新型冠状病毒肺炎疫情对慢性疾病患者就诊时心理行为的影响  

Study on the psychological behavior of patients with chronic diseases during the pandemic period of COVID-19

作　　者：张晓宇[1] 曾贤威 翁育[1] 尹卓娜[1] 李萍[1] 陈波[1] 徐谷根[1] ZHANG Xiao-yu;ZENG Xian-wei;WENG Yu;YIN Zhuo-na;LI Ping;CHEN Bo;XU Gu-gen(Department of Endocrinology,Guangdong Second Provincial General Hospital,Guangzhou 510317,Guangdong,China;不详)

机构地区：[1]广东省第二人民医院内分泌科,广东广州510370 [2]广东省第二人民医院心理精神科,广东广州510370

出　　处：《广东医学》2020年第15期1528-1532,共5页Guangdong Medical Journal

摘　　要：目的探讨新型冠状病毒肺炎(COVID-19)疫情对慢性疾病患者就诊时心理行为的影响.方法收集COVID-19疫情期间门诊就诊的慢性疾病患者84例为研究对象,采用通过微信填写问卷调查表,对慢性疾病患者在COVID-19疫情期间就诊的心理行为进行调查研究.结果88.08%调查对象担心至医院就诊会被传染COVID-19,且82.15%调查对象认为自己不可能成为传染源,70.24%调查对象认为会因为COVID-19的暴发而取消就诊计划,60.71%调查对象认为疫情发生前、后对慢性疾病的控制均较好,90.48%调查对象希望可开更长时间药物以减少就诊次数避免感染风险;轻度抑郁或焦虑、亚临床失眠的调查对象比例最高;调查对象的SDS量表评分、SAS量表评分及ISI量表评分均较全国常模明显升高(P<0.05);多因素回归分析显示,调查对象的年龄和文化程度为失眠程度的危险因素.结论COVID-19疫情期间,慢性疾病门诊的患者广泛存在抑郁、焦虑及失眠的心理行为,医务人员在诊治过程中应重视对患者进行心理疏导.Objective To study the psychological behavior of patients with chronic diseases during the pandemic period of COVID-19. Methods A total of 84 patients with chronic diseases in clinic during the outbreak of COVID-19 were collected as the study subjects. The psychological behaviors of patients with metabolic diseases during the outbreak of COVID-19 were investigated by the questionnaire of WeChat. Results Among the participants, 88.08% were afraid being infected with COVID-19 in the hospital, but 82.15% thought they were not the source of infection;and 70.24% of subjects were anxious about cancelling treatment because of the outbreak of COVID-19. 60.71% subjects thought chronic disease was effectively controlled during the outbreak of COVID-19, and 90.48% of the subjects suggested more prescription drugs should be provided to reduce the clinic return and risk of infection. The proportion of subjects with mild depression or anxiety and subclinical insomnia was the highest. The SDS, SAS and ISI scale scores were significantly higher than the national norm(P<0.05). Multivariate regression analysis showed that age and education level were risk factors for insomnia. Conclusion During the pandemic period of COVID-19, the patients with chronic disease suffered from depression, anxiety and insomnia.

关 键 词：新型冠状病毒 慢性疾病患者 心理行为 焦虑 

分 类 号：R563.1[医药卫生—呼吸系统] R781.63[医药卫生—内科学]