新型冠状病毒肺炎疫情中贵州省医务人员心理健康状态及其影响因素分析  

Mental health status of medical staff in Guizhou Province during COVID-19 epidemic and its influencing factors

作　　者：张群 周于[2] 向慧[2] 罗禹 覃青[2] 黄颖[2] 杨慧[2] 杨正贵 ZHANG Qun;ZHOU Yu;XIANG Hui;LUO Yu;QIN Qing;HUANG Ying;YANG Hui;YANG Zhenggui(School of Psychology,Guizhou Normal University,Guiyang,Guizhou 550025,China;Department of Psychology,Guizhou People′s Hospital,Guiyang,Guizhou 550002,China)

机构地区：[1]贵州师范大学心理学院,贵阳550025 [2]贵州省人民医院心理科,贵阳550002

出　　处：《重庆医学》2021年第2期318-322,共5页Chongqing medicine

摘　　要：目的调查新型冠状病毒肺炎(COVID-19)疫情期间贵州省医务人员的心理健康状态并分析其影响因素。方法采用广泛性焦虑障碍量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)、斯坦福急性应激反应问卷(SASRQ),于2020年2月14日至3月6日通过问卷星和填写纸制问卷对贵州省内医务人员进行调查,严格筛选整理问卷,并进行统计分析。结果共收集问卷23573份,有效问卷22681份,有效回收率为96.2%。其中,31.9%的医务人员存在焦虑症状,28.7%存在抑郁症状,5.2%产生急性应激障碍(ASD);不同性别、职业、部门的医务人员在焦虑、抑郁及SASRQ评分上均存在明显差异(P<0.05),不同年龄的医务人员在焦虑、抑郁评分上亦存在明显差异(P<0.05)。焦虑、抑郁评分与SASRQ评分呈正相关。结论COVID-19疫情期间,贵州省医务人员存在不同程度的焦虑、抑郁和ASD症状,可根据医务人员不同的社会人口学特征区分干预重点。Objective To explore the mental health status and influencing factors of medical staffs in Guizhou Province during the COVID-19 epidemic.Methods The Generalized Anxiety Disorde-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),and Stanford Acute Stress Response Questionnaire(SASRQ)were used to investigate the medical staffs in Guizhou Province through electronic and paper questionnaire from February 14,2020 to March 6,2020.The questionnaires were strictly screened and analyzed.Results A total of 23573 questionnaires were collected,of which 22681 were effective with effective recovery rate of 96.2%.31.9%of the medical staff in Guizhou Province had symptoms of anxiety,28.7%had symptoms of depression,and 5.2%had acute stress reactions(ASD).There were significant differences in anxiety,depression and SASRQ scores among medical staffs of different genders,occupations and departments(P<0.05);and there were also significant differences in anxiety and depression scores among medical staffs of different ages(P<0.05).There was a significant positive correlation between anxiety,depression score and SASRQ score.Conclusion During COVID-19 epidemic,medical staffs in Guizhou Province had varying degrees of anxiety,depression,and ASD.The intervention focus can be differentiated according to different sociodemographic characteristics of medical staffs.

关 键 词：新型冠状病毒肺炎 医务人员 焦虑 抑郁 应激障碍 急性 影响因素 

分 类 号：R192[医药卫生—卫生事业管理] R395.6[医药卫生—公共卫生与预防医学]