抗击新型冠状病毒肺炎疫情一线医务人员心理弹性状况及影响因素  

Psychological resilience and its influencing factors in the frontline medical staff during the fight against novel coronavirus pneumonia

作　　者：刘立 刘春云 李俊义 马智慧 张雨青[1,2] LIU Li;LIU Chunyun;LI Junyi;MA Zhihui;ZHANG Yuqing(Institute of Psychology,Chinese Academy of Sciences,Beijing 100101,China;Kunming Third People′s Hospital,Kunming 650041,China;不详)

机构地区：[1]中国科学院心理研究所,北京100101 [2]中国科学院大学心理学系,北京100101 [3]昆明市第三人民医院,昆明650041

出　　处：《实用医学杂志》2021年第8期979-983,共5页The Journal of Practical Medicine

基　　金：昆明市“百工程”项目[编号:2020-SW(省)]。

摘　　要：目的探索抗击新型冠状病毒肺炎(COVID-19)疫情一线医务人员心理弹性及影响因素。方法选取2020年1-4月在抗疫一线工作的医务人员作为研究对象。采用一般情况调查表、心理弹性量表、创伤后应激障碍量表和社会支持量表对抗疫一线医务人员的应激反应、心理弹性、社会支持水平进行问卷调查,采用单因素和多因素logistic回归分析心理弹性的影响因素。结果抗疫一线医务人员心理弹性、应激反应和社会支持水平得分分别为(63.01±7.49)、(31.59±9.01)、(39.32±5.94)分,消毒防护(OR=5.115)、防控培训(OR=3.503)、应激反应(OR=0.889)和社会支持(OR=2.173)是影响一线医务人员心理弹性的独立危险因素。结论抗疫一线医务人员心理弹性得分低于平均水平,应激反应能负向预测心理弹性、社会支持能正向预测心理弹性。Objective To explore psychological resilience and influencing factors in the frontline medical staff during the fight against novel coronavirus pneumonia.Methods The medical staff worked on the frontline of the anti-epidemic period from January to April 2020 were selected as study objects.The general information questionnaire,psychological resilience scale,post-traumatic stress disorder scale,and social support scale were used to conduct a questionnaire survey on posttraumatic stress disorder,psychological resilience,and social support levels in the frontline medical staff during the fight against the epidemic.Single-and multiple-factor Logistic regression was applied to analyze the influencing factors of psychological resilience.Results The scores of psychological resilience,posttraumatic stress disorder and social support level of in the front-line medical staff were(63.01±7.49),(31.59±9.01),and(39.32±5.94)points,respectively.Disinfection protection(OR=5.115),prevention and control training(OR=3.503),stress response(OR=0.889),and social support(OR=2.173)were independent factors affecting psychological resilience in the front-line medical staff.Conclusion s The scores of psychological resilience in the anti-epidemic front-line medical staff are lower than those at the average level.Psychological resilience is closely related to stress response and social support.

关 键 词：新型冠状病毒性肺炎 医务人员 应激反应 心理弹性 社会支持 

分 类 号：R512.99[医药卫生—内科学]