新冠肺炎疫情期间医务人员与非医务人员焦虑抑郁水平及相关因素  

Anxiety and depression in medical and non-medical staff during the COVID-19 epidemic

作　　者：于鲁璐[1] 许银珠 李卫晖[2] 高先 王学义[1] YU Lulu;XU Yinzhu;LI Weihui;GAO Xian;WANG Xueyi(Hebei Clinical Research Center for Mental Disorders,Mental Health Center of the First Hospital of Hebei Medical University,Men-tal Health Institute of Hebei Province,Hebei Technical Innovation Center for Mental Health Assessment and Intervention,Hebei Brain Ageing and Cognitive Neuroscience Laboratory,Hebei Key Laboratory of Brain Science and Psychiatric-Psychologic Disease,Shjiazhuang 050031,China;National Clinical Research Center for Mental Disorders,Department of Psychiatry,the Second Xian-gya Hospital of Central South University,Changsha 410011,China;Division of Medical Affairs of the First Hospital of Hebei Medical University,Shijjazhuang 050000,China)

机构地区：[1]河北省精神心理疾病临床医学研究中心,河北医科大学第一医院精神卫生中心,河北省精神卫生研究所,河北省精神心理健康评估与干预技术创新中心,河北省脑老化与认知神经科学实验室,河北省脑科学与精神心理疾病重点实验室,石家庄050031 [2]国家精神心理疾病临床医学研究中心,中南大学湘雅二医院精神科,长沙410011 [3]河北医科大学第一医院医务处,石家庄050000

出　　处：《中国心理卫生杂志》2022年第5期451-456,共6页Chinese Mental Health Journal

基　　金：河北省卫生健康委政府资助临床医学优秀人才培养项目(LS201903);河北省重点研发计划(21377711D)。

摘　　要：目的:探索新冠肺炎疫情暴发期间医务人员与非医务人员焦虑抑郁水平及相关因素。方法:通过微信公众号方式发放在线问卷,共调查医务人员170名,非医务人员217名。内容包括一般情况调查表、广泛性焦虑量表(GAD-7)、患者健康问卷(PHQ-9)和心理弹性量表(CD-RISC-10),采用logistic回归分析焦虑、抑郁情绪的相关因素。结果:医务人员中抑郁情绪检出率42.9%,焦虑情绪检出率46.5%。非医务人员抑郁情绪检出率62.7%,焦虑情绪检出率52.5%。在所有被调查者中,非医务人员(OR=0.58,95%CI:0.36~0.93,P<0.05)是抑郁情绪的危险因素,接触(疑似)感染者(OR=2.63,95%CI:1.43~4.85,P<0.01)是焦虑情绪的危险因素。心理弹性差是抑郁情绪(医务人员:OR=10.36,95%CI:3.46~31.05,P<0.001,非医务人员:OR=17.14,95%CI:6.39~45.97,P<0.001)和焦虑情绪(医务人员:OR=14.30,95%CI:4.68~43.69,P<0.001,非医务人员:OR=11.18,95%CI:4.65~26.92,P<0.001)的危险因素。结论:新冠肺炎疫情暴发期间医务人员与非医务人员均出现一定程度的焦虑抑郁情绪,心理弹性越差,个体产生焦虑抑郁情绪的风险越高。Objective:To explore the factors associate with anxiety and depression in medical and non-medical staff during the COVID-19 epidemic.Methods:Online questionnaires were distributed through the WeChat official account,and a total of 387 people were surveyed,including 170 medical personnel and 217 non-medical personnel.The contents of the questionnaires included General Situation Questionnaire,Generalized Anxiety Disorder Scale(GAD-7),and Patient Health Questionnaire(PHQ-9)and Connor-Davidson Resilience Scale(CD-RISC-10).Logistic regression was employed to analyze the influencing factors of anxiety and depression.Results:The detection rates of depression and anxiety were 42.9%and 46.5%respectively in the medical staff,and 62.7%and 52.5%in the non-medical staff respectively.Among all the surveyed persons,non-medical personnel(OR=0.58,95%CI:0.36-0.93,P<0.05)were risk factors for depression,and contacting(suspected)infected persons(OR=2.63,95%CI:1.43-4.85,P<0.01)was a risk factor for anxiety.Poor mental resilience was ariskfor depressive mood(Medical staff:OR=10.36,95%CI:3.46-31.05.P<0.001;Non-medical staff:OR=17.14,95%CI:6.39-45.97,P<0.001)and anxiety(Medical staff:OR=14.30,95%CI:4.68-43.69,P<0.001;Non-medical staff:OR=11.18,95%CI:4.65-26.92,P<0.001).Conclusion:It suggests that during the COVID-19 epidemic both medical staff and non-medical staff experience a certain degree of anxiety and depression.The lower the mental resilience is,the higher the risk of anxiety and depression.

关 键 词：新型冠状病毒肺炎 心理弹性 抑郁 焦虑 

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]