机构地区:[1]海南省人民医院龙华分院,海南海口570100 [2]海南省护理质控中心 [3]海南省医学学术管理交流中心 [4]云南大学数学与统计学院 [5]海口市人民医院
出 处:《中国健康心理学杂志》2020年第9期1356-1361,共6页China Journal of Health Psychology
基 金:海南省自然科学基金面上项目(编号:117116);2019年校级教育科研课题(编号:HYZ201905);海南省高等学校教育教学改革研究资助项目(编号:Hnjg2020-70)。
摘 要:目的:了解新型冠状病毒肺炎(COVID-19)疫情(下简称:新冠肺炎)流行期间海南省不同地区、不同岗位医护人员及民众的心理卫生状态,为有针对性地对不同人群进行心理支持和干预提供依据。方法:采用创伤后应激障碍自评量表、抑郁自评量表和焦虑自评量表对全省近3000名医护人员和民众进行心理卫生状态调查,分析新冠肺炎疫情对海南省不同地区、不同岗位医护人员、民众心理卫生状态的影响。数据检验方法均采用非参数秩和检验。结果:创伤后应激障碍自评:不同地区无明显差异,不同岗位医护人员及民众有差异(χ~2=16.249,P<0.01),人口学因素上均存在差异(P<0.05);抑郁自评:不同地区无明显差异,不同岗位医护人员及民众有差异(χ~2=40.349,P<0.01),人口学因素上性别、婚姻、年龄、父母健在与否、有无子女均存在差异(P<0.05),但是否独生子女无差异;焦虑自评:海南省不同地区、不同岗位医护人员及民众基本正常。结论:海南省不同地区人群心理卫生状态在统计学意义上无显著差异;创伤后应激障碍症状较严重的依次是护士、医生、护理员/护工、民众,抑郁症状较严重的依次是民众、护理员/护工、护士,焦虑症状基本正常;30岁以上非独生子女、父母不健在、已婚、有子女的女性更容易产生创伤后应激障碍,而10~30岁父母健在、未婚无子女的女性容易存在抑郁情绪或风险。Objective:To reveal the mental health status of the ordinary people and the medicalstaff with different medical positions in different regions in Hainan Province during the epidemic period,so as to provide evidence for psychological support and intervention for different groups of people.Methods:Post-traumatic stress disorder self-rating scale,depression self-rating scale and anxiety self-rating scale were used to complete the psychological state investigation in 3000 medical workers and people in Hainan.And analyzed the influence of novel coronavirus pneumonia epidemic on mental health status of medical staff and people in different regions and posts in Hainan province.Results:Nonparametric rank sum-test was used in all test methods.①The total score of post-traumatic stress disorder self-rating scale:There was no significant difference in different regions;There was statistical difference in medical positions of medical staff and the public(χ~2=16.249,P<0.01),and there was statistical difference in demographic factors(P<0.05).②Depression self-rating scale:There was no significant difference in different regions,and there was statistical difference in medical staff with different positions and the public(χ~2=40.349,P<0.01).There were statistical differences in demographic factors such as gender,marriage,age,whether pwerents were alive or not,whether there were children or not(P<0.05),but there was no statistical difference in whether they were the only children.③Anxiety self-rating Scale:The medical staff and the public in different wereas and positions were almost normal.Conclusion:There is no significant difference in mental health status among different areas of Hainan Province;The severity of PTSD symptoms are declined from nurses,doctors,assistant nurses to the public.While the severity of depression symptoms are ranged down as the public,assistant nurses and nurses.The anxiety symptoms are basically normal;Women over 30 years old who are not the only child,whose parents are not living,married or hav
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