海南省COVID-19疫情期间三亚方舱医院患者焦虑和抑郁现患率及影响因素  

A study on the prevalence rate of anxiety and depression status and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Hainan

作　　者：陈浩 李皓炜 李雪航 杨磊[3,4] 叶子凤 王盛书 杨姗姗[6] 陈仕敏 刘少华 李蓉蓉[3] 杨钧涵 李怀昊 鲍颖慧 石岳庭 王建华[3] 刘淼[2] 何耀[3,7] CHEN Hao;LI Haowei;LI Xuehang;YANG Lei;YE Zifeng;WANG Shengshu;YANG Shanshan;CHEN Shimin;LIU Shaohua;LI Rongrong;YANG Junhan;LI Huaihao;BAO Yinghui;SHI Yueting;WANG Jianhua;LIU Miao;HE Yao(Healthcare Office of Medicial Service Department,Hainan Hospital,Chinese People′s Liberation Army General Hospital,Sanya 572013,China;Department of Statistics and Epidemiology,Graduate School of People′s Liberation Army General Hospital,Beijing 100853,China;Institute of Geriatrics,Beijing Key Laboratory of Aging and Geriatrics,National Clinical Research Center for Geriatric Disease,2nd Medical Center,Chinese People′s Liberation Army General Hospital&Chinese People′s Liberation Army Medical Academy,Beijing 100853,China;Healthcare Office of Chinese People′s Liberation Army General Hospital,Beijing 100853,China;Department of Medical Psychology of Hainan Hospital,Chinese People′s Liberation Army General Hospital,Sanya 572013,China;Department of Disease Prevention and Control,First Medical Center of People′s Liberation Army General Hospital,Beijing 100853,China;State Key Laboratory of Kidney Diseases,Beijing 100853,China)

机构地区：[1]解放军总医院海南医院卫勤部保健工作办公室,三亚572013 [2]解放军总医院研究生院,北京100853 [3]解放军总医院第二医学中心老年医学研究所,国家老年疾病临床医学研究中心,衰老与相关疾病研究北京市重点实验室,北京100853 [4]解放军总医院保健工作办公室,北京100853 [5]解放军总医院海南医院心理医学科,三亚572013 [6]解放军总医院第一医学中心疾病预防控制科,北京100853 [7]解放军总医院肾脏疾病国家重点实验室,北京100853

出　　处：《中华疾病控制杂志》2023年第11期1282-1288,1313,共8页Chinese Journal of Disease Control & Prevention

基　　金：海南省重大科技计划(ZDKJ2019012);国家重点研发计划(2022YFC2503605)。

摘　　要：目的调查海南省COVID-19疫情期间三亚方舱医院COVID-19患者的焦虑和抑郁现患率及相关影响因素。方法2022年8―10月,通过问卷星网络平台对收治于海南省三亚第二方舱医院的COVID-19轻型患者和无症状感染者进行心理状况问卷调查。焦虑及抑郁的判定及严重程度分别通过焦虑自评量表和抑郁自评量表评估。采用多因素logistic回归分析模型分析影响焦虑、抑郁发生的因素。结果在纳入的569例患者中,焦虑和抑郁的整体检出率分别为14.9%和55.4%,以轻、中度为主。多因素logistic回归分析模型分析结果显示,女性、已婚者、饮酒及存在既往慢性病病史的患者更易出现焦虑情绪(均P<0.05)。已婚者、体力劳动者及独居者更易出现抑郁情绪,而经常参加体育锻炼者出现抑郁情绪的风险较低(均P<0.05)。结论COVID-19疫情期间,方舱医院内患者焦虑和抑郁不良情绪的患病率高,对高风险人群的不良心理状况应依据高危和诱发因素进行早期识别及干预。Objective To investigate the anxiety and depression status of asymptomatic and light COVID-19 patients admitted to Fangcang shelter hospitals in Hainan during the COVID-19 outbreak,and analyze the related influencing factors.Methods From August to October 2022,an online survey of anxiety and depression status using the Questionnaire Star program was conducted.The severity of anxiety and depression were assessed by Self-Rating Anxiety Scale and Self-Rating Depression Scale,respectively.A multivariable logistic regression model was used to analyze the influencing factors.Results Of the 569 patients included,14.9%and 55.4%had COVID-19-related anxiety and depression symptoms,mainly mild and moderate.Multivariable logistic regression analysis showed that female sex,being married,alcohol consumption and past medical history were independent risk factors for anxiety symptoms(all P<0.05).Additionally,being married,manual occupation and living alone were risk factors,while frequent physical exercises appeared as protective factors(all P<0.05)related to depression symptoms.Conclusions The COVID-19 outbreak resulted in a related widespread increase in anxiety and depression in patients admitted to Fangcang shelter hospitals,and early identification and intervention of adverse psychological status in high-risk groups should be achieved.

关 键 词：新型冠状病毒感染 方舱医院 焦虑 抑郁 不良情绪 

分 类 号：R181[医药卫生—流行病学]