新型冠状病毒感染肺炎疫情1年后一线医护人员的情绪与睡眠状况及影响因素  

Emotion,Sleep Status and Influencing Factors of Front-line Medical Staff One Year after Novel Coronavirus Infection Pneumonia Epidemic

作　　者：甘雪莹 黄于博 孙伟伟 曹甜 刘晓铭 GAN Xueying;HUANG Yubo;SUN Weiwei;CAO Tian;LIU Xiaoming(Gansu Provincial Mental Health Center,Second People′s Hospital of Gansu Province,Lanzhou 730030,China)

机构地区：[1]甘肃省第二人民医院/甘肃省精神卫生中心,兰州730030

出　　处：《世界睡眠医学杂志》2024年第5期968-972,共5页World Journal of Sleep Medicine

基　　金：甘肃省卫生健康行业科研计划项目(GSWSKY2020-18)。

摘　　要：目的:研究武汉新型冠状病毒感染肺炎(COVID-19)疫情支援任务结束后1年,一线医护人员的抑郁、焦虑情绪与睡眠状况,探讨影响睡眠状况的潜在因素。方法:采用匹兹堡睡眠质量指数(PSQI)、广泛性焦虑障碍量表(GAD-7)、9项患者健康问卷(PQH-9)对2021年3月返回的130名甘肃省援助武汉一线医护人员进行线上匿名测评。结果:1)医护人员焦虑检出率为56.9%,抑郁检出率为63.1%。2)医护人员PSQI总分为(8.28±3.74)分,>7分者73名(56.2%)。其中医生PSQI总分为(7.20±4.20)分,护士PSQI总分为(8.48±3.64)分,医生与护士在睡眠质量上差异无统计学意义(P>0.05)。3)不同年龄的医护人员PSQI总分差异有统计学意义(P<0.05);4)医护人员焦虑、抑郁程度均与睡眠质量呈正相关。5)抑郁情绪是影响医护人员睡眠质量的主要因素。结论:部分援助武汉一线医护人员1年后存在明显的焦虑、抑郁情绪与睡眠问题,尤其年轻的医护人员睡眠问题更突出,应及时采取减少焦虑抑郁情绪和保持良好睡眠质量的预防措施。Objective:To study the depression,anxiety and sleep status of front-line medical staff one year after the end of the epidemic support mission of novel coronavirus in Wuhan,and explore the potential factors affecting sleep status.Methods:The Pittsburgh Sleep Quality Index Quantity Table PSQI,the Widespread Anxiety Disorder Scale GAD-7,and Nine Patient Health Questionnaires PQH-9 were conducted anonymously online on 130 frontline medical workers from the Gansu Province returning to Wuhan in March 2021.Results:1)The anxiety detection rate among frontline medical workers was 56.9%and depression was 63.1%.2)The total score of PSQI for medical staff is(8.28±3.74),with 73 people(56.2%)scoring above 7.The total score of doctor′s sleep quality was(7.20±4.20)points,and the total score of nurse′s sleep quality was(8.48±3.64)points.There was no statistically significant difference in sleep quality between doctors and nurses(P>0.05).3)There is a statistically significant difference in the total PSQI scores among medical staff of different ages(P<0.05).4)The degree of anxiety and depression of medical staff are positively related to the sleep quality.5)Depression is the main factor affecting the sleep quality of medical staff.Conclusion:After one year,some frontline medical staff in Wuhan had obvious anxiety,depression and sleep problems,especially young medical workers who had more prominent sleep problems,which indicated that it is necessary to pay attention to the continuous mental health of young medical workers after the aid to Hubei.

关 键 词：新型冠状病毒感染 医护人员 焦虑 抑郁 睡眠 

分 类 号：R512.99[医药卫生—内科学] R749.42[医药卫生—临床医学]