武汉市某方舱医院新冠肺炎患者心理健康状况调查  

Investigation on mental health status of COVID-19 patients in a cabin hospital,Wuhan city

作　　者：王畅[1] 李文浩[2] 王大虎[1] 黄媛 王春兰[2] 刘慧[1] 林伟权[1] WANG Chang;LI Wen-hao;WANG Da-hu;HUANG Yuan;WANG Chun-lan;LIU Hui;LIN Wei-quan(Guangzhou City Center for Disease Control and Prevention,Guangzhou,Guangdong,510440,China;不详)

机构地区：[1]广州市疾病预防控制中心,广东广州510440 [2]广东省第二人民医院,广东广州510317

出　　处：《预防医学论坛》2021年第8期583-586,共4页Preventive Medicine Tribune

基　　金：广州市卫生健康科技项目(项目编号:20201A011066)。

摘　　要：目的了解新型冠状病毒肺炎(COVID-19)暴发期间,方舱医院COVID-19患者心理健康状况。方法采用基本情况问卷和症状自评量表(Symptom Checklist 90,SCL-90)对武汉市某方舱医院内确诊为COVID-19的成年患者共124例利用"问卷星"进行线上调查。结果方舱医院COVID-19患者总体心理健康水平低于中国成人常模(P <0.05),其中躯体化、强迫症状、焦虑、恐怖和精神病性因子偏高,敌对因子偏低,差异均有统计学意义(P <0.05或<0.01)。女性COVID-19患者在总均分、躯体化、强迫症状、抑郁、焦虑、恐怖因子得分均高于男性(P <0.05或<0.01)。已婚者在躯体化和其他因子方面得分均高于未婚者(P <0.05)。普通型患者在总均分、躯体化、强迫症状、精神病性方面得分显著高于轻型患者(P <0.05)。SCL-90筛查阳性率为49.19%(61/124),多因素Logistic回归分析发现,病情为普通型(OR=2.59)和自觉将新冠肺炎传染给他人的风险(OR=1.22)是SCL-90筛查阳性的危险因素(P <0.05或<0.01)。结论COVID-19暴发期间,方舱医院内COVID-19患者的总体心理健康水平低于常模。Objective To understand the mental health status of COVID-19 patients in a cabin hospital during the outbreak of COVID-19. Methods A total of 124 adult patients diagnosed with COVID-19 in a cabin hospital in Wuhan city were surveyed online by using the " Questionnaire Star",the questionnaire used was Symptom Checklist 90(SCL-90).Results The mental health of COVID-19 patients in a cabin hospital was lower than the national norm(P <0.05),in which the scores of somatization,obsessive-compulsive symptoms,anxiety,terror and psychosis were higher,the score of hostility was lower,the differences were statistically significant(P <0.05 or P <0.01).Female COVID-19 patients had higher scores in total mean score,somatization,obsessive-compulsive symptoms,depression,anxiety,and terror than male patients(P <0.05 or P <0.01).Married COVID-19 patients had higher scores in somatization and other factors than unmarried patients(P <0.05).Patients with common COVID-19 had higher scores in average score,somatization,obsessive symptom and psychosis than patients with light COVID-19(P <0.05).The positive rate of SCL-90 was 49.19%(61/124).Multivariate logistic regression analysis showed that common disease(OR =2.59)and conscious risk of COVID-19 transmission to others(OR =1.22)were its risk factors(P <0.05 or P <0.01). Conclusion During the outbreak of COVID-19,the mental health of COVID-19 patients in a cabin hospital was lower than the national norm.

关 键 词：新型冠状病毒肺炎 心理健康 方舱医院 症状自评量表 

分 类 号：R511[医药卫生—内科学]