疾病认知干预对COVID-19筛查/疑似患者隔离期间心理应激反应影响效果研究  

Study on the effect of disease cognition intervention on the psychological stress response of COVID-19 screening/suspected patients during isolation

作　　者：郭丹[1] 欧喻莹 赵栩[1] 黄文祥[1] 李自琼[1] 车小琼[1] GUO Dan;OU Yuying;ZHAO Xu;HUANG Wenxiang;LI Ziqiong;CHE Xiaoqiong(Department of Infection,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院感染科,重庆400016

出　　处：《现代医药卫生》2021年第9期1454-1457,共4页Journal of Modern Medicine & Health

基　　金：重庆医科大学校级资助项目(重医大文〔2020〕13号)。

摘　　要：目的探讨疾病认知干预对新型冠状病毒肺炎(COVID-19)筛查/疑似患者隔离期心理应激反应的影响。方法选取该院作为COVID-19收治定点医院期间,隔离病房收治的100例筛查/疑似患者,采用随机数字表法将其分为对照组和干预组,每组50例。对照组接受常规健康教育,干预组在常规健康教育基础上使用疾病认知干预方法。干预后对两组患者焦虑、抑郁缓解效果进行分析和评价。结果对于患者的应激来源调查显示,环境陌生、疾病威胁、缺少信息、与家人分离、自尊心降低、不被重视选择的比例较高,为50.0%~82.0%,其中疾病威胁选项占比最高。干预后,对照组患者焦虑、抑郁发生率及评分未出现较大变化,与干预前比较,差异均无统计学意义(P>0.05);而干预组焦虑发生率及评分较干预前降低,差异均有统计学意义(P<0.05),抑郁发生率及评分也有下降,但不明显。干预组焦虑发生率低于对照组,焦虑评分显著低于对照组,差异均有统计学意义(P<0.05)。结论对COVID-19筛查/疑似患者隔离期实施疾病认知干预,可显著降低患者心理应激反应水平。Objective To explore the impact of disease cognition intervention on the psychological stress response of new coronavirus pneumonia(COVID-19)screening/suspected patients during isolation.Methods During the period when the hospital was admitted as a designated hospital for COVID-19,100 screened/suspected patients admitted to the isolation ward were selected and divided into a control group and an intervention group using a random number table method,with 50 cases in each group.The control group received routine health education,and the intervention group used disease cognition intervention methods on the basis of routine health education.After intervention,the anxiety and depression relief effect of the two groups of patients were analyzed and evaluated.Results The investigation of the stress sources of patients showed that the choice proportion of unfamiliar environment,disease threats,lack of information,separation from family members,reduced self-esteem,and not taken seriously were higher,ranging from 50.0%to 82.0%,of which the disease threat option accounts for the highest proportion.After the intervention,the incidence and scores of anxiety and depression in the control group did not change significantly.Compared with the pre-intervention,the difference was not statistically significant(P>0.05);while the incidence and score of anxiety in the intervention group were lower than those before the intervention.The differences were statistically significant(P<0.05),and the incidence and score of depression also decreased,but not significantly.The incidence of anxiety in the intervention group was lower than that in the control group,and the anxiety score was significantly lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Implementing disease cognition intervention during the isolation period of COVID-19 screening/suspected patients can significantly reduce the patient′s psychological stress response level.

关 键 词：新型冠状病毒肺炎 疾病认知干预 筛查/疑似患者 隔离 心理应激 

分 类 号：R512.99[医药卫生—内科学]