新型冠状病毒肺炎疫情期间医院工作人员心理状况及影响因素分析  

Analysis of the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019

作　　者：谭琴[1] 谭静宇[1] 邓婵娟[2] 邓雯秋 杜涛[2] 杜亮[3] TAN Qin;TAN Jingyu;DENG Chanjuan;DENG Wenqiu;DU Tao;DU Liang(Department of Endocrine,Mianzhu People’s Hospital,Mianzhu,Sichuan 618200,P.R.China;Department of Medical Administration,Mianzhu People’s Hospital,Mianzhu,Sichuan 618200,P.R.China;Chinese Evidence-based Medicine Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]绵竹市人民医院内分泌科,四川绵竹618200 [2]绵竹市人民医院医务科,四川绵竹618200 [3]四川大学华西医院中国循证医学中心,成都610041

出　　处：《华西医学》2021年第1期35-39,共5页West China Medical Journal

摘　　要：目的调查新型冠状病毒肺炎(以下简称"新冠肺炎")疫情暴发期间医院工作人员的心理健康状况及影响因素,为突发公共卫生事件中医务人员的心理干预策略提供参考。方法采用横断面研究设计,以绵竹市人民医院的工作人员为研究对象于2020年2月13日-18日通过微信群发送匿名问卷调查,对其心理情况及影响因素进行分析。统计分析采用SPSS 22.0软件。结果1115名符合纳入标准的人员中,951人在线填写了问卷,应答率为85.3%。其中有效问卷945份,有效应答率84.8%。224人(23.7%)存在心理健康问题。多因素logistic回归分析显示,社会支持总分[比值比(odds ratio,OR)=0.869,95%置信区间(confidence interval,CI)(0.805,0.938),P<0.001]、压力应对策略总分[OR=0.685,95%CI(0.607,0.772),P<0.001]是心理健康的保护因素,有小孩[OR=1.607,95%CI(1.084,2.382),P=0.018]、职业为工勤人员[OR=2.229,95%CI(1.326,3.746),P=0.002]是心理健康的危险因素。结论在新冠肺炎疫情暴发期间,医疗救治定点医院工作人员存在较高的心理健康问题。当发生突发公共卫生事件时,医院及相关部门需尽早采取心理干预措施,保障疫情防控工作的顺利开展。Objective To investigate the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019(COVID-19),and provide a reference for psychological intervention strategies for hospital staff in public health emergencies.Methods In this cross-sectional study,we investigated the staff of Mianzhu People’s Hospital through an anonymous questionnaire survey sent through WeChat group from February13 th to 18 th,2020,to analyze the psychological situation and influencing factors of the on-the-job staff.SPSS 22.0 software was used for statistical analysis.Results Among the 1115 staff members who met the inclusion criteria,951 completed the questionnaire,with a response rate of 85.3%.There were 945 valid questionnaires,with an effective response rate of 84.8%.A total of 224 staff members(23.7%)had mental health problems.Multivariate logistic regression analysis showed that the total scores of social support[odds ratio(OR)=0.869,95%confidence interval(CI)(0.805,0.938),P<0.001]and the total scores of stress coping strategies[OR=0.685,95%CI(0.607,0.772),P<0.001]were protective factors of psychological status,while having kids[OR=1.607,95%CI(1.084,2.382),P=0.018]and the position being logistic worker[OR=2.229,95%CI(1.326,3.746),P=0.002]were risk factors of psychological status.Conclusions During the outbreak of COVID-19,mental health problems emerged among the staff of designated medical treatment hospital.When a public health emergency occurs,hospitals and relevant departments should take psychological intervention measures as soon as possible to ensure the work of epidemic prevention and control.

关 键 词：新型冠状病毒肺炎 医院工作人员 心理健康 影响因素 横断面研究 

分 类 号：R395.6[医药卫生—医学心理学]