突发公共卫生事件中一线医护人员的心理弹性、创伤后应激障碍与生活质量相关性研究  

Correlation between resilience,post-traumatic stress disorder and quality of life of front-line medical staff in public health emergencies

作　　者：朱白鹭 刘欢 钟清玲[3] 李远珍 侯秀芳 陶秀彬[4] ZHU Bailu;LIU Huan;ZHONG Qingling;LI Yuanzhen;HOU Xiufang;TAO Xiubin(School of Nursing,Wannan Medical College,Wuhu 241002,China;Department of Hemodialysis,Yijishan Hospital,Wannan Medical College;School of Nursing,Nanchang University;Department of Nursing,Yijishan Hospital,Wannan Medical College)

机构地区：[1]皖南医学院护理学院,安徽芜湖241002 [2]皖南医学院弋矶山医院血液净化中心 [3]南昌大学护理学院 [4]皖南医学院弋矶山医院护理部

出　　处：《沈阳医学院学报》2024年第1期43-47,52,共6页Journal of Shenyang Medical College

基　　金：皖南医学院中青年科学基金(No.WKS202004);芜湖市新型冠状病毒肺炎疫情防控科技公关应急项目(No.2020rkl-5)。

摘　　要：目的:探讨突发公共卫生事件中一线医护人员创伤后应激障碍(PTSD)、心理弹性及生活质量的相关性。方法:2020年11月至12月,采用一般人口学调查表、心理弹性量表简化版、PTSD自评量表-5、简易生活质量评定量表对武汉市4所新型冠状病毒肺炎定点收治医院的医护人员进行调查。PTSD、生活质量、心理弹性的相关性采用Spearman相关分析。采用分层回归分析法对心理弹性、PTSD与生活质量的关系进行分析。结果:共回收问卷545份,其中有效问卷533份,有效率为97.8%。医护人员心理弹性量表、PTSD自评量表、生活质量量表得分分别为26(20,30)分、17(8,25)分、20(18,23)分。13.1%(70/533)的医护人员PTSD症状明显。不同性别、职业、PTSD水平的医护人员生活质量得分,差异有统计学意义(P<0.05)。Spearman相关分析显示,PTSD得分与生活质量得分、心理弹性得分均呈负相关(r=-0.488、r=-0.464,P<0.01);心理弹性得分与生活质量得分呈正相关(r=0.578,P<0.01)。心理弹性和PTSD是生活质量的重要预测变量,解释量为37.0%。结论:PTSD是生活质量的危险因素,心理弹性是生活质量的保护因素。在突发公共卫生事件中应通过提升医护人员的心理弹性、预防和治疗PTSD提升其生活质量。Objective:To explore the correlation between post-traumatic stress disorder(PTSD),resilience and quality of life of front-line medical staff in public health emergencies.Methods:From Nov to Dec 2020,the medical staff of 4 COVID-19 designated hospitals in Wuhan were investigated with the general demographic questionnaire,10-item Connor-Davidson Resilience Scale,PTSD Checklist for DSM-5 and Simplify Qualify of Life Scale.Spearman correlation analysis and hierarchical regression analysis were used to investigate the correlation between PTSD,resilience and quality of life.Results:A total of 545 questionnaires were collected in this survey and the valid effective rate was 97.8%(533/545).The score of psychological resilience,PTSD and quality of life of medical staff were 26(20,30),17(8,25),and 20(18,23),respectively.And 13.1%(70/533)of medical staff had obvious PTSD symptoms.There were significant differences in the score of quality of life among medical staff with different genders,occupations and PTSD levels.Spearman correlation analysis results showed that the score of PTSD was negatively correlated with quality of life and psychological resilience(r=-0.488 and-0.464,P<0.01).The score of psychological resilience was positively correlated with the score of quality of life(r=0.578,P<0.01).Psychological resilience and PTSD were important predictors of quality of life,with an explanatory capacity of 37.0%.Conclusions:PTSD is a risk factor for quality of life,and psychological resilience is a protective factor for quality of life.In public health emergencies,improving psychological resilience,preventing and treating PTSD can improve the quality of life of medical staff.

关 键 词：创伤后应激障碍 生活质量 心理弹性 

分 类 号：R473.74[医药卫生—护理学]