摘要
目的:调查"新型冠状病毒肺炎"疫情期间精神科过渡性医学观察病区医护人员的心理压力状况并分析其影响因素。方法:以"新冠"疫情期间先后进入淮安市第三人民医院精神科过渡性医学观察病区工作的38名医护人员为受试对象,使用中文版压力知觉量表(CPSS)调查心理压力状况,并结合人口学资料和简易应对方式问卷(SCSQ)、社会支持量表(SSRS)、职业倦怠量表(MBI-GS)等心理学评估,以分析健康危险性压力状态(HRS)的检出率和影响因素。结果:38名医护人员的HRS检出率为44.74%。HRS组中,男性多见,SSRS量表客观支持分、主观支持分较低,而MBI-GS量表总分和情绪耗竭、玩世不恭、成就感低落等因子分较高,差异具有统计学意义(P<0.05);多因素分析显示MBI-GS量表的成就感低落因子分是HRS的独立风险因素。结论:接受调查的精神科过渡性医学观察病区医护人员中,接近半数处于健康危险性压力状态,多为男性、社会支持差、职业倦怠感重的个体,成就感低落是健康危险性压力状态的独立风险因素。
Objective:To analyze the psychological stress of medical staff in the transitional ward of psychiatry during the outbreak of COVID 19.Method:38 medical staff were enrolled in the study.These doctors or nurses have worked in the transitional ward of psychiatry in Huai'an No.3 People's Hospital during the outbreak of the COVID 19.The Chinese Perceived Stress Scale(CPSS)was used to investigate psychological stress.The simplified coping style questionnaire(SCSQ),social support rating scale(SSRS),and Maslach Burnout Inventory General Survey(MBI-GS)were used for psychological assessment.The incidence of health risk stress state(HRS)and its influencing factors were analyzed.Results:The HRS rate of 38 medical staffs was 44.74%.There were more HRS in male staffs(P<0.05).In the HRS group,the two factors of SSRS,including objective-support and subjective support,were significantly lower,while emotional exhaustion factor,cynicism factor,lower achievement factor,and the total score of MBI-GS were significantly higher(P<0.05).Multi-factor analysis showed that the lower achievement factor of MBI-GS was an independent risk factor of HRS.Conclusion:Nearly half of medical staff in the transitional ward of psychiatry were in a health risk stress state during the outbreak of COVID 19.Most of them are male,with poorer social support and heavier sense of job burnout.Lower sense of accomplishment is an independent risk factor for dangerous health stress states.
作者
封华
张巧林
黄成兵
周彦
杨海英
FENG Hua;ZHANG Qiao-lin;HUANG Cheng-bing;ZHOU Yan;YANG Hai-ying(Departmeng of Psychiatry,Huai'an No.3 People's Hospital,Huai'an 223001,China)
出处
《临床精神医学杂志》
2020年第6期445-447,共3页
Journal of Clinical Psychiatry
