total,320 frontline medical personnel(FMP),538 non-frontline medical personnel(nFMP) and 917 public residents(PR) were assessed with the 20-item Self-Reporting Questionnaire(SRQ-20,≥7 as positive),7-item Generalized Anxiety Disorder Scale(GAD-7,≥6 as positive),9-item Patient Health Questionnaire(PHQ-9,≥5 as positive),and degree of subjective perception of the impacts on lives.Resu-lts:The positive screening rates of SRQ-20,GAD-7 and PHQ-9 among the medical personnel were 11.1%,18.1%,and 19.2%,respectively.There was no significant difference between nFMP and FMP on the positive screening rates of SRQ-20,GAD-7 and PHQ-9(Ps>0.05).The positive screening rates of SRQ-20,GAD-7 and PHQ-9 were lower in nMPF than in PR(Ps<0.05).Logistic regression analyses revealed that the scores of impacts on daily lives were positively associated with the positive screening rates of SRQ-20,GAD-7 and PHQ-9(OR=3.73,4.22,4.05,Ps<0.001).Conclusion:It suggests that there is no significant difference in prevalence of mental health problems during the COVID-19 epidemic between frontline and non-frontline medical personnel.The subjective perception of the impacts on lives may be a risk factor for mental health problem among the medical personnel.
作者
吴月
朱盛
陈震雷
陈志科
洪万初
汪永光
WU Yue;ZHU Sheng;CHEN Zhenlei;CHEN Zhike;HONG Wanchu;WANG Yongguang(The Fifth Hospital of Ruian,Ruian325200,Zhejiang Province,China;The Seventh Hospital of Hangzhou,Hangzhou 310013,China)
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2020年第12期1056-1061,共6页
Chinese Mental Health Journal
基金
瑞安市科技局社会发展项目(MS2020024)。
