长沙地区2019冠状病毒病患者的心理健康状况  

Mental health status of patients with coronavirus disease 2019 in Changsha

作　　者：秦雪梅 舒孔亮 王汨[1] 陈文涛 黄梅[1] 杨爱平 周赟 张燕[1] 鞠玉朦 刘激扬 QIN Xuemei;SHU Kongliang;WANG Mi;CHENWentao;HUANG Mei;YANG Aiping;ZHOU Yun;ZHANG Yan;JU Yumeng;LIU Jiyang(Institute of Mental Health,Central South University,National Clinical Research Center for Mental Disorders,National Technology Institute on Mental Disorders,Hunan Key Laboratory of Psychiatry and Mental Health,Changsha 410011;Center for Neuromedicine,First Hospital of Changsha,Changsha 410005;Department of General Surgery,First Hospital of Changsha,Changsha 410005;Department of Spine Surgery,First Hospital of Changsha,Changsha 410005;Department of Medical Administration,First Hospital of Changsha,Changsha 410005,China)

机构地区：[1]中南大学精神卫生研究所,国家精神心理疾病临床医学研究中心,精神疾病诊治技术国家地方联合工程实验室,精神病与精神卫生学湖南省重点实验室,长沙410011 [2]长沙市第一医院神经医学中心,长沙410005 [3]长沙市第一医院普外科,长沙410005 [4]长沙市第一医院脊柱外科,长沙410005 [5]长沙市第一医院院办公室,长沙410005

出　　处：《中南大学学报（医学版）》2020年第6期657-664,共8页Journal of Central South University ：Medical Science

基　　金：湖南省科技厅项目(2020SK3014)。

摘　　要：目的:2019冠状病毒病(coronavirus disease 2019,COVID-19)疫情给社会公众,特别是确诊患者造成心理应激。本研究旨在探讨长沙地区COVID-19患者的心理健康状况。方法:通过调查问卷对112名COVID-19患者心理健康进行横断面调查。采用曼-惠特尼U检验、χ^2检验和Fisher确切概率法比较轻型-普通型患者与重型患者的一般资料和临床资料。采用单样本t检验比较COVID-19患者症状自评量表(Symptom Check-List 90,SCL-90)因子分与2015年常模和严重急性呼吸综合征(severe acute respiratory syndrome,SARS)患者的差异。结果:长沙地区COVID-19患者SCL-90中阳性症状检出最高的为强迫症状、抑郁、睡眠和饮食障碍,患者的躯体化、抑郁、焦虑、恐怖、睡眠和饮食障碍因子得分较常模增高(P≤0.001或P<0.05)。与SARS患者相比,长沙地区轻型-普通型COVID-19患者SCL-90躯体化、抑郁、焦虑和敌对因子分较低(P<0.001或P<0.05);而重型COVID-19患者各因子分差异无统计学意义(P>0.05)。结论:长沙地区COVID-19患者存在显著的抑郁、焦虑、恐怖等心理问题以及睡眠和饮食障碍,但轻型-普通型患者的心理健康在一定程度上优于SARS患者。应结合COVID-19患者的病情严重程度予以针对性的心理干预。Objective:The epidemic of coronavirus disease 2019(COVID-19)brought psychological stress to the public,especially to patients.This study aims to investigate the mental health of patients with COVID-19 in Changsha.Methods:We took cross-section investigation for the mental health of 112 patients with COVID-19 via questionnaires.Mann-Whitney U test,Chi-square test,and Fisher’s exact test were performed to compare general and clinical data between the slight-ordinary patients and severe patients.Single sample t-tests were used to compare the difference between the factor scores of the Symptom Check-List 90(SCL-90)in COVID-19 patients with the norm of 2015 and factor scores of SCL-90 in patients with the severe acute respiratory syndrome(SARS).Results:The obsessive-compulsive,depression,sleep and eating disorders had the highest frequency among the positive symptoms of SCL-90 in patients with COVID-19 in Changsha.The factor scores of somatization,depression,anxiety,phobia anxiety,sleep and eating disorders in patients with COVID-19 were higher than those of the norm(P≤0.001 or P<0.05).Slight-ordinary patients with COVID-19 in Changsha showed lower factor scores of somatization,depression,anxiety,and hostility compared with the patients with SARS(P<0.001 or P<0.05).There was no difference in factor scores of SCL-90 between the patients with severe COVID-19 and those with SARS(P>0.05).Conclusion:The levels of somatization,depression,anxiety,phobia anxiety,sleep and eating disorders in patients with COVID-19 in Changsha are higher than those of the norm.However,the mental health of slight-ordinary patients with COVID-19 is better than that of patients with SARS.It needs to provide targeting psychological interventions depending on the severity of patients.

关 键 词：2019冠状病毒病 肺炎 心理健康 症状自评量表 长沙 严重急性呼吸综合征 临床分型 

分 类 号：R563.1[医药卫生—呼吸系统]