新冠疫情暴发1年后广东省医务人员心理健康状况及相关影响因素分析  

Psychological health status and related influencing factors of medical staff in Guangdong province 1 year after the outbreak of COVID-19

作　　者：林桂丽 郭丽红 庄杰滨 林恺[1] 陈潮文[1] 邱卫黎 Lin Guili;Guo Lihong;Zhuang Jiebin;Lin Kai;Chen Chaowen;Qiu Weili(The First Affiliated Hospital,Shantou University Medical College,Shantou Guangdong 515000,China;Shantou Central Hospital,Shantou Guangdong 515000,China;General Medicine Department/Cancer Hospital of Shantou University Medical College,Shantou Guangdong 515000,China)

机构地区：[1]汕头大学医学院第一附属医院,广东汕头515000 [2]汕头市中心医院,广东汕头515000 [3]汕头大学医学院全科医学教研室/附属肿瘤医院,广东汕头515000

出　　处：《保健医学研究与实践》2022年第9期1-4,共4页Health Medicine Research and Practice

基　　金：汕头市科技局汕头防治新型冠状病毒肺炎专项计划项目(汕府科〔2020〕23号-22)。

摘　　要：目的调查新冠肺炎疫情暴发1年后医务人员心理健康情况及相关影响因素,以及时采取适当的心理干预措施,保护医务人员健康。方法面对广东省各层级医疗机构医务人员发放线上问卷,内容包括社会人口学特征、一般健康问卷(GHQ-12)、简化版创伤后应激障碍症状清单(PCL-6)。收集数据并对各项指标进行统计分析。结果共发放问卷600份,回收有效问卷519份。基层医疗机构调查对象创伤后应激障碍(PTSD)检出率为39.24%(144/367),低于综合医院调查对象的51.32%(78/152),且差异具有统计学意义(χ^(2)=6.406,P=0.011)。Logistic回归结果显示:家中是否有未成年孩子(OR=3.139;P=0.004)、医院层级(OR=3.902;P=0.009)是调查对象出现情绪困扰的影响因素;医院层级(OR=2.340;P=0.019)、工作年限为6~9年(相较于工作年限≤5年)(OR=0.396;P=0.021)、性别(OR=0.590;P=0.028)是调查对象出现PTSD的影响因素。结论工作单位和政府机构可以为那些面临精神问题的高风险人员提供适当的心理支持来消除他们的不良情绪。Objective To investigate the mental health status and correlation factors of medical staff 1 year after the outbreak of COVID-19 to take appropriate psychological interventions,in order to protect the health of medical staff.Methods An online questionnaire was distributed to the medical staff of medical institutions at all levels in Guangdong province,including sociodemographic characteristics,the general health questionnaire(GHQ-12),and simplified post-traumatic stress disorder(PTSD)checklist 6-item(PCL-6).Data were collected and statistical analyses on various indicators were performed.Results A total of 600 questionnaires were distributed and 519 valid questionnaires were collected.The detection rate of PTSD was 39.24%(144/367)in respondents from primary care institutions,which was lower than that in respondents from general hospitals(51.32%,78/152),and the difference was statistically significant(χ^(2)=6.406,P=0.011).Logistic regression results showed that whether there were minor children at home(OR=3.139;P=0.004)and hospital level(OR=3.902;P=0.009)were the influencing factors of emotional distress in respondents.The hospital level(OR=2.340;P=0.019),working years of 6-9 years(compared with working years≤5 years)(OR=0.396;P=0.021)and gender(OR=0.590;P=0.028)were the influencing factors of PTSD in respondents.Conclusion Organizations and government agencies can provide appropriate psychological support for those at high risk of mental problems to alleviate the distress.

关 键 词：COVID-19 医务人员 精神心理影响 相关因素 

分 类 号：R183.3[医药卫生—流行病学]