新冠肺炎疫情期间我国海外留学生心理健康及其影响因素的关联  

Relationship between the mental health and influencing factors of Chinese overseas students during COVID-19 epidemic

作　　者：张博林 何翠 吴瑕 陆晓桐 黄慧 叶向光 童连[3] ZHANG Bo-lin;HE Cui;WU Xia;LU Xiao-tong;HUANG Hui;YE Xiang-guang;TONG Lian(Hefei Preschool Education College,Hefei,Anhui 230022,China;不详)

机构地区：[1]合肥幼儿师范高等专科学校,安徽合肥230022 [2]安徽国际旅行卫生保健中心 [3]复旦大学公共卫生学院

出　　处：《中国国境卫生检疫杂志》2022年第1期28-33,共6页Chinese Journal of Frontier Health and Quarantine

基　　金：安徽高校人文社会科学研究项目(SK2019A1101);安徽高校自然科学基金项目(KJ2021A1303);合肥幼儿师范校级课题(HYZYB2019001)。

摘　　要：目的 调查新冠肺炎疫情下我国海外留学生的心理健康状况及其与不良生活状况的关系。方法 使用一般情况调查表、医院焦虑抑郁量表和创伤后应激障碍筛查量表,对217名海外留学生和228名国内大学生进行网络问卷调查,运用二分类Logistic回归模型分析海外留学生焦虑、抑郁和创伤后应激障碍的危险因素。结果 与国内大学生相比,海外留学生对新冠肺炎病因的了解程度较差、睡眠质量较差、容易烦恼、饮食不正常、担心自己和家人感染新冠肺炎(P<0.01)、害怕与他人密切接触及有头晕心慌胸闷等症状的比例大于国内大学生(P<0.01)。海外留学生焦虑、抑郁和创伤后应激障碍发病率分别为16.6%、17.1%、6.9%,高于国内大学生;海外留学生抑郁、焦虑及创伤后应激障碍检出率依次为17.1%、16.6%、6.9%,均高于国内大学生(8.8%、6.6%、2.2%)。Logistic回归模型分析显示,了解新冠肺炎的病因[OR=0.126(0.020~0.794)]与焦虑呈负相关,留学生心中充满烦恼[OR=12.316(4.585~33.079)]、害怕与人密切接触[OR=2.339(1.193~4.589)]与焦虑呈正相关;了解新冠肺炎的病因[OR=0.191(0.042~0.856)]与抑郁呈负相关,留学生心中充满烦恼[OR=4.214(2.153~8.247)]、难以入睡[OR=2.014(1.160~3.498)]与抑郁呈正相关;留学生心中充满烦恼[OR=4.143(1.273~13.480)]、难以入睡或睡眠很浅[OR=5.216(1.169~23.263)]、饮食不正常[OR=4.877(1.220~19.504)]、害怕与人密切接触[OR=6.786(1.362~33.795)]与创伤后应激障碍呈正相关。结论 了解新冠肺炎的病因是留学生焦虑、抑郁的保护因素;心中充满烦恼是留学生焦虑抑郁创伤后应激障碍的危害因素;害怕与人接触加重了焦虑和创伤后应激障碍,难以入睡加重了抑郁和创伤后应激障碍。新冠肺炎疫情期间,高校及相关部门应对我国海外留学生进行精准的心理健康教育,同时海外留学生也要重视自我心理疏导和寻求帮助。Objective To investigate the mental health and life quality of Chinese overseas students during COVID-19 epidemic,to explore the factors affecting the mental health of college students. Methods An online questionnaire survey was conducted by using a general situation questionnaire,hospital anxiety and depression scale(HAD),and post-traumatic stress disorder screening scale(PTSD Checklist-Civilian Version,PCL-C) among 217 Chinese overseas students and 228 domestic college students. The two-category Logistic regression model was used for statistical analysis. Results The overseas students showed poor understanding for the cause of COVID-19,poor sleep quality,easy to worry,abnormal diet,worry about themselves and their family members being infected(P <0.01),fear of close contacting with others,dizziness,palpitation and chest tightness were more common than domestic college students(P<0.01). The incidence of anxiety,depression,and post-traumatic stress disorder in overseas students was 16.6%,17.1% and 6.9%,respectively,while the incidence of anxiety,depression,and post-traumatic stress disorder in domestic college students were 6.6%,8.8% and 2.2%. Logistic regression analysis showed that understanding the cause of COVID-19 [OR=0.126(0.020-0.794)] was negatively related to anxiety,and international students were full of troubles[OR=12.316(4.585-33.079)] and fearing of close contact with others [OR=2.339(1.193-4.589)] was positively correlated with anxiety,understanding the etiology of COVID-19 [OR=0.191(0.042-0.856)] was negatively correlated with depression,international students were full of troubles [OR=4.214(2.153-8.247)] and difficult falling asleep [OR=2.014(1.160-3.498)]was positively correlated with depression,international students were full of worries [OR=4.143(1.273-13.480)],difficulty falling asleep or very light sleep [OR =5.216(1.169-23.263)],abnormal diet [OR =4.877(1.220-19.504)],fear of close contacting with others [OR =6.786(1.362-33.795)] were positively correlated with post-traumatic stress disorde

关 键 词：海外留学生 新冠肺炎 心理健康 焦虑 

分 类 号：R183[医药卫生—流行病学]