新型冠状病毒肺炎密切接触者集中隔离医学观察期的心理健康状况
Mental health status in close contacts of novel coronavirus pneumonia patients in the period of centralized isolation medical observation
投稿时间:2020-12-30  修订日期:2021-05-15
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中文关键词:  新型冠状病毒肺炎  焦虑  抑郁  失眠  心理危机干预
英文关键词:Corona Virus Disease 2019  Anxiety  Depression  Insomnia  Psychological crisis intervention
基金项目:雅安市科技局(项目名称:“新型冠状病毒肺炎”心理危机干预新模式研究,项目编号:2020yyjskf09)
作者单位地址
胥刘秀 雅安市第四人民医院 雅安市雨城区大兴新区清溪路7号
高茹 雅安市第四人民医院 
白静珍 雅安市第四人民医院 
王冬 雅安市第四人民医院 
方杰 雅安市第四人民医院 
李雨辉 雅安市第四人民医院 
郑在江 雅安市第四人民医院 
田国娇 雅安市第四人民医院 
张炳智 雅安市第四人民医院 
黄国平* 四川省精神卫生中心•绵阳市第三人民医院 绵阳市游仙区剑南东段190号
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中文摘要:
      目的 探讨新冠肺炎密切接触者在隔离医学观察期间的焦虑、抑郁、失眠情况及其影响因素,为后续开展有针对性的心理危机干预提供参考。方法 于2020年2月6日-8日,采用自编一般信息调查表、医院焦虑抑郁量表(HAD)和失眠严重指数量表(ISI)对雅安市4个区县的136名接受隔离医学观察的新冠肺炎密切接触者进行调查。结果 检出26例(19.12%)隔离人员存在不同程度焦虑、抑郁或失眠症状,其中存在焦虑症状者16例(11.76%)、存在抑郁症状者9例(6.62%),存在失眠者16例(11.76%)。相关分析显示,HAD(A)评分与HAD(D)评分呈正相关(r=0.642,P<0.01),HAD(A)评分与ISI评分呈正相关(r=0.590,P<0.01),HAD(D)评分与ISI评分呈正相关(r=0.329,P<0.01)。回归分析显示,焦虑的危险因素有隔离第一周(OR=3.290,P<0.05),失眠的危险因素有老年(OR=7.990,P<0.05)、隔离第一周(OR=4.659,P<0.05)。结论 雅安地区新冠肺炎密切接触者在集中隔离医学观察期间的焦虑、失眠检出率较高,焦虑和失眠情况在隔离的第一周更突出。
英文摘要:
      Objective To explore the prevalence rate and risk factors of anxiety, depression, and insomnia symptoms in close contacts of novel coronavirus pneumonia patients in the period of isolation medical observation, and to provide references for psychological support. Methods From February 6 to 8, 2020, a total of 136 isolated persons from four districts and counties in Ya'an area were investigated by using the general information questionnaire, hospital anxiety and Depression Scale (HAD) and insomnia severity index (ISI) as evaluation tools. Results 26 cases (19.12%) had different degrees of anxiety, depression or insomnia, including 16 cases (11.76%) with anxiety, 9 cases (6.62%) with depression and 16 cases (11.76%) with insomnia. Correlation analysis showed that HAD (A) was positively correlated with HAD (D) score (r=0. 642, P0.01); HAD (A) was positively correlated with ISI score (r=0. 590, P0.01); HAD (D) was positively correlated with ISI score (r=0. 329, P0.01). Multivariate logistic regression analysis showed that the risk factors of anxiety were the first week of isolation (OR=3. 290, P0. 05), and the risk factors of insomnia were old age (OR=7.990, P0. 05) and the first week of isolation (OR=4. 659, P0. 05). Conclusion In Ya'an area, the detection rate of anxiety and insomnia in close contacts of novel coronavirus pneumonia patients in the period of centralized isolation medical observation was high. The anxiety and insomnia were more prominent in the first week of isolation.
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