摘要
目的:考察新型冠状病毒肺炎(COVID⁃19)疫情暴发期间重点医院医护人员心理韧性对知觉压力和失眠关系的调节作用。方法:采用失眠严重程度问卷(ISI)、知觉压力量表(PSS⁃10)和心理韧性量表简版(CD⁃RISC⁃10),测量COVID⁃19疫情暴发期间武汉市金银潭医院医护工作人员650人的失眠、知觉压力、心理韧性情况,将变量标准化后进行调节作用分析。结果:医护人员有26.19%的个体达到轻度失眠水平,有9.92%的个体达到中度失眠水平,而有1.98%的个体表现出严重失眠症状。护士、低年收入个体失眠状况更重。知觉压力与失眠症状显著正相关(r=0.40,P<0.001),心理韧性与失眠症状显著负相关(r=-0.12,P=0.005),心理韧性可调节知觉压力与失眠的关系(B=-0.08,SE=0.04,t=-2.00,P=0.046,95%CI:-0.16~0.00)。结论:COVID⁃19疫情暴发期间重点医院医护人员群体中,心理韧性对知觉压力和失眠关系具有调节作用。当前防疫中,政策应持续关注医护人员的失眠等问题。
Objective:To investigate the moderation effect of resilience on the relationship between per⁃ceived stress and insomnia among medical staff in key hospitals during the epidemic outbreak period in Wuhan,China.Methods:The Insomnia Severity Index(ISI),Perceived Stress Scale(PSS)⁃10 and 10⁃item Connor⁃Davidson Resilience Scale(CD⁃RISC⁃10)were used to measure the insomnia,per⁃ceived stress,and resilience of 650 medical staff in Wuhan Jinyintan Hospital during the COVID⁃19 epidemic outbreak period,and the moderation effect was analyzed.Results:In this study,26.19%of the medical staff had mild insomnia,9.92%had moderate insomnia,and 1.98%had severe insom⁃nia.The condition of insomnia was more serious in nurses and low⁃income individuals.There was a significant positive correlation between perceived stress and insomnia symptoms(r=0.40,P<0.001),and a significant negative correlation between resilience and insomnia symptoms(r=-0.12,P=0.005).Resilience moderated the relationship between perceived stress and insomnia(B=-0.08,SE=0.04,t=-2.00,P=0.046,95%CI:-0.16~0.00).Conclusion:Resilience had a moderating effect on the relationship between perceived stress and insomnia among medical workers in key hospitals during the epidemic outbreak period.In epidemic prevention,policies should continue to pay attention to problems such as insomnia of medical staff.
作者
刘琳
徐德翠
LIU Lin;XU Decui(Wuhan Jinyintan Hospital,Tongji Medical College of Huazhong University of Science and Technology,Hubei Clinical Research Center for Infectious Diseases,Wuhan Research Center for Communicable Disease Diagnosis and Treatment,Chinese Academy of Medical Sciences,Joint Laboratory of Infectious Diseases and Health,Wuhan Institute of Virology and Wuhan Jinyintan Hospital,Chinese Academy of Sciences,Wuhan 430023,Hubei,China)
出处
《武汉大学学报（医学版）》
CAS
2023年第9期1062-1067,共6页
Medical Journal of Wuhan University
