新型冠状病毒肺炎疫情常态化下太原市一线医护人员心理健康状况调查  

Mental Health Status of Frontline Medical Workers in Taiyuan Under the Normalization of Epidemic Situation of Coronavirus Disease 2019

作　　者：张娜[1] 刘灿 陆姣[1] 程景民[1] ZHANG Na;LIU Can;LU Jiao;CHEN Jingmin(Shanxi Medical University,Taiyuan 030001,Shanxi Province,China.;Qingdao Central Hospital,Qingdao 266042,Shandong Province,China.)

机构地区：[1]山西医科大学,太原030001 [2]青岛市中心医院,山东青岛266042

出　　处：《预防医学情报杂志》2021年第8期1126-1130,1135,共6页Journal of Preventive Medicine Information

基　　金：山西省软科学研究一般项目(项目编号:2018041037-2)。

摘　　要：目的调查新型冠状病毒肺炎(COVID-19)疫情常态化下一线医护人员的心理健康状况,并探讨其影响因素。方法采用问卷调查的方法,于2020-06/07对山西省太原市20家相关医院330名一线医护人员进行调查,采用症状自评量表(SCL-90)调查一线医护人员的心理健康,运用SPSS 22.0软件进行t检验、方差分析、线性回归分析和二元Logistic回归分析,探究一线医护人员心理健康的影响因素。结果一线医护人员通过SCL-90量表检出阳性症状的有20例,阳性率为6.06%(20/330);t检验和方差分析结果显示,不同生育情况、职称情况和是否担心被感染情况的一线医护人员之间的心理健康状况差异具有统计学意义(t/F=5.589、5.085、1.725,P均<0.05);线性回归分析结果显示,生育情况和是否担心被感染是心理健康的主要影响因素(β=-0.12、0.12,P均<0.05);Logistic回归分析结果显示,担心被感染是检出SCL-90阳性症状的危险因素(OR=3.44,P<0.05)。结论担心被感染既是心理健康的主要影响因素,也是检出SCL-90阳性症状的危险因素。因此,即便在COVID-19常态化的疫情状况下,也有必要关注一线医护人员的心理健康并对其进行干预。Objective To investigate the mental health status and influencing factors of frontline medical workers under the normalization of coronavirus disease 2019(COVID-19).Methods A questionnaire survey was conducted to investigate 330 frontline healthcare workers in 20 hospitals in Taiyuan,Shanxi Province from June to July of 2020.Symptom Check-List 90(SCL-90)was used to investigate the mental health of the frontline healthcare workers.The SPSS software was used to conduct two independent sample t-test,analysis of variance,linear regression analysis and binary logistic regression analysis to explore the influencing factors of mental health.Results Twenty frontline medical workers were found to have positive symptoms through SCL-90 scale,with a positive rate of 6.06%(20/330).There were significant differences in mental health status among frontline medical workers with different fertility status,professional title and whether they were worried about being infected or not(t/F=5.589,5.085 and 1.725,all P values<0.05).Fertility and fear of infection of COVID-2019 were the main influencing factors of mental health(β=-0.12 and 0.12,all P values<0.05).Logistic regression analysis showed that fear of infection of COVID-2019 was a risk factor for SCL-90 positive symptoms(OR=3.44,P<0.05).Conclusion Fear of infection is a major factor affecting mental health,and a risk factor for detection of SCL-90 positive symptoms.Therefore,it is necessary to pay attention to the mental health of frontline medical workers and intervene it even in the normalized situation of COVID-19.

关 键 词：新型冠状病毒肺炎 一线医护人员 SCL-90 心理健康 影响因素 

分 类 号：R181.3[医药卫生—流行病学]