COVID-19流行期间基层医院一线医护人员心理状况调查分析  

A survey of the psychological condition of first-line health care workers in primary hospitals during the COVID-19 epidemic

作　　者：姚旭[1] 孙网兰 金一[1] 于霞云 YAO Xu;SUN Wang-lan;JIN Yi;YU Xia-yun(Department of Cardiology,Kunshan Hospital of Traditional Chinese Medicine,Suzhou 215300,Jiangsu,CHINA;Coronary Care Unit(CCU),the People's Hospital of Dafeng,Yancheng 224100,Jiangsu,CHINA;Department of Cardiology,the Fourth People's Hospital of Taizhou,Taizhou 225300,Jiangsu,CHINA)

机构地区：[1]昆山市中医医院心血管内科,江苏苏州215300 [2]大丰市人民医院CCU,江苏盐城224100 [3]泰州市第四人民医院心血管内科,江苏泰州225300

出　　处：《海南医学》2020年第19期2572-2575,共4页Hainan Medical Journal

摘　　要：目的了解在新型冠状病毒肺炎(COVID-19)流行期间基层医院一线医护人员心理状况及主要心理问题。方法对2020年2月20至28日在昆山市中医医院、大丰市人民医院、泰州市第四人民医院、张家港澳洋医院等四家医院COVID-19相关部门工作的106名一线医护人员通过第三方工具“问卷星”制定的在线调查表调查他们的心理状况。结果COVID-19流行期间基层医院一线医护人员的整体信心因子(1.383±0.45)分,担心恐惧因子(6.483±1.66)分,对待患者因子(4.511±1.32)分,医院支持因子(5.162±1.23)分,心理支持因子(4.54±1.53)分;总体信心因子与担心恐惧因子、医院支持因子、心理支持因子显著相关(P<0.05),担心恐惧因子主要与医院支持因子、心理支持因子有关(P<0.05);医护人员的抑郁发生率为70.8%,焦虑发生率为74.5%,严重压力发生率为7.6%;抑郁、焦虑、压力与医护人员的不同性别、年龄、职称、有无子女、学历有关(P<0.05)。结论COVID-19流行期间,基层医院一线医护人员存在心理应激,且心理状态堪忧,应针对性制定相应的应对技巧、管理方案和干预措施,积极预防可能出现的负性情绪体验,帮助医护人员顺利渡过当前的心理危机,确保疫情防控期间救治工作的顺利进行。Objective To investigate the psychological condition and major psychological problems of first-line health care workers in primary hospitals during the Corona Virus Disease 2019(COVID-19)epidemic.Methods The front-line health care workers from Kunshan Hospital of Traditional Chinese Medicine,the People's Hospital of Dafeng,the Fourth People's Hospital of Taizhou,and Zhangjiagang Aoyang Hospital who working in the relevant departments of the COVID-19 from February 20,2020 to February 28,2020 were investigated through an online psychological questionnaire.Results During the COVID-19 epidemic,the overall confidence factor score of first-line health care workers in primary hospitals was(1.383±0.45)points,and the fear factor score,the patient-related factor score,the hospital support factor score,and the psychological support factor score were(6.483±1.66)points,(4.511±1.32)points,(5.162±1.23)points,factor averaged(4.54±1.53)points.The overall confidence factor was significantly related to the fear factor,the hospital support factor and the psychological support factor,and the fear factor was mainly related to the hospital support factor and the psychological support factor.The incidence of depression,anxiety,and severe stress of health care workers was 70.8%,74.5%,and 7.6%,respectively.In addition,depression,anxiety,and stress were related to different gender,age,professional title,children,and education background(P<0.05).Conclusion During the COVID-19 epidemic,the first-line medical staff of the primary hospital had psychological stress and the psychological state was worrying.Appropriate management programs and interventions should be formulated to prevent possible negative emotional experiences and help health care workers cope with the current psychological crisis.

关 键 词：新型冠状病毒肺炎 基层医院 医护人员 隔离病房 心理应激 焦虑 抑郁 

分 类 号：R47[医药卫生—护理学]