2019冠状病毒病疫情防控隔离观察人员的精神心理状况及影响因素分析  

Psychological Status and Influencing Factors in Personnel Isolated for Observation During Epidemic Prevention and Control in 2019

作　　者：姜庆伟[1] 费惠慧[1] 高存友 丛恩朝 李莉[2] 张燕华[2] 杨志磊[2] Jiang Qingwei;Fei Huihui;Gao Curvyou;Cong Enchao;Li Li;Zhang Yanhua;Yang Zhilei(Mental Health Center of Changzhou De'an Hospital,Changzhou,Jiangsu,213004;Mental Health Center ofjiading District of Shanghai,201823;Shanghai Mental Health Center Affiliated to Shanghai Jiao Tong University,Shanghai,200030)

机构地区：[1]常州市德安医院精神卫生中心,江苏常州213004 [2]上海市嘉定区精神卫生中心,上海201823 [3]上海交通大学附属精神卫生中心,上海200030

出　　处：《常州实用医学》2021年第2期71-75,共5页CHANGZHOU PRACTICAL MEDICINE

摘　　要：目的分析2019冠状病毒病疫情防控期间隔离观察人员的精神心理状况及其影响因素,为开展针对性精神心理干预提供参考。方法以2020年2月8日-4月23日在上海市新型冠状病毒肺炎11个隔离点接受隔离观察的人员为研究对象。采用自编一般情况调查表、症状自评量表(SCL-90)对隔离观察人员心理状况及其相关因素进行调查分析。结果入组隔离观察人员共1568人,其中SCL-90筛查阳性者586人,占37.4%。筛查阳性者中存在躯体化、强迫、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病和其它(失眠)等症状的占比分别为13.8%、11.3%、9.8%、10.5%、42.6%、6.3%、9.6%、7.2%、0.8%和13.8%。与国内常模比较,隔离观察人员SCL-90的躯体化、强迫、抑郁、焦虑、恐怖、偏执等因子分及阳性项目数偏高,差异有统计学意义(P<0.01)。多元线性逐步回归方程分析昱示,女性、身体健康状况、家庭状况、被动入住、诉求次数等变量进入回归方程(P<0.01)。结论接受隔离观察的人员确实存在较为突出的心理问题,其中以焦虑反应最为显著,女性、健康状况差者、有未成年儿女一起接受隔离观察者、被动接受隔离者的心理健康状况需要特别关注。Objective To understand the psychological status of personnel isolated for observation during epidemic prevention and control,and analyze the influencing factors,so as to provide references for targeted psychological intervention.Methods From February 8 to April 23,2020,the subjects were selected from 11 isolation points in Shanghai.The general condition questionnaire and Symptom Checklist-90(SCL-90)were used to investigate the psychological status and related factors of the personnel isolated for observation.Results A total of 1568 isolated observers were enrolled,and 586 were positive for SCL-90 screening,accounting for 37.4%.The proportion of those isolated with positive screening results in somatization,obsession,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia,psychosis and other(insomnia)symptoms were 13.8%,11.3%,9.8%,10.5%,42.6%,6.3%,9.6%,7.2%,0.8%and 13.8%respectively.Compared with the domestic norm,the factor scores of somatization,obsession,depression,anxiety,phobia,paranoia and the number of positive items of SCL-90 in the isolated observer were significantly higher(P<0.01).Multiple linear stepwise regression equation analysis showed that the variables of gender,physical health,family status,method of settlement,and number of appeals entered the regression equation(P<0.01).Conclusion The people undergoing isolation observation do have significant psychological problems.Among them,the response to anxiety is the most important.The mental health status of women,those with poor health,those with minor children,and those who are passively receiving isolation should be particularly concerned.

关 键 词：2019冠状病毒病 疫情防控 隔离观察人员 精神心理状况 影响因素 

分 类 号：R512.99[医药卫生—内科学]