系统支持下抗击新型冠状病毒肺炎疫情一线护士心理状况调查研究  

Investigation and study on mental status among first line nurses against new type coronavirus pneumonia epidemic under systematic support

作　　者：陈梅 乐发国 刘光碧 CHEN Mei;YUE Faguo;LIU Guangbi(Department of Nursing,Bishan District People′s Hospital,Chongqing 402760,China;Sleep Psychological Center,Bishan District People′s Hospital,Chongqing 402760,China)

机构地区：[1]重庆市璧山区人民医院护理部,重庆402760 [2]重庆市璧山区人民医院睡眠心理中心,重庆402760

出　　处：《现代医药卫生》2020年第17期2671-2674,共4页Journal of Modern Medicine & Health

基　　金：重庆市璧山区科技局新型冠状病毒肺炎疫情应急科技专项项目(Bskj2020004)。

摘　　要：目的了解系统支持下参与抗击新型冠状病毒肺炎(COVID-19)疫情一线护士心理、睡眠及创伤后应激障碍状况,为完善重庆市璧山地区突发公共卫生事件护理应急队伍建设机制提供参考。方法2020年3-4月采用自行设计的一般资料问卷、精神症状自评量表(SCL-90)、匹兹堡睡眠指数量表(PSQI)、创伤后应激障碍筛查量表(PCL-C)对重庆市璧山区直接参与抗击COVID-19疫情的109名一线临床护士进行调查分析。结果109名护士SCL-90总分为(120.25±43.31)分,其中出现心理问题24名(22.0%);PSQI总分为(7.97±3.15)分,其中总分大于7分71名(65.1%);PCL-C总分为(24.32±9.74)分,其中创伤后应激障碍阳性23名(21.1%)。结论系统支持对降低抗击COVID-19疫情一线护士心理压力及创伤后应激障碍具有显著作用,但对睡眠改善作用不明显。因此,医院管理者应进一步对其加强心理、睡眠干预,同时,完善突发公共卫生事件护理应急队伍建设机制。Objective To understand the mental,sleep and post-traumatic stress disorder status of first line nurses participating in fighting against the epidemic situation of coronavirus disease 2019(COVID-19)to provide reference for perfecting the construction mechanism of nursing emergency team for public health emergencies in Bishan area.Methods From March to April 2020,the self-designed general data questionnaire,self-rating psychiatric symptoms scale(SCL-90),pittsburgh sleep quality index scale(PSQI)and post-traumatic stress disorder checklist-civilian version(PCL-C)were adopted to conduct the survey and analysis on 109 first line nurses of Bishan District directly participating in fighting against the COVID-19 epidemic situation.Results The total SCL-90 scores in 109 nurses were(120.25±43.31)points,in which 24 nurses(22.0%)appeared the mental problems;the total PSQI scores were(7.97±3.15)points,in which 71 nurses(65.1%)had the total scores>7 points;the total PCL-C scores were(24.32±9.74)points,in which 23 nurses(21.1%)were the posttraumatic stress disorder positive.Conclusion The systematic support plays a significant role in reducing the psychological pressure and post-traumatic stress disorder in the first-line nurses for fighting against the epidemic situation of COVID-19,but it has no obvious effect on the improvement of sleep quality.Therefore,the hospital administrators should further strengthen the psychological and sleep intervention on them,at the same time,perfect the nursing emergency team building mechanism for public health emergencies events.

关 键 词：新型冠状病毒肺炎 护士 调查和问卷 系统支持 心理状况 

分 类 号：R511[医药卫生—内科学] R563.1[医药卫生—临床医学]