新型冠状病毒肺炎疫情期间武汉市一线护士抑郁状况及影响因素分析  

Analysis of depression status and its influencing factors of first-line nurses in Wuhan during COVID-19 epidemic

作　　者：陶明芬 刘欢 詹昱新 桂玲莉[3] 孙盼盼[4] 张先翠[4] 周志庆[4] 洪蕊[4] 陶秀彬[4] TAO Mingfen;LIU Huan;ZHAN Yuxin;GUI Lingli;SUN Panpan;ZHANG Xiancui;ZHOU Zhiqing;HONG Rui;TAO Xiubin(Blood Purification Centre,Yijishan Hospital,Wannan Medical College,Wuhu 241001,China;Department of Nursing,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology;Department of Radiation&Medical Oncology,Zhongnan Hospital of Wuhan University;Department of Nursing,Yijishan Hospital,Wannan Medical College)

机构地区：[1]皖南医学院弋矶山医院血液净化中心,安徽芜湖241001 [2]华中科技大学同济医学院附属协和医院护理部 [3]武汉大学中南医院放化疗肿瘤二病区 [4]皖南医学院弋矶山医院护理部

出　　处：《沈阳医学院学报》2020年第5期396-400,共5页Journal of Shenyang Medical College

基　　金：芜湖市新型冠状病毒肺炎疫情防控科技攻关应急项目(No.2020rkx1-5,No.2020rkx1-1);2019皖南医学院中青年科研基金(No.WKS2019F01);2019年安徽省教育厅高校人文科学研究重点项目(No.SK2019A0220)。

摘　　要：目的:了解新型冠状病毒肺炎(COVID-19)疫情爆发期间武汉市一线护士抑郁现状及影响因素,为后期制定有针对性的心理支持策略提供依据。方法:于2020年3月3至10日采用便利抽样法在武汉市7所COVID-19定点医院抽取1820名一线护士,使用一般人口学资料问卷、PHQ-9抑郁量表、知觉压力量表和阿森斯失眠量表进行问卷调查。结果:武汉市1820名一线护士中,出现抑郁症状者1039人,抑郁症状发生率为57.1%;多因素非条件Logistic回归分析结果显示:职业暴露(OR=1.846,95%CI:1.248~2.731),有负性事件经历(OR=1.395,95%CI:1.055~1.844),患有慢性病(OR=1.742,95%CI:1.081~2.808),自身感染新型冠状病毒(OR=2.596,95%CI:1.156~5.830),高压力(OR=3.230,95%CI:2.556~4.083),失眠(OR=8.782,95%CI:6.959~11.083)为抑郁发生的危险因素。结论:COVID-19疫情期间武汉市一线护士抑郁不容乐观,对特殊人群应重点关注全程给予心理干预;疫情结束后仍要继续落实《关于改善一线医务人员工作条件切实关心医务人员身心健康若干措施》,给予一线心理保健服务。Objective:To investigate the depression status and its influencing factors of first-line nurses in Wuhan during the cornavirus disease 2019(COVID-19)epidemic,so as to provide a reference for developmetn of targeted psychological support strategies.Method:From March 3 to 10,2020,1820 first-line nurses from 7 COVID-19 designated hospitals in Wuhan were investigated with general demographic data questionnaire,Patient Health Questionnaire-9(PHQ-9),Chinese Perceived Stress Scale(CPSS),and Athens Insomnia Scale(AIS-8).Results:Among the 1820 first-line nurses in Wuhan,1039 had depressive symptoms,and the incidence of depressive symptoms was 57.1%.The results of multivariable unconditional logistic regression analysis showed that occupational exposure(OR=1.846,95%CI:1.248-2.731),experience of negative events(OR=1.395,95%CI:1.055-1.844),chronic diseases(OR=1.742,95%CI:1.081-2.808),SARS-CoV-2 infection(OR=2.596,95%CI:1.156-5.830),high stress(OR=3.230,95%CI:2.556-4.083),and insomnia(OR=8.782,95%CI:6.959-11.083)were risk factors for depression.Conclusions:During the COVID-19 epidemic,the depression of the first-line nurses in Wuhan is not optimistic,and depressed nurses should be given psychological intervention during the whole process.Several measures should be implemented to improve the working conditions of first-line medical staff and pay attention to their physical and mental health.

关 键 词：新型冠状病毒肺炎 武汉市 一线护士 抑郁 影响因素 

分 类 号：R395[哲学宗教—心理学]