新型冠状病毒感染疫情背景下慢性疾病患者住院期间心理健康状况及影响因素分析  

Mental health status and influencing factors of patients with chronic diseases in hospitalization under the background of COVID-19 epidemic

作　　者：任燕茹 张洋洋 史明霞[1] 周梅 俞岚[1] REN Yanru;ZHANG Yangyang;SHI Mingxia;ZHOU Mei;YU Lan(The First Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650032,China;School of Public Health,Kunming Medical University,Kunming,Yunnan 650504,China)

机构地区：[1]昆明医科大学第一附属医院,云南昆明650032 [2]昆明医科大学公共卫生学院,云南昆明650504

出　　处：《现代医药卫生》2023年第9期1532-1538,共7页Journal of Modern Medicine & Health

基　　金：云南省社会科学界联合会哲学社会科学规划科普项目(SKPJ202026)。

摘　　要：目的通过研究新型冠状病毒感染(新冠病毒感染)疫情背景下慢性非传染性疾病(慢性疾病)患者住院期间心理健康状况及影响因素,为医疗机构在疫情环境下改善慢性疾病患者负性心理状况、促进其全面康复提供依据和参考。方法采取方便抽样法选取昆明医科大学第一附属医院2021年8—9月收治的276例慢性疾病住院患者为研究对象,结合社会支持评定量表、焦虑自评量表、抑郁自评量表自行设计问卷进行调查,收集数据进行统计分析。结果276例慢性疾病住院患者负性心理表现明显,抑郁阳性检出率为30.43%(84/276),焦虑阳性检出率为18.12%(50/276),13.77%(38/276)的焦虑阳性患者同时具有抑郁症状。慢性疾病住院患者社会支持水平与焦虑、抑郁得分呈负相关(r=-0.141、-0.220,P<0.05),其中25.72%(71/276)患者社会支持水平较差。患者焦虑的最主要影响因素为平均住院时间(P<0.05),患者抑郁的最主要影响因素有住院手续与无疫情时相比情况、平均住院时间、社会支持水平、个人饮酒史等(P<0.05)。结论新冠病毒感染疫情背景下慢性疾病住院患者焦虑、抑郁阳性检出率均高于非疫情时期,焦虑、抑郁症状严重程度以轻、中度为主,提示医疗机构在疫情防控期间应加强对此类患者心理健康的关注,通过提前性、综合性手段进行干预,加强健康宣教与心理疏导,促进患者全面康复。Objective To study the mental health status and influencing factors of patients with chronic non-infectious diseases(chronic diseases)during hospitalization under the background of COVID-19 epidemic,so as to provide a basis and reference for medical institutions to improve the negative mental status of patients with chronic diseases and promote their comprehensive rehabilitation under the epidemic environment.Methods A total of 276 inpatients with chronic diseases admitted to the First Affiliated Hospital of Kunming Medical University from August to September 2021 were selected by the method of convenience sampling as the research objects.A self-designed questionnaire combined with the Social Support Rating Scale,self-rating Anxiety Scale and Self-rating Depression Scale were used to investigate the patients.Data were collected and analyzed statistically.Results The results of this study showed that the 276 inpatients with chronic diseases had obvious negative psychological manifestations,and the positive detection rate of depression was 30.43%(84/276),the positive detection rate of anxiety was 18.12%(50/276),and 13.77%(38/276)of the positive patients with anxiety also had depressive symptoms.The social support level of inpatients with chronic diseases was negatively correlated with the scores of anxieties and depression(r=-0.141,-0.220,P<0.05),among which 25.72%(71/276)of patients had poor social support level.The most important influencing factors of anxiety were the average length of hospital stay(P<0.05),and the most important influencing factors of depression were hospitalization procedures compared with no epidemic,average length of hospital stay,social support level,personal drinking history,etc(P<0.05).Conclusion In the background of COVID-19 epidemic,the positive detection rates of anxiety and depression in hospitalized patients with chronic diseases were higher than those in non-COVID-19 epidemic periods,and the severity of anxiety and depression symptoms were mainly mild or moderate.It is suggested tha

关 键 词：新型冠状病毒感染 慢性非传染性疾病 住院患者 焦虑 抑郁 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]