新冠肺炎流行期间延安市医务人员与普通群众的心理健康状况  

Mental health of medical staff and general public in the COVID-19 epidemic in Yan'an

作　　者：朱玥[1,2] 陈红光 李夏波[2] 郭立波 乔宏[1,2] 蒲城城 张子峰[2] 张建军 李涛[2] 曹庆久 ZHU Yue;CHEN Hongguang;LI Xiabo;GUO Libo;QIAO Hong;PU Chengcheng;ZHANG Zifeng;ZHANG Jianjun;LI Tao;CAO Qingjiu(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking U-niversity),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;Yan’an Third People s Hospital,Yan'an 716000,Shaanxi Province,China)

机构地区：[1]北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京100083 [2]延安市第三人民医院,陕西延安716000

出　　处：《中国心理卫生杂志》2021年第12期1054-1059,共6页Chinese Mental Health Journal

摘　　要：目的:了解新冠肺炎流行期间延安市医务人员和普通群众的心理健康状况。方法:于2020年2月10日—3月9日期间,对延安市886例医务人员和722例普通群众进行在线问卷调查。用广泛性焦虑量表(GAD-7)、患者健康问卷中抑郁症状群量表(PHQ-9)和躯体症状群量表(PHQ-15)分别进行焦虑、抑郁和躯体症状初筛。结果:本样本中医务人员焦虑、抑郁和躯体症状的检出率分别为38.7%、33.4%、42.6%,普通群众相应为42.5%、32.8%、31.4%。普通群众(OR=1.32,95%CI:1.05~1.65)出现焦虑症状的风险高于医务人员,而医务人员(OR=1.40,95%CI:1.03~1.89)出现躯体症状的风险高于普通群众。非三级医院医务人员的躯体症状检出率高于三级医院(48.6%vs 36.1%,P<0.01)。结论:新冠肺炎流行期间,延安市医务人员较普通群众出现躯体症状的风险更高,出现焦虑症状的风险更低,非三级医院医务人员发生躯体症状的风险更高。Objective:To explore the mental health state of medical staff and general public in Yan'an in the COVID-19 epidemic.Methods:From 10th February to 9th March 2020,an online questionnaire survey was conducted among 886 medical staff and 722 general public in Yan'an.Generalized Anxiety Disorder Scale(GAD-7),the Patient Health Questionnaire(PHQ-9)and PHQ-15 were used to screen anxiety,depression and somatic symptoms respectively.Results:In this sample,the prevalence of anxiety,depression and somatic symptoms in medical staff were 38.7%,33.4%and 42.6% respectively,while those in general public were 42.5%,32.8%and 31.4%.General public(OR=1.32,95%CI:1.05-1.65)had higher risk of anxiety symptoms than medical staff,while medical staff(OR=1.40,95%CI:1.03-1.89)had higher risk of somatic symptoms than general public.The prevalence of somatic symptoms of medical staff in non-tertiary hospitals were higher than that of medical statf in tertiary hospitals(48.6%vs 36.1%,P<0.01).Conclusion:During the COVID-19 epidemic,the medical staff in Yan'an have higher risk of somatic symptoms and lower risk of anxiety symptoms than the general public.Medical staff in non-tertiary hospitals have a higher risk of somatic symptoms.

关 键 词：新型冠状病毒肺炎 心理健康 医务人员 焦虑 抑郁 躯体症状 

分 类 号：R192.3[医药卫生—卫生事业管理] R749.72[医药卫生—公共卫生与预防医学]