新型冠状病毒肺炎(COVID-19)流行期间传染病专科医院护士心理健康状况  

Mental health status of nurses in infectious diseases hospital during the epidemic period of COVID-19

作　　者：颜峰[1] 张莉莉[2] 郭会敏[2] 安丽[2] 尹玉华[2] 梁伟业[1] 张东[1] 王志仁[1] YAN Feng;ZHANG Lili;GUO Huimin(Beijing Huilongguan Hospital,Peking University Huilongguan Clinical Medical School,Beijing100096,China)

机构地区：[1]北京回龙观医院,北京大学回龙观临床医学院 [2]首都医科大学附属北京佑安医院

出　　处：《中国健康心理学杂志》2021年第1期85-89,共5页China Journal of Health Psychology

基　　金：北京市科技计划项目(编号:Z171100001017021);中国初级卫生保健基金会佑安医学发展基金;首都医科大学附属北京佑安医院2020年度新型冠状病毒肺炎应急防控公益项目(编号:BJYAYY-2020GL-01)。

摘　　要：目的:比较传染病专科医院新冠肺炎科室与非新冠肺炎科室护士面对重大突发公共卫生事件—新冠病毒肺炎疫情的心理应激症状的差异,为对其开展相应的心理干预提供依据。方法:通过微信工作群发放电子调查问卷,对传染病专科医院新冠肺炎科室护士和非新冠肺炎科室护士进行心理状况调查。采用行为医学量表(2005版)中"突发性公共卫生事件心理问卷"进行测评,调查问卷涉及抑郁、神经衰弱、恐惧、强迫-焦虑和疑病5个维度,并进行评价。采用秩和检验(Mann-Whitney U检验)分析两组护士各因子得分的差异,并进行分析。结果:共收回调查问卷94份,新冠肺炎科室护士和非新冠肺炎科室护士各47份,回收率为94.0%(94/100)。新冠肺炎科室护士的负性情绪得分较高,从高到低依次为恐惧(M=1.00分),抑郁(M=0.33分),神经衰弱(M=0.20分),强迫-焦虑(M=0.00分),疑病(M=0.00分)。新冠肺炎科室护士心理应激症状在抑郁、神经衰弱、强迫-焦虑维度高于非新冠肺炎科室护士,差异有统计学意义(U=817.5,860.5,824.5;P<0.05),两组恐惧维度分值在心理应激症状中最为突出(M=1.00分)。讨论:新冠肺炎疫情期间传染病医院护士,尤其是新冠肺炎科室护士存在明显心理应激症状,应对其尽早进行相应心理干预。Objective:To compare the difference of psychological stress symptoms between nurses in COVID-19 department and non-COVID-19 department in the hospitals for infectious diseases,facing a major public health emergency-COVID-19.Methods:A total of 94 nurses in COVID-19 department and non-COVID-19 department in the infectious disease hospitals were investigated by electronic questionnaires by WeChat working group.The psychological questionnaire of sudden public health events in behavioral medicine scale(2005 Edition)was used for evaluation.The questionnaire involved five dimensions:depression,neurasthenia,fear,compulsion anxiety and hypochondriasis.Mann Whitney U test was used to analyze the differences between the two groups.Results:The psychological stress symptoms of nurses in COVID-19 department were higher than those of the nurses in non-COVID-19 department in the dimensions of depression,neurasthenia and compulsive anxiety,the difference was statistically significant(U=817.5,860.5,824.5;P<0.05),and the fear dimension scores of the two groups were the most prominent in the psychological stress symptoms(M=1.00).Conclusion:During the outbreak of COVID-19,the nurses in the hospitals for infectious diseases,especially in the novel coronavirus pneumonia department,has obvious psychological stress symptoms.It is necessary to carry out corresponding psychological intervention for this population as soon as possible.

关 键 词：新型冠状病毒肺炎 传染病专科医院 护士 心理应激症状 

分 类 号：R395.6[哲学宗教—心理学]