常态化疫情防控形势下广东省医务人员焦虑状况及其影响因素分析  

The anxiety status and its influencing factors of medical staff in Guangdong Province under the situation of normalized epidemic prevention and control

作　　者：肖晶晶 王旭辉[2] 刘宴伟[1] 颜斐斐[3] 阮景[1] 覃李姣[1] 林文璇[1] XIAO Jing-jing;WANG Xu-hui;LIU Yan-wei;YAN Fei-fei;RUAN Jing;QIN Li-jiao;LIN Wen-xuan(Department of Nursing,Guangdong Women and Children Hospital,Guangzhou 510010,Guangdong,China;不详)

机构地区：[1]广东省妇幼保健院护理部,广东广州510010 [2]广东省妇幼保健院党委办公室,广东广州510010 [3]广东省妇幼保健院儿科,广东广州510010

出　　处：《广东医学》2022年第10期1210-1217,共8页Guangdong Medical Journal

基　　金：广东省医学科研基金立项项目(B2022174)。

摘　　要：目的探讨常态化疫情防控形势下广东省医务人员焦虑状况及其影响因素,探讨大五人格、应对方式对焦虑的影响路径。方法采用一般资料问卷、中国大五人格问卷简式版、简易应对方式问卷、焦虑自评量表对广东省2896名医务人员开展横断面调查,并对数据进行统计描述、差异性比较、相关分析、回归分析和中介效应分析。结果广东省医务人员焦虑总标准分为(47.56±10.92)分,焦虑率为37.5%;医务人员焦虑与神经质人格、消极应对方式呈正相关(r=0.526、0.388,P<0.001),与严谨性、开放性、外向性、宜人性人格及积极应对方式呈负相关(r=-0.440、-0.355、-0.316、-0.426、-0.414,P<0.001);多重线性回归分析结果显示,职称、医院防疫类型、个人防疫工作、家庭收支、生育、居住社区曾有新冠病例及日常生活受影响的程度、大五人格、应对方式是焦虑的独立影响因素(P<0.05),可解释总变异的52.2%;应对方式在大五人格与焦虑间起部分中间效应,积极应对方式对大五人格的中介效应比消极应对方式更强。结论常态化疫情防控形势下广东省医务人员焦虑检出率仍处于较高水平,管理者应持续关注医务人员的心理状态,重视医务人员工作生活、人格特征和应对方式对焦虑的影响,及时提供个性化组织支持和心理援助,帮助医务人员以最适宜的状态面对疫情。Objective To analyze the anxiety situation of medical staff in Guangdong Province and its influencing factors under the situation of normalized epidemic prevention and control of COVID-19,and to explore the path that the Big Five Personality and the coping style influence anxiety.Methods We conducted a cross-sectional survey by using the general information questionnaire,the Chinese Big Five Personality Inventory brief version,the Simplified Coping Style Questionnaire,and the Self-Rating Anxiety Scale to investigate 2896 medical staff in Guangdong Province.The data were analyzed using statistical description,difference comparison,correlation analysis,regression analysis,and mediation effect analysis.Results The score of anxiety of medical staff in Guangdong Province was 47.56±10.92,and the anxiety rate was 37.5%.The anxiety of medical staff was positively correlated with neurotic personality and negative coping style(r=0.526 and 0.388,P<0.001);and was negatively correlated with conscientiousness,openness,extraversion,agreeableness personality and positive coping style(r=-0.440,-0.355,-0.316,-0.426,and-0.414,P<0.001).The results of multilinear regression analysis showed that job titles,hospital epidemic prevention types,personal epidemic prevention work,family income and expenditure,number of births,the degree of COVID-19 cases in the residential community and the degree of daily life affected,the big five personality,and the coping style were the independent influencing factors of anxiety(P<0.05),which could explain 52.2%of the total variation.The coping style played a partial intermediate effect between the big five personality and anxiety,and the mediating effect of the positive coping style on the Big Five Personality was stronger than the negative coping style.Conclusion Under the situation of normalized epidemic prevention and control,the anxiety detection rate of medical staff in Guangdong Province is still at a high level.Managers should continue to pay attention to the psychological state of medical staf

关 键 词：新型冠状病毒肺炎 医务人员 焦虑 大五人格 应对方式 

分 类 号：R563[医药卫生—呼吸系统] R195.1[医药卫生—内科学]