新冠病毒感染疫情期间北京市属医院不同岗位医务人员心理健康水平差异分析  

Post-specific difference in mental health among medical staff in Beijing during COVID-19 epidemic:an online survey

作　　者：刘胤岐 王喆[1,2] 张纯洁[1,2] 李岩 李欢 王倩 沙莎[1,2] 王存亮[3] LIU Yinqi;WANG Zhe;ZHANG Chunjie(Beijing Key Laboratory of Mental Disorders,National Clinical Research Center for Mental Disorders and National Center for Mental Disorders,Beijing Anding Hospital,Capital Medical University,Beijing 100088,China)

机构地区：[1]首都医科大学附属北京安定医院党委办公室、国家精神疾病医学中心、国家精神心理疾病临床医学研究中心、精神疾病诊断与治疗北京市重点实验室,北京100088 [2]人脑保护高精尖创新中心、首都医科大学 [3]北京市医院管理中心

出　　处：《中国公共卫生》2023年第4期421-425,共5页Chinese Journal of Public Health

摘　　要：目的了解新型冠状病毒(简称新冠病毒)感染疫情期间北京市不同岗位医务人员心理健康水平差异,为关心关爱医务人员提供循证依据。方法于2020年10-11月,在线调查北京市22家市属医院疫情期间外派支援和坚守本院一线、二线医务人员,采用广泛性焦虑量表(GAD-7)、患者健康抑郁症状群量表(PHQ-9)、失眠严重程度指数(ISI)评估医务人员心理健康状况,描述与比较北京市不同类别医务人员的心理健康水平现况,并使用logistic回归模型进行影响因素分析。结果共调查医务人员4931人,其中1603人(32.51%)发生焦虑情绪,1729人(35.06%)发生抑郁情绪,933人(18.92%)发生失眠。在二线医务人员、坚守本院一线医务人员、外派支援医务人员中,焦虑情绪、抑郁情绪、失眠状况的发生情况差异均有统计学意义(P<0.05)。logistic回归分析结果显示,疫情期间工作类型、年龄是焦虑和抑郁情绪的影响因素,疫情期间工作类型、年龄、受教育程度是失眠的影响因素。结论不同岗位医务人员疫情期间心理健康水平存在差异,长期坚守本院一线医务人员心理健康问题最突出。Objective To analyze the difference in mental health status among medical staff working at different posts in Beijing city during coronavirus disease 2019(COVID-19)epidemic.Methods An online questionnaire survey was conducted among 5230 medical staff recruited with random cluster sampling at 22 public hospitals in Beijing city during October–November 2020.Psychological status of the stuff working at different posts during the COVID-19 epidemic was assessed with Patient Health Questionnaire(PHQ-9),7-Item Generalized Anxiety Disorder Scale(GAD-7)and Insomnia Severity Index(ISI).Descriptive analysis and one-way analysis of variance were adopted in data analyses.Results Of the 4931 staff with valid responses,1603(32.51%)were assessed as having anxiety,1729(35.06%)having depressive symptoms,933(18.92%)having insomnia during the epidemic period.The detection rate of anxiety,depression and insomnia differed significantly among the staff working at second-/front-line posts in their hospitals formerly belonged to and the staff dispatched to other medical institutions for anti-epidemic work(P<0.05).The results of logistic regression analysis showed that the type of working post and age were influencing factors of anxiety and depression;while the type of working post,age and education were the influencing factors of insomnia.Conclusion The mental health status varied among medical staff working at different posts in Beijing city during COVID-19 epidemic and poor mental health could be detected most frequently among the staff working at front-line posts in their original hospitals.

关 键 词：新型冠状病毒感染 医务人员 心理健康 

分 类 号：R395.6[哲学宗教—心理学]