新冠肺炎疫情下一线医务人员的情绪特点
The emotional characteristics of the frontline healthcare workers during the outbreak of COVID-19
投稿时间:2020-05-02  修订日期:2020-12-28
DOI:
中文关键词:  新型冠状病毒  医务人员  焦虑  抑郁  
英文关键词:novel coronavirus  healthcare worker  anxiety  depression  
基金项目:国家重点研发计划(项目名称:新型冠状病毒肺炎临床综合诊治关键技术研究;项目编号:2020YFC0842400)
作者单位地址
朱红琼 中山大学附属第五医院 广东省珠海市香洲区梅华东路52号
谢梦莎 中山大学附属第五医院 
骆文涛 中山大学附属第五医院 
赵朝慧 中山大学附属第五医院 
温盛霖 中山大学附属第五医院 
林 勇* 中山大学附属第五医院 广东省珠海市香洲区梅华东路52号
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中文摘要:
      目的 了解新型冠状病毒肺炎疫情下一线医务人员的情绪特点,为制定心理干预方案提供依据。 方法 采用横断面研究方法,于2020年1月17日-2月3日向中山大学附属第五医院第一批抗击新冠肺炎的医务人员发放一般状况调查表、状态-特质焦虑自评量表(STAI)、抑郁自评量表(SDS)进行测查,并通过单样本t检验、独立样本t检验、单因素方差分析和协方差分析分析其特征。 结果 回收有效问卷248份,有156名医务人员在接触患者或血尿便等标本前进行了测评为未接触组,92名医务人员在接触过患者或标本后两周内进行了测评为接触组。结果显示,未接触组的SDS、S-AI、T-AI阳性检出率分别为28.85%、17.95%、5.77%,而接触组分别为18.48%、20.65%、6.52%,两组SDS、S-AI、T-AI阳性检出率差异无统计学意义(P>0.05)。接触组中原感染科医护人员T-AI、SDS评分较未接触组的原感染科医护人员评分低,且差异有统计学意义(P<0.05)。未接触组中女性医务人员S-AI评分为(44.85±11.58)分,接触组中女性医务人员S-AI评分为(45.28±10.97)分,分别与国内正常成人女性常模[(38.97±8.45)分]对比,差异均具有统计学意义(P均<0.01)。 结论 面对重大新发传染病时,对原从事传染病防控的感染科专职一线医务人员心理冲击不大,应更关注女性及非感染科一线医务人员的情绪变化。
英文摘要:
      Objective To understand the emotional characteristics of the frontline healthcare workers during the outbreak of COVID-19, and provide a basis for formulating psychological intervention programs. Methods On this cross-sectional study, from Jan 17 to Feb 3, 2020, a questionnaire which contained general status, State-Trait Anxiety Inventory(STAI) and Self-Rating Depression Scale(SDS) was distributed to the first group of healthcare workers fighting against COVID-19 in the Fifth Hospital of Sun Yat-sen University for testing,, and its characteristics were analyzed by one-sample t-test, independent-sample t-test, one-way analysis of variance and analysis of covariance. Results 248 valid questionnaires were collected,156 healthcare workers were tested as the non-contact group before contacting patients or specimens such as blood, urine, and stool, and 92 healthcare workers were tested as the contact group within two weeks after contacting patients or specimens.. The results showed thatthe positive detection rates of SDS, S-AI, and T-AI in the non-contact group were 28.85% (45/156), 17.95% (28/156), and 5.77% (9/156) respectively, while those in the contact group were 18.48% (17/92), 20.65% (19/92), 6.52% (6/92), there was no statistically significant difference in positive detection rate of SDS, S-AI, or T-AI (P>0.05). The T-AI and SDS scores of the original infection department healthcare workers in the contact group were lower than those in the non-contact group, and the difference was statistically significant (P<0.05). The S-AI score of female healthcare workers in the non-contact group was (44.85±11.58) points, and in the contact group was (45.28±10.97) points, which were compared with domestic adult female norms [(38.97±8.45) points], the differences were statistically significant (P<0.01). Conclusion In terms of major new infectious diseases, there is little psychological impact on the full-time frontline healthcare workers in the infection department who originally engaged in the prevention and control of infectious diseases. We should pay more attention to the emotional changes of female and frontline healthcare workers from non-infectious departments.
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