新冠疫情下某三甲综合医院医务人员心理状态及相关影响因素分析  

State of mind and its influencing factors in medical staff in a tertiary hospital during the COVID-19

作　　者：翟晓艳[1] 高文娟[1] 井朋 刘敬 高晨阳 张华星[1] 吕佩源[1] 倪爱华[1] ZHAI Xiaoyan;GAO Wenjuan;JING Peng;LIU Jing;GAO Chenyang;ZHANG Huaxing;LV Peiyuan;NI Aihua(Hebei General Hospital,Shijiazhuang 050051,China)

机构地区：[1]河北省人民医院,河北石家庄050051

出　　处：《现代医院》2022年第2期208-211,215,共5页Modern Hospitals

摘　　要：目的了解新型冠状病毒肺炎疫情下综合医院医务人员的心理状态及其相关影响因素。方法采用便利抽样法抽取某院医护人员1007名,采用一般资料问卷、广泛性焦虑障碍量表、患者健康问卷抑郁自评量表、患者健康问卷PHQ-15进行横断面自评问卷调查,筛选问卷并进行统计分析,有效问卷1005份。结果上述医务人员中203人(20.20%)存在焦虑症状,338人(33.63%)存在抑郁症状,376人(37.41%)存在躯体化症状,557人(55.42%)自觉失眠。既往有焦虑抑郁病史、院内一线人员均与焦虑、抑郁、失眠呈正相关,每天关注疫情时间>1 h、护士岗位均与焦虑和躯体化症呈正相关。既往有焦虑抑郁病史、年龄与躯体化症状呈正相关。另外每天关注疫情时间>1 h与失眠呈正相关。结论疫情期间医务人员焦虑、抑郁、躯体化症状、失眠高发,建议重点关注护士、院内一线人员、既往有焦虑抑郁症病史、年龄偏高的医务人员的身心健康,有侧重点地给予心理干预。Objective To explore the medical staff’s state of mind in general hospitals during the COVID-19 pandemic and analyze the related influencing factors.Methods A total of 1007 medical staff in our hospital were included by convenience sampling method in this survey.The survey of cross-sectional self-assessment questionnaires was conducted by using the general information questionnaire,Generalized Anxiety Disorder(GAD-7),Patient Health Questionnaire(PHQ-9),Patient Health Questionnaire(PHQ15).After screening and analyzing,1005 questionnaires were effective.Results Among the subjects,203(20.20%)had symptoms of anxiety,338(33.63%)symptoms of depression,376(37.41%)symptoms of somatization and 557(55.42%)symptoms of insomnia.There was a significant positive correlation between the number of front-line staff with the previous history of anxiety,depression and the incidence rate of anxiety,depression and insomnia.The two factors of focusing on the epidemic development for more than 1 hour daily and nursing post were positively associated with the incidence rate of anxiety and somatization.The factors of anxiety and depression history and age were positively correlated with somatization symptoms.In addition,the factor of focusing on the epidemic development for more than 1 hour daily was positively associated with insomnia.Conclusion During the epidemic period,medical staff have a high incidence rate of anxiety,depression,somatization symptoms and insomnia.It is suggested to focus more on the mental status of nurses,the front-line medical workers,those medical workers with anxiety and depression history,and those aged so as to provide requisite psychological intervention for them.

关 键 词：新型冠状病毒肺炎 综合医院 医务人员 心理状态 相关因素 

分 类 号：R192[医药卫生—卫生事业管理] R184.6[医药卫生—公共卫生与预防医学]