摘要
目的:了解新型冠状病毒肺炎(以下简称新冠肺炎)常态化防控期间某三级甲等中医医院医务人员的心理健康水平及影响因素。方法:2021年3月采用一般资料调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)和一般心理健康问卷(GHQ-12)对北京市某中医医院医务人员进行网络调查。采用SPSS 22.0软件进行描述性分析、单因素分析和logistic回归分析。结果:共有872名医务人员接受调查,回收有效问卷869份。该院医务人员SAS和SDS总分低于新冠肺炎疫情发生前国内同类研究评分,差异有统计学意义(P<0.001)。焦虑症状、抑郁症状和心理健康问题检出率分别为22.2%(193人)、27.8%(242人)和12.5%(109人)。不同文化程度、职业者以及有无基础疾病、精神疾病和家庭经济困难者的SAS、SDS和GHQ-12总分比较,差异均有统计学意义(P<0.05),不同工作年限者的SAS和SDS总分比较差异有统计学意义(P<0.01)。二元logistic逐步回归分析结果显示,有精神疾病和家庭经济困难者出现焦虑、抑郁和心理健康问题的风险均更高(P<0.001),文化程度低者出现焦虑、抑郁风险更高(P<0.05),有基础疾病者出现抑郁风险更高(P=0.009)。结论:新冠肺炎常态化防控期间,部分医务人员存在不同程度的焦虑、抑郁和心理健康问题。应重点关注本科及以下学历者、护士和其他医务人员、高年资人员以及有基础疾病、精神疾病和家庭经济困难者。
Objective To investigate the mental health status and related influencing factors of medical staff in a tertiary Traditional Chinese Medicine(TCM)hospital during COVID-19 normalized prevention and control period.Methods In March 2021,the medical staff of a TCM hospital in Beijing were investigated by general information questionnaire,self-rating anxiety scale(SAS),self-rating depression scale(SDS)and 12-item general health questionnaire(GHQ-12).Descriptive analysis,single factor analysis,and logistic regression analysis were preformed by using SPSS 22.0 software.Results A total of 872 medical staff accepted this survey and 869 valid questionnaires were collected.The total scores of SAS and SDS of medical staff in the hospital were significantly lower than those of medical staff in similar domestic study before the outbreak of COVID-19(P<0.001).The detection rates of anxiety symptoms,depression symptoms and mental health problems were 22.2%(193 cases),27.8%(242 cases)and 12.5%(109 cases),respectively.There were significant differences in total scores of SAS,SDS and GHQ-12 in education levels,occupation,basic diseases,mental illness and family financial difficulties(P<0.05),and the total scores of SAS and SDS were significantly different in terms of working years(P<0.01).Binary logistic stepwise regression analysis showed that those with mental illness and family financial difficulties were at significantly higher risk of anxiety,depression,and mental health problems(P<0.001),those with low educational level had a significantly higher risk of anxiety and depression(P<0.05),and those with basic diseases had a significantly higher risk of depression(P=0.009).Conclusions During COVID-19 normalized prevention and control period,some medical staff in the hospital had anxiety,depression and mental health problems with various degrees.More attention should be paid to those with bachelor′s degree or below,nurses and other healthcare staff,senior staff,people with basic diseases,mental illness,and family financial difficu
作者
温淑兰
董杰昌
Wen Shulan;Dong Jiechang(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2022年第3期202-207,共6页
Chinese Journal of Hospital Administration
基金
北京市医院管理中心党建课题(2021)。
关键词
新型冠状病毒肺炎
医务人员
心理健康
中医医院
焦虑
抑郁
COVID-19
Medical staff
Mental health status
Traditional Chinese Medicine hospital
Anxiety
Depression
