新型冠状病毒肺炎疫情上升期医务人员心理状况及影响因素研究  

Study of the Mental State of Medical Staff and Its Risk Factors During COVID-19 Pandemic

作　　者：李喆[1] 项惟祎 袁伊雯 柳亚亚 李名立[1] 余华[1] 孟雅婧[1] 李扬 Li Zhe;Xiang Weiyi;Yuan Yiwen;Liu Yaya;Li Mingli;Yu Hua;Meng Yajing;Li Yang(Mental Health Center, West China Hospital, Sichuan University, Chengdu 610041, China;West China College of Clinical Medicine, Sichuan University, Chengdu 610041, China;Zunyi Psychiatric Hospital,Zunyi 563000, China;School of Psychology, Chengdu Medical College, Chengdu 610500, China)

机构地区：[1]四川大学华西医院心理卫生中心,成都610041 [2]四川大学华西临床医学院,成都610041 [3]遵义精神病专科医院,遵义563000 [4]成都医学院心理学院,成都610500

出　　处：《成都医学院学报》2020年第3期279-283,288,共6页Journal of Chengdu Medical College

摘　　要：目的了解新型冠状病毒肺炎(COVID-19)疫情上升期医务人员的心理状况及影响因素,为后期心理干预方案的制定提供依据。方法采用横断面调查研究,于2020年2月1—4日采用凯斯勒6项心理疾患量表(Kessler 6 psychological distress scale,K6),通过网络一对一发送问卷的方法,对医务人员开展问卷调查。采用Logistic回归分析医务人员发生严重心理疾病(serious mental illness,SMI)的影响因素。结果共回收问卷331份,有效问卷304份,回收有效率91.84%。其中筛查出有SMI(以下称SMI组)43例,占14.14%,无SMI(以下称无SMI组)261例,占85.86%。肺炎疫情期间情绪自我控制困难[OR=3.597,95%CI:(1.682,7.693)]、本人疑似感染新型冠状病毒肺炎[OR=6.652,95%CI:(1.068,41.417)]、对媒体报道疫情相关信息关注度高[OR=9.882,95%CI:(2.535,38.531)]、近期频繁做关于新型冠状病毒肺炎的梦[OR=3.879,95%CI:(1.999,7.525)]、每天关注疫情花费的时间多[OR=1.348,95%CI:(1.158,1.568)]是导致医务人员患严重心理疾病的独立危险因素。结论COVID-19流行期间,筛查出医务人员发生SMI比例高于非疫情情况下的普通人群,肺炎疫情期间情绪自我控制困难、本人疑似感染新型冠状病毒肺炎、对媒体报道疫情相关信息关注度高、近期频繁做关于新型冠状病毒肺炎的梦、每天关注疫情花费的时间多是导致医务人员发生SMI的独立危险因素。Objective To investigate the mental state of medical staff and its risk factors after the outbreak of COVID-19 Pandemic,and provide evidence for psychological intervention afterwards.Methods Cross-sectional study was adopted in this questionnaire survey.Kessler 6 Psychological Distress Scale was sent through the internet to each medical staff in different regions in China from February 1th,2020 to February 4th,2020.Logistic regression analysis was used to screen the risk factors of the occurrence of serious mental illness(SMI)in medical staff.Results A total of 331 questionnaires were collected,304 of which were valid,and the effective rate was 91.84%.Among them,43 cases(14.14%)of SMI(hereinafter referred to as SMI group)and 261 cases(85.86%)of no SMI(hereinafter referred to as Non SMI group)were screened.Independent risk factors for severe mental illness in medical personnel are as follows difficulty in emotional self-control during COVID-19 PandemicOR=3.597,95%CI(1.682,7.693),suspected infection of COVID-19 of medical staff themselvesOR=6.652,95%CI(1.068,41.417),high attention to media reports on epidemic informationOR=9.882,95%CI(2.535,38.531),frequent dreams about COVID-19 recentlyOR=3.879,95%CI(1.999,7.525),and too much time spent focusing on the epidemic every dayOR=1.348,95%CI(1.158,1.568).Conclusion During COVID-19 pandemic,a higher proportion of medical personnel with SMI was screened than the general population without the outbreak.Independent risk factors for severe mental illness in medical personnel are difficulty in emotional self-control during COVID-19 pandemic,suspected infection of COVID-19 of medical staff themselves,high attention to media reports on epidemic information,frequent dreams about COVID-19 recently,and too much time spent focusing on the epidemic every day.

关 键 词：新型冠状病毒肺炎 医务人员 心理状况 危险因素 

分 类 号：R395.6[哲学宗教—心理学]