基于Response模式对方舱医院新型冠状病毒感染轻症患儿不良情绪及睡眠质量的干预研究  

Intervention of unhealthy mood and sleep quality in children with mild COVID-19 in makeshift hospital based on the response mode

作　　者：封蕾 张宏雁[3] 徐霞 黄志玉 李萍 罗丽珍 蔡明玉 FENG Lei;ZHANG Hongyan;XU Xia;HUANG Zhiyu;LI Ping;LUO Lizhen;CAI Mingyu(Department of Nephrology,Army Medical Center of PLA,Chongqing,400042;Office of Teaching Affairs of Department of Medical Research,Army Medical Center of PLA,Chongqing,400042;Department of Academic Affairs,Army Medical University(Third Military Medical University),Chongqing,400038,China;Department of Nursing,Army Medical Center of PLA,Chongqing,400042)

机构地区：[1]陆军特色医学中心肾内科,重庆400042 [2]陆军特色医学中心肾内科医研部教学办,重庆400042 [3]陆军军医大学(第三军医大学)教务处,重庆400038 [4]陆军特色医学中心肾内科护理部,重庆400042

出　　处：《陆军军医大学学报》2023年第10期1109-1113,共5页Journal of Army Medical University

基　　金：重庆市科卫联合医学科研项目重大项目(2022DBXM004)。

摘　　要：目的探讨基于Response模式对方舱医院新型冠状病毒感染轻症患儿不良情绪及睡眠质量干预的价值。方法采用自身前后对照设计方案,以方便抽样法抽取2022年4月19日至5月10日入住于国家会展中心(上海)方舱医院第一分院隔离的111例新冠感染轻症患儿为研究对象,以心理危机Response模式干预,采用线上问卷调查工具问卷星收集数据,对比分析干预前后一般资料、COVID-19恐惧量表(COVID-19 Phobia Scale,C19P-S)、Spence儿童焦虑量表中文版(Spence Children’s Anxiety Scale,SCAS)和匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)等指标。结果患儿入组时C19P-S测评总分为(66.91±7.79)分,干预后量表测评总分为(58.15±8.37)分,心理评分(t=5.938,P<0.01,95%CI:2.739~5.781)、身体评分评分(t=4.410,P<0.01,95%CI:1.266~4.074)及总体(t=8.065,P<0.01,95%CI:6.423~11.097)均低于干预前。患儿入组时SCAS测评总分为(82.97±11.44)分,干预后量表测评总分为(74.00±10.90)分,其中分离焦虑(t=4.091,P<0.01,95%CI:0.866~2.834)、躯体伤害恐惧(t=3.527,P=0.001,95%CI:0.524~2.396)、广泛性焦虑(t=5.529,P<0.01,95%CI:1.431~3.309)和总分(t=5.982,P<0.01,95%CI:5.538~12.402)均低于干预前。患儿入组时PSQI测评总分为(6.13±2.59)分,干预后量表测评总分为(4.98±2.47)分,其中睡眠质量(t=2.943,P=0.004,95%CI:0.051~0.309)、入睡时间(t=2.605,P=0.010,95%CI:0.021~0.459)、睡眠效率(t=2.772,P=0.006,95%CI:0.123~0.957)和总分(t=3.385,P=0.001,95%CI:0.373~1.927)均低于干预前。结论基于Response模式的管理能够改善方舱医院新冠感染轻症患儿的不良情绪及睡眠质量,对干预患儿心理问题有一定的参考价值。Objective To explore the role of response mode in the intervention of unhealthy mood and sleep quality in children with mild COVID-19 in makeshift hospitals.Methods A total of 111 children with mild symptoms of COVID-19 were recruited from the first Branch of the makeshift hospital located in National Convention and Exhibition Center(Shanghai)between April 19 and May 10 of 2022 by convenient sampling.This self-pre-and post-control study used response model of psychological crisis to perform intervention.Relevant scales were collected before and after the intervention,including self-designed general information questionnaire,COVID-19 fear Scale,Chinese version of Spence Children's Anxiety Scale and Pittsburgh sleep quality index(PSQI).Data were collected using the electronic survey tool and were compared by the pre-and post-matching sample comparison method.Results The total score of C19P-S was 66.91±7.79.After Response mode intervention,the total score of C19P-S was 58.15±8.37.Psychological score(t=5.938,P<0.01,95%CI:2.739~5.781),body score(t=4.410,P<0.01,95%CI:1.266~4.074)and overall score(t=8.065,P<0.01,95%CI:6.423~11.097)of the children after intervention were lower than those before the intervention.The total score of SCAS was 82.97±11.44,and the score was 74.00±10.90 after the response mode intervention.The separation anxiety(t=4.091,P<0.01,95%CI:0.866~2.834),physical injury fear(t=3.527,P=0.001,95%CI:0.524~2.396),generalized anxiety(t=5.529,P<0.01,95%CI:1.431~3.309)and overall score(t=5.982,P<0.01,95%CI:5.538~12.402)after the intervention were lower than those before the intervention.The score of PSQI was 6.13±2.59,and the score was 4.98±2.47 after the intervention.The sleep quality(t=2.943,P=0.004,95%CI:0.051~0.309),the time of falling asleep(t=2.605,P=0.010,95%CI:0.021~0.459),sleep efficiency(t=2.772,P=0.006,95%CI:0.123~0.957)and overall(t=3.385,P=0.001,95%CI:0.373~1.927)after the intervention were lower than before the intervention.Conclusion The response mode can improve the unhealthy mood and sle

关 键 词：新型冠状病毒 儿童 方舱医院 心理社会干预 Response模式 

分 类 号：R197.8[医药卫生—卫生事业管理] R395.1[医药卫生—公共卫生与预防医学] R725.631[哲学宗教—心理学]