新型冠状病毒肺炎疫情期间居家隔离者的心理状况调查  

Mental health status of home isolation people during the prevalence of COVID-19

作　　者：周毅江[1] 李曙光[1] 莫秋燕 磨燕 卢丽明[1] 秦志明[1] ZHOU Yi-jiang;LI Shu-guang;MO Qiu-yan;MO Yan;LU Li-ming;QIN Zhi-ming(The Community Health Service Center of Gao Xin Gong Ye Yuan Qu,the Second Affiliated Hospital of Guangxi Medical University,Nanning,Guangxi 530007,China)

机构地区：[1]广西医科大学第二附属医院高新工业园区社区卫生服务中心,广西南宁530007

出　　处：《中华全科医学》2022年第3期446-449,共4页Chinese Journal of General Practice

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20200711)。

摘　　要：目的探讨新型冠状病毒肺炎疫情期间居家隔离群众的心理状况和影响因素,了解群众心理需求及干预措施,在突发公卫事件时为群众提供心理干预参考。方法采用方便抽样法,抽取2020年2月1日—3月5日南宁市高新区859名18~80岁居家隔离者行心理问卷调查。采用χ^(2)检验或Fisher精确检验法进行比较,等级资料组间比较采用Mann-Whitney U检验,采用logistic逐步回归法筛选心理状况影响因素。结果832名研究对象中一般居家隔离者有773人,重点居家隔离者有59人。存在焦虑、抑郁和心理压力的重点居家隔离者比例分别为76.27%(45/59)、84.75%(50/59)、84.75%(50/59),一般居家隔离者比例分别为70.38%(544/773)、76.46%(591/773)、76.46%(591/773),差异无统计学意义(均P>0.05)。两类人群最喜欢的心理援助是微信或QQ辅导,最想了解的心理知识是自己如何缓解心理压力。心理状况的影响因素结果显示:女性、入睡困难、维持睡眠困难、早醒是焦虑的危险因素(均P<0.05);女性、入睡困难和维持睡眠困难是抑郁的危险因素(均P<0.05),与18~39岁年龄组比,40~59岁年龄组不易出现抑郁(OR=0.590,95%CI:0.420~0.840);与18~39岁年龄组、教育程度为初中及以下者、入睡困难者比,40~59岁年龄组、硕士及以上者和非入睡困难者不易出现心理压力。结论新冠肺炎疫情期间,居家隔离对群众心理健康有影响,性别和睡眠质量是心理应激反应的重要影响因素,应有针对性地对人群进行心理危机干预。Objective To explore the mental health status and influencing factors of home isolation people during the prevalence of coronavirus disease 2019(COVID-19)and understand the mental health needs and appropriate interventions to provide psychological intervention for the masses in public health emergencies.Methods Using convenience sampling,859 home isolation people aged 18-80 years old were surveyed using a questionnaire.Chi-Square test and Fisher's exact test were used to compare between groups,and stepwise multiple logistic regression was used to investigate the factors influencing mental health status.Results A total of 832 subjects were included,including 773 general home isolation people and 59 key home isolation people.The proportions of anxiety,depression and stress were 76.27%(45/59),84.75%(50/59)and 84.75%(50/59)among the key home isolation people and 70.38%(544/773),76.46%(591/773)and 74.46%(591/773)among the general home isolation people,respectively.The difference was not statistically significant(all P>0.05).The most preferred psychological assistance of the two groups was WeChat or QQ counselling and how to ease psychological stress.Stepwise multiple logistic regression showed that female,difficulty falling asleep,difficulty maintaining sleep and early waking were risk factors for anxiety(all P<0.05).Female,difficulty falling asleep and difficulty maintaining sleep were risk factors for depression(all P<0.05).Compared with the 18-39 age group,the 40-59 age group was less prone to depression(OR=0.590,95%CI:0.420-0.840).Compared with those in the 18-39 age group,those with junior high school education and below and those who have difficulty falling asleep,those in the 40-59 age group,those with a master's degree and above and those who have difficulty falling asleep were less likely to experience psychological stress.Conclusion During the prevalence of COVID-19,large-scale isolation measures have a large impact on the mental health of the people.Gender and sleeping quality are important factors influenc

关 键 词：新型冠状病毒肺炎 居家隔离群众 心理状况 心理干预 

分 类 号：R395.6[哲学宗教—心理学]