新型冠状病毒肺炎定点医院医务人员心理健康状况调查分析  

Mental health status of medical staff in a COVID-19 designated hospital

作　　者：朱卫京[1] 向平超[1] 郭伟安[1] 东黎光[1] 徐爱民[2] 刘月波[1] ZHU Wei-jing;XIANG Ping-chao;GUO Wei-an;DONG Li-guang;XU Ai-min;LIU Yue-bo(Shougang Hospital,Peking University,Beijing 100144,China;Beijing Chao-yang Hospital,Capital Medical University)

机构地区：[1]北京大学首钢医院,北京100144 [2]首都医科大学附属北京朝阳医院

出　　处：《华南预防医学》2021年第6期748-752,共5页South China Journal of Preventive Medicine

摘　　要：目的调查2020年北京市某区新型冠状病毒肺炎定点收治医院医务人员心理健康状况,为促进医务人员在抗击疫情期间的身心健康提供科学依据。方法采取整群抽样方法,以定点收治医院一线医务人员作为研究对象,在救治患者的第14天和第21天,分别采用90项症状自评量表(SCL-90)调查医务人员的心理健康状况。结果共纳入66名医护人员,男性24例,女性42例;年龄(34.8±8.8)岁;医生22例,护士44例。医务人员第1次SCL-90总分阳性检出率6.1%(4/66),第2次阳性检出率7.6%(5/66);第2次结果中>30岁组医务人员阳性检出率低于≤30岁组(P<0.05)。2次SCL-90总均分均优于中国常模(P<0.01),并且第2次分值低于第1次,但两组间差异无统计学意义(P>0.05),不同性别、年龄、职业的医务人员SCL-90总均分差异无统计学意义(P>0.05)。医务人员各因子分低于中国常模。不同年龄、职业医务人员10个因子分差异无统计学意义(均P>0.05),不同性别医务人员恐怖因子差异有统计学意义(P<0.05),女性心理素质更好。结论在新型冠状病毒肺炎疫情防控中,一线医务人员可以保持良好的心理健康状态,优于中国正常成人常模。随着在一线工作时间延长,>30岁的医护人员较年轻者心理健康状态更佳。ObjectiveTo investigate the mental health status of medical staff in COVID-19 designated hospital in a district of Beijing in 2020,so as to provide scientific basis for promoting the physical and mental health of medical staff during the fight against the epidemic.MethodsMedical staffs in the front line of the designated hospital were selected as the study objects by cluster sampling method. On the 14 th and 21 st days after treatment,Symptom Checklist-90(SCL-90)was used to investigate the mental health status of the medical staffs.ResultsA total of 66 medical staffs were included,including 24 males and 42 females,22 doctors and 44 nurses,with an average age of(34.8±8.8)years. The positive detection rate of total score of SCL-90 for medical staff in the first investigation was 6.1%(4/66),and in the second investigation was 7.6%(5/66). In the second investigation,the positive detection rate of>30 years old group was lower than that in the ≤30 years old group(P<0.05). The total mean scores of SCL-90 in both investigations were better than the Chinese norm(P<0.01),and the score of the second investigation was lower than that of the first investigation,but the difference was not statistically significant(P>0.05). And there was no statistically significant difference in the total mean scores of SCL-90 of medical staff with different genders,ages and occupations(P>0.05). The factor scores of medical staff were lower than the Chinese norm. There was no statistical significance in the 10 factors of medical staff with different age and occupations(all P>0.05),but there was statistical significance in the terror factors of medical staff with different genders(P<0.05). The psychological quality of female was better.ConclusionIn the prevention and control of COVID-19 epidemic,front-line medical staff can maintain a good mental health state,which is better than the normal adult norm in China. With the extension of working time on the front line,the mental health status of medical staffs aged over 30 years are better than t

关 键 词：症状自评量表 医务人员 心理健康 新型冠状病毒肺炎 

分 类 号：R195.4[医药卫生—卫生统计学]