急性呼吸系统传染病流行期间医疗工作人员焦虑和抑郁状况调查及影响因素分析  

Anxiety and Depression of Healthcare Workers and Analysis of Influencing Factors during the Epidemic of Acute Respiratory Infectious Diseases

作　　者：刘璐[1] 赵彦[2] Liu Lu;Zhao Yan(Department of Anesthesiology Operating Room,Beijing Chaoyang Hospital Affiliated to Capital Medical University,Beijing 100020,China;不详)

机构地区：[1]首都医科大学附属北京朝阳医院麻醉科手术室,北京市100020 [2]首都医科大学附属北京朝阳医院、北京市呼吸疾病研究所,胸外科,北京市100020

出　　处：《中国病案》2023年第12期109-112,共4页Chinese Medical Record

摘　　要：目的调查急性呼吸系统传染病流行期间医疗工作人员焦虑和抑郁状况,寻找不良情绪影响因素,为能及时识别高危心理健康人员提供帮助。方法采用抑郁自测量表、广泛性焦虑量表、领悟社会支持量表,于2022年12月8日-2023年2月28日对某院242位医疗工作人员以问卷调查的方式统计其急性呼吸系统传染病流行期间焦虑,抑郁状态情况,并找出不良情绪影响因素。计数资料比较采用卡方检验或Fisher确切概率法,等级资料比较采用Kruskal-Wallis秩和检验。结果共242例医务工作者接受问卷调查,其中PHQ-9抑郁自测量表显示无抑郁状态58例,占24%;轻微抑郁状态96例,占39.7%;中度抑郁状态58例,占24%;中重度抑郁状态26例,占10.7%;重度抑郁状态4例,占1.7%。GAD-7量表显示无焦虑者108例,占44.6%;轻度焦虑者86例,占35.5%;中度焦虑者26例,占10.7%;重度焦虑者22例,占9.1%。单因素分析发现社会支持是新冠流行期间焦虑、抑郁情绪发生的影响因素,低社会支持状态受试者较高支持状态患者更易发生心理健康问题,P<0.05。结论急性呼吸系统传染病流行期间医疗工作人员焦虑及抑郁情绪普遍存在,社会支持程度是影响医务工作者心理健康问题的影响因素。应大力推广医院对医务工作者心理调查并增设疏导工作,缓解不良情绪。Objectives To investigate the anxiety and depression of medical staff during the epidemic of acute respiratory infectious diseases,and find the influencing factors of negative emotions,so as to provide help for identifying high-risk mental health personnel in time.Methods A questionnaire survey was administered to 242 medical staff at a hospital during the COVID-19 epidemic period and influenza A virus infection from December 8th,2022,to February 28th,2023,utilizing the Self-rating Depression Scale(PHQ-9),Generalized Anxiety Disorder Scale(GAD-7),and Perceived Social Support Scale(PSSS).The purpose of the study was to investigate factors that contribute to depressed mood.The chi-square test or Fisher's exact test was employed for comparing count data,and the Kruskal-Wallis rank sum test was used to compare ranked data.A p-value of less than 0.05 was deemed statistically significant.Results A total of 242 healthcare workers received a questionnaire survey,of which the PHQ-9 showed that there were 58 cases of non-depression(24%),96 cases of mild depression(39.7%),58 cases of moderate depression(24%),26 cases of moderate and severe depression(10.7%),and 4 cases of severe depression(1.7%).The GAD-7 scale showed that there were 108 cases of non-anxiety(44.6%),86 cases of mild anxiety(35.5%),and 26 cases of moderate anxiety(10.7%),22 cases(9.1%)had severe anxiety.We found that social support was the influencing factor of anxiety and depression during the prevalence of COVID-19,and that subjects with low social support status were more likely to develop mental health problems than patients with high support status(P<0.05).Conclusions Anxiety and depression of healthcare workers were widespread during the epidemic period of acute respiratory infectious diseases,and the degree of social support was the influencing factor of mental health problems of healthcare workers.We should vigorously promote the psychological investigation of medical workers in hospitals and add counseling work to alleviate bad emotions.Only in this

关 键 词：急性呼吸系统传染病 医务工作者 心理健康 社会支持 

分 类 号：R395.6[哲学宗教—心理学]