郭妙兰,郭锦兰,陈柏欣,魏睿宏,陈晓瑾,郑少燕.新冠肺炎疫情发生前后公众焦虑情况及影响因素[J].四川精神卫生杂志,2021,(3):262-266.
新冠肺炎疫情发生前后公众焦虑情况及影响因素
Prevenance rate and related factors of anxiety among the public before and after outbreak of COVID-19
投稿时间:2020-08-14  
DOI:10.11886/scjsws20200814001
中文关键词:  新冠肺炎  焦虑  公众  医务工作者
英文关键词:COVID-19  Anxiety  Public  Medical staff
基金项目:
作者单位邮编
郭妙兰 汕头大学医学院广东 汕头 515041 515041
郭锦兰 汕头大学医学院第一附属医院广东 汕头 515041 515041
陈柏欣 汕头大学医学院广东 汕头 515041 515041
魏睿宏 汕头大学医学院第二附属医院广东 汕头 515041 515041
陈晓瑾 汕头大学医学院广东 汕头 515041 515041
郑少燕 汕头大学医学院广东 汕头 515041 515041
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中文摘要:
      目的 调查新冠肺炎疫情发生前后公众焦虑情况及影响因素,为类似突发公共卫生事件的心理干预提供参考。方法 于2020年2月7日-14日向我国大陆地区公众进行网络问卷调查,采用焦虑自评量表(SAS)评定其疫情期间焦虑状况,并回顾性评定疫情前(2020年1月20日前)焦虑状况,分析疫情发生前后公众的焦虑情况及其影响因素。结果 共回收有效问卷1 222份,有效问卷回收率为93.8%。疫情发生后,焦虑状态检出人数由90人(7.4%)增加至172人(14.1%),差异有统计学意义(P<0.01)。疫情期间公众SAS评分高于疫情前,差异有统计学意义[(40.65±10.43)分vs.(36.32±8.46)分,P<0.01]。公众焦虑加重的危险因素包括严重生活影响(P<0.01)、年龄大(P<0.01)、女性(P<0.01)、受教育程度低(P=0.005)、医护工作者(P=0.031)、缺乏医学教育背景(P=0.039);医护工作者焦虑加重的独立危险因素包括被疏离感(P<0.01)、年龄大(P<0.01)、女性(P=0.002)、严重生活影响(P=0.044)。结论 疫情发生后公众焦虑状态检出率高于疫情前,生活严重受影响、年龄大、女性、受教育程度低、无医学教育背景的公众,以及有被疏离感、年龄大、女性、生活严重受影响的医护工作者是出现焦虑状态的高危人群。
英文摘要:
      Objective To investigate the prevenance rate and related factors of anxiety among the public before and after outbreak of COVID-19, and to provide scientific guidance for public health emergency response in psychological intervention field.Methods By using the convenient sampling method, residents in Chinese mainland participated in predesigned questionnaire survey from February 7th to February 14th, 2020, meantime, all the selected individuals were assessed using Self-rating Anxiety Scale (SAS). The anxiety status was also retrospectively evaluated before January 20th, prior to the outbreak. Thereafter, a before-and-after comparison was conducted on the anxiety status, and the related influencing factors were discussed.Results A total of 1 222 valid questionnaires were collected, with a valid rate of 93.8%. After the outbreak, the number of people with anxiety symptoms increased from 90 (7.4%) to 172 (14.1%), with statistical difference (P<0.01). The SAS score increased from (40.65±10.43) to (36.32±8.46), with statistical difference (P<0.01). For overall sample, the independent risk factors of anxiety aggravation included serious disruptions of daily life (P<0.01), older age (P<0.01), female (P<0.01), poor education background (P=0.005), occupied in medical staff (P=0.031) and lack of medical education (P=0.039). For medical staff, the independent risk factors of anxiety aggravation included sense of being-alienated (P<0.01), older age (P<0.01), female (P=0.002) and serious disruptions of daily life (P=0.044).Conclusion The prevalence rate of anxiety is increased after the outbreak of COVID-19, especially among the general public with serious disruptions of daily life, older age, females, poor education background, and the lack of medical education, and among medical staff with sense of being-alienated, older age, females, and serious disruptions of daily life.
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