新型冠状病毒肺炎疫情下心血管内科护理人员的心理健康状态及干预效果  

Mental health status and interventional effects of nurses in cardiovascular medicine during epidemic of coronavirus disease 2019

作　　者：田淬[1] 李海燕[1] 穆洋[1] 韦妍妍 杨丽娜[1] 唐莲[1] TIAN Cui;LI Hai-Yan;MU Yang;WEI Yan-Yan;YANG Li-Na;TANG Lian(Department of Cardiology, First Medical Center, Chinese PLA General Hospital, Beijing 100853, China)

机构地区：[1]解放军总医院第一医学中心心血管内科,北京100853

出　　处：《中华老年多器官疾病杂志》2020年第4期255-259,共5页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的调查新型冠状病毒肺炎疫情背景下心血管内科护理人员的焦虑抑郁和睡眠质量,初步探讨心理疏导和减压训练对心理健康状态的干预效果,为相关人员提供数据参考。方法选取我院心血管内科护理人员60名,利用广泛性焦虑障碍量表(GAD-7)、健康问卷抑郁量表(PHQ-9)以及匹兹堡睡眠质量指数量表(PSQI),从工作岗位、性别、婚姻状态、工作年限等维度进行分析。同时对隔离病房护理人员进行心理疏导和减压训练,评估干预效果。采用SPSS 17.0软件进行统计分析。结果就焦虑抑郁程度而言,隔离病房和过渡病房高于普通病房、女性护理人员高于男性、已婚人员高于未婚人员、高年资人员高于中低年资人员。就睡眠质量而言,过渡病房及普通病房护理人员优于隔离病房,男性和中低年资护理人员的睡眠质量相对优于女性和高年资护理人员。经干预后,隔离病房护理人员的焦虑[(2.87±3.63)和(1.73±2.15)]、抑郁[(3.22±3.32)和(1.82±1.74)]和睡眠质量[(8.65±3.52)和(5.82±2.58)]均呈好转趋势,差异均有统计学意义(P<0.05)。结论疫情背景下,心血管内科护理人员存在不同程度的心理应激,可通过合理的干预方式进行改善。Objective To investigate the anxiety,depression and sleep quality of nurses in cardiovascular medicine in the coronavirus disease 2019(COVID-19)outbreak,and to explore the effects of interventional psychological counseling and stress reduction training on mental health with a view of providing reference for relevant personnel.Methods A total of 60 nurses in the Cardiovascular Department of Chinese PLA General Hospital were selected and analyzed using Generalized Anxiety Disorder Scale(GAD-7),Patient Health Questionnaire-9(PHQ-9)and Pittsburgh Sleep Quality Index(PSQI)in the aspects of post of duty,gender,marriage,and length of service.Meanwhile,nurses in the quarantine wards were given psychological counseling and stress reduction training,and an analysis was conducted on the interventional effects.SPSS statistics 17.0 was used for data analysis.Results Nurses in the quarantine and the transition wards suffered from higher degree of anxiety and depression than those in the general ward,female higher than male,the married higher than the unmarried,and the senior higher than the middle-aged and junior.The nurses in the transition and the general ward had better sleep than those in the quarantine ward,male better than female,and the middle-aged and junior than the senior.After intervention,the anxiety[(2.87±3.63)vs(1.73±2.15)],depression[(3.22±3.32)vs(1.82±1.74)]and sleep quality[(8.65±3.52)vs(5.82±2.58)]of the nurses in the quarantine ward were improved,the difference being statistically significant(P<0.05).Conclusion In the COVID-19 outbreak,nurses in the cardiovascular department vary in the levels of psychological stress,which can be improved by reasonable intervention.

关 键 词：新型冠状病毒肺炎 护理 心理应激 心理干预 

分 类 号：R181.8[医药卫生—流行病学] R74[医药卫生—公共卫生与预防医学]