新冠肺炎隔离人员心理健康状况及影响因素分析  

Study on status of mental health and influencing factors of quarantined personnel under COVID-19

作　　者：李鹏[1] 王孟颖 陈会杰[1] 孙炜[2] 孙百军[1,2] LI Peng;WANG Meng-ying;CHEN Huijie;SUN Wei;SUN Bai-jun(Administrative Of fice,Shenyang City Center for Disease Control and Prevention,Liaoning 110015,China;School of Public Health,China Medical University)

机构地区：[1]沈阳市疾病预防控制中心办公室,辽宁110015 [2]中国医科大学公共卫生学院

出　　处：《预防医学论坛》2023年第2期124-129,共6页Preventive Medicine Tribune

摘　　要：目的调查新型冠状病毒肺炎(以下简称新冠肺炎)疫情期间隔离人员的心理健康状况及影响因素,为及时给予心理干预提供依据。方法选择辽宁省沈阳市2022年3-4月新冠肺炎疫情期间被隔离的医学观察人员493名,包括医院隔离、酒店集中隔离和居家隔离医学观察者。分别使用失眠严重指数量表(ISI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评估隔离人员的心理健康状况,采用单因素分析及多因素分析方法探讨失眠、焦虑、抑郁发生的影响因素。结果493名隔离人员中,失眠、焦虑、抑郁检出率分别为34.3%、14.4%、38.9%。文化程度为小学及以下(O R=0.084,95%CI:0.010~0.680)是失眠的保护因素,自认需要心理疏导(O R=4.531,95%CI:2.014~10.194)是失眠的危险因素;患有躯体疾病(O R=1.977,95%CI:1.027~3.806)、自认需要心理疏导(O R=11.286,95%CI:5.051~25.218)是焦虑的危险因素,对隔离场所的各项服务非常满意(O R=0.193,95%CI:0.062~0.605)和比较满意(O R=0.274,95%CI:0.084~0.886)是焦虑的保护因素;文化程度为初中(O R=1.981,95%CI:1.212~3.237)、对新冠肺炎疫情相关新闻非常关注(O R=5.653,95%CI:1.167~27.394)、自认需要心理疏导(O R=5.380,95%CI:2.427~11.929)是抑郁的危险因素。结论新冠肺炎疫情期间隔离人员易出现失眠、焦虑及抑郁等心理健康状况,文化程度、患躯体疾病史、对隔离场所服务的满意度、对新冠肺炎疫情相关新闻关注度以及隔离人员自身对心理疏导的需求等因素对其心理健康有影响。Objective To investigate the mental health status and influencing factors of quarantined persons during COVID-19 epidemic,so as to provide reference for timely psychological intervention.Methods A total of 493 medical observers who were quarantined during the COVID-19 epidemic from March to April 2022 in Shenyang city,Liaoning province were selected,including hospital quarantine,centralized hotel quarantine and home quarantine medical observers.Insomnia Severity Index(ISI),Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)were used to investigate the status of insomnia,anxiety and depression in quarantined people.Descriptive analysis,univariate analysis and multivariate analysis were used to explore the relevant influencing factors.Results Among 493 quarantined persons,the detection rate of insomnia symptom was 34.3%,anxiety symptom was 14.4%,depression symptom was 38.9%.Logistic regression analysis showed that primary school education(OR=0.084,95%CI:0.010,0.680)was a protective factor for insomnia,and self-perceived need for psychological counseling(OR=4.531,95%CI:2.014,10.194)was a risk factor for insomnia.Patients with physical diseases(OR=1.977,95%CI:1.027,3.806)and self-perceived need for psychological counseling(OR=11.286,95%CI:5.051,25.218)were risk factors for anxiety,and they were very satisfied with various services in the quarantined people(OR=0.193,95%CI:0.062,0.605)and relative satisfaction(OR=0.274,95%CI:0.084,0.886)were protective factors for anxiety.Education level in junior high school(OR=1.981,95%CI:1.212,3.237),pay close attention to news related to COVID-19(OR=5.653,95%CI:1.167,27.394),self-perceived need for psychological counseling(OR=5.380,95%CI:2.427,11.929)were risk factors for depression.Conclusion During the COVID-19 epidemic period in Shenyang city,quarantined people are prone to insomnia,anxiety,depression and other mental health conditions.Factors such as education level,history of physical illness,satisfaction with quarantine site services,attention to news related

关 键 词：新型冠状病毒肺炎 隔离人员 失眠 焦虑 抑郁 

分 类 号：R563.1[医药卫生—呼吸系统]