新型冠状病毒肺炎流行期间大型综合医院护理人员心理状态调查  

Psychological state of nursing staff in a large scale of general hospital during COVID-19 epidemic

作　　者：刘小蕾 程艳爽[2] 王梦雨 潘昱[1] 郭虹 姜荣环[1] 王庆梅 LIU Xiao-lei;CHENG Yan-shuang;WANG Meng-yu;PAN Yu;GUO Hong;JIANG Rong-huan;WANG Qing-mei(The 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医学心理科,北京100853 [2]解放军总医院第一医学中心肝胆外科,北京100853 [3]解放军总医院第一医学中心护理部,北京100853

出　　处：《中华医院感染学杂志》2020年第11期1641-1646,共6页Chinese Journal of Nosocomiology

摘　　要：目的了解新型冠状病毒肺炎(简称新冠肺炎)疫情下护理人员的心理状态,为制定紧急事件下心理危机干预方案提供依据。方法采用线上问卷调查法,选取2020年2月1-18日解放军总医院的1097名护理人员为调查对象,使用一般资料问卷、9条目患者健康问卷抑郁量表、广泛性焦虑量表、失眠严重程度指数量表、心理健康自评问卷进行调查。结果出现应激反应10.12%(111/1097),出现轻度抑郁情绪的占27.53%(302/1097),中度及重度者占9.66%(106/1097);有轻度焦虑的占24.07%(264/1097),中度及重度焦虑占3.46%(38/1097)。轻度失眠情况的占18.51%(203/1097),中度及重度失眠者占2.83%(31/1097)。不同性别、不同年龄,不同文化程度的被试间的焦虑、抑郁、睡眠障碍等的发生率差异均无统计学意义,对新型冠状病毒持不同担忧程度的被试焦虑、抑郁、应激反应及睡眠障碍的发生率差异有统计学意义(P均<0.05),担心程度越高,抑郁情绪、焦虑情绪、失眠问题及应激反应的发生率越高。结论突发新型冠状病毒疫情期间,做好护理人员的相关业务和心理培训,增强心理韧性,关注疫情下人员的心理需求,针对护理人员建立具体的心理干预措施。OBJECTIVE To understand the psychological state of nursing staff during Corona Virus Disease(COVID-19)so as to provide basis for formulating psychological crisis interventions to emergency events.METHODS An online questionnaire survey was conducted for 1097 nursing staff of Chinese PLA General Hospital from Feb.1,2020 to Feb.182020,and the questionnaires included general information questionnaire,9-item patient health questionnaire depression scale,generalized anxiety scale,insomnia severity index scale and mental health self-assessment questionnaire.RESULTS Of the nursing staff involved in the survey,10.12%(111/1097)had stress response,27.53%(302/1097)had mild depression,and 9.66%(106/1097)had moderate and severe depression;24.07%(264/1097)had mild anxiety,and 3.46%(38/1097)had moderate and severe anxiety.18.51%(203/1097)had mild insomnia,2.83%(31/1097)had moderate and severe insomnia.There were no significant differences in the incidence rates of anxiety,depression and sleep disorders among the subjects of different genders,ages and educational levels;there were significant differences in the incidence rates of anxiety,depression and sleep disorder among the subjects with various degree of concern about COVID-19(all P<0.05),and the incidence of depression,anxiety,insomnia and stress response was increased with the increase of the degree of concerns about the COVID-19.CONCLUSION It is necessary for relevant departments to carry out the business competency training and psychological training for the nursing staff so as to enhance their psychological resilience,pay attention to their psychological needs and put forward specific psychological intervention measures.

关 键 词：新型冠状病毒肺炎 护理 心理 应激 

分 类 号：R563.1[医药卫生—呼吸系统]