新型冠状病毒肺炎定点收治医院医务人员心理健康调查  

Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19

作　　者：黄继峥[1] 韩明锋[1] 罗腾达[1] 任阿可 周晓平[1] Huang Jizheng;Han Mingfeng;Luo Tengda;Ren Ake;Zhou Xiaoping(Department of Infection Management,NO.2 People's Hospital of Fuyang City,Fuyang 236015,China)

机构地区：[1]阜阳市第二人民医院医院感染管理科,236015

出　　处：《中华劳动卫生职业病杂志》2020年第3期192-195,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

摘　　要：目的调查2019年新型冠状病毒肺炎疫情中某收治医院临床一线医务人员心理健康状况,为心理干预提供理论依据.方法于2020年2月7~14日,采取整群抽样方法,收集该医院参与救治的246名临床一线医务人员作为研究对象.采用《焦虑自评量表》(SAS)和《创伤后应激障碍自评量表》(PTSD-SS)调查医务人员的心理健康状况.共发放问卷246份,回收问卷230份,回收率93.5%.结果医务人员焦虑发生率为23.04%(53/230),焦虑评分为(42.91±10.89)分.其中,重度焦虑、中度焦虑和轻度焦虑发生率分别为2.17%(5/230)、4.78%(11/230)和16.09%(37/230).女性焦虑发生率高于男性[25.67%(48/187)比11.63%(5/43),Z=-2.008,P=0.045],女性焦虑评分高于男性[(43.78±11.12)分比(39.14±9.01)分,t=-2.548,P=0.012].护士焦虑发生率高于医生[26.88%(43/160)比14.29%(10/70),Z=-2.066,P=0.039)],护士焦虑评分高于医生[(44.84±10.42)分比(38.50±10.72)分,t=-4.207,P<0.001].医务人员应激障碍发生率为27.39%(63/230),应激障碍评分为(42.92±17.88)分.女性医务人员应激障碍评分高于男性[(44.30±18.42)分比(36.91±13.95)分,t=-2.472,P=0.014].结论在新型冠状病毒肺炎疫情中,医务人员焦虑和应激障碍发生率较高,医疗机构应加强医务人员心理技能培训,尤其关注女性护理人员.Objective To investigate the mental health of clinical first-line medical staff in COVID-19 epidemic and provide theoretical basis for psychological intervention.Methods The mental health status of the first-line medical staff was investigated by Self-rating Anxiety Scale(SAS)and Post-Traumatic Stress Disorder Self-rating Scale(PTSD-SS).From February 7 to 14,2020,246 medical staff participated in the treatment of COVID-19 were investigated using cluster sampling,and received 230 responses,with a recovery rate of 93.5%.Results The incidence of anxiety in medical staff was 23.04%(53/230),and the score of SAS was(42.91±10.89).Among them,the incidence of severe anxiety,moderate anxiety and mild anxiety were 2.17%(5/230),4.78%(11/230)and 16.09%(37/230),respectively.The incidence of anxiety in female medical staff was higher than that in male[25.67%(48/187)vs 11.63%(5/43),Z=-2.008,P=0.045],the score of SAS in female medical staff was higher than that in male[(43.78±11.12)vs(39.14±9.01),t=-2.548,P=0.012].The incidence of anxiety in nurses was higher than that in doctors[26.88%(43/160)vs 14.29%(10/70),Z=-2.066,P=0.039],and the score of SAS in nurses was higher than that in doctors[(44.84±10.42)vs(38.50±10.72),t=-4.207,P<0.001].The incidence of stress disorder in medical staff was 27.39%(63/230),and the score of PTSD-SS was(42.92±17.88).The score of PTSD-SS in female medical staff was higher than that in male[(44.30±18.42)vs(36.91±13.95),t=-2.472,P=0.014].Conclusion In COVID-19 epidemic,the incidence of anxiety and stress disorder is high among medical staff.Medical institutions should strengthen the training of psychological skills of medical staff.Special attention should be paid to the mental health of female nurses.

关 键 词：新型冠状病毒肺炎 医务人员 焦虑 应激障碍 创伤后 

分 类 号：R5[医药卫生—内科学]