2022年度新冠疫情防控放开后感染一线医务人员心理状况调查  

Psychological status of first-line health care workers after COVID-19 epidemic at the end of 2022

作　　者：岳天洋 康利红[1] YUE Tian-yang;KANG Li-hong(Xuanwu Hospital.Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院感染性疾病科,北京100053

出　　处：《中华医院感染学杂志》2024年第16期2531-2535,共5页Chinese Journal of Nosocomiology

基　　金：北京市高层次公共卫生技术人才建设项目(2022-3-007)。

摘　　要：目的调查疫情管控初步放开时期一线医务人员新型冠状病毒(简称新冠病毒)感染后生理及心理健康状况,为新冠病毒感染全球大流行事件后,一线医务人员生理及心理干预提供依据。方法选取2022年12月15日-2023年1月15日来自首都医科大学宣武医院感染新冠病毒的320名一线医务人员为调查对象,运用定量研究方式进行信息收集,采用自制调查表收集医务人员一般资料,采用6分钟步行试验(6MWD)测试医务人员心功能情况,采用焦虑自评量表(SAS)和抑郁筛查量表(PHQ-9)收集医务人员焦虑和抑郁症状。结果本研究共发放320份问卷,其中有效问卷320份,有效率为100.00%;心功能不达标9名,其中轻度7名,中度1名,重度1名;出现焦虑症状160名(50.00%),出现抑郁症状35名(10.94%),多因素Logistic回归分析显示:女性(OR=2.989)、已婚(OR=33.958)、未参与过其他公共卫生事件(OR=50.092)、健康状况差(OR=121.657)、感染后仍有临床症状(OR=40.576),均为医务人员发生焦虑症状的影响因素(P<0.05);健康状况差(OR=6.920)为医务人员发生抑郁症状的影响因素(P<0.05)。结论常态化疫情防控期间一线医务人员工作强度大、风险高,易出现生理和心理问题,应得到更多的关心关注,及早提供有效的干预措施,确保一线医务人员身心健康。OBJECTIVE To investigate the physical and mental health status of frontline medical staff after SARSCoV-2 infection during corona virus disease 2019(COVID-19)restrictions have been initially lifted,and to provide basis for the physical and psychological intervention of frontline medical staff after COVID-19 pandemic.METHODS A total of 320 frontline medical staff infected with SARS-CoV-2 from Xuanwu Hospital of Capital Medical University between Dec 15th,2022 and Jan 15th,2023 were investigated.Quantitative research was used to collect information.Self-made questionnaires were used to collect general information of medical staff.Six-minute walk test(6MWD)was used to test the cardiac function of medical staff,and self-rating anxiety scale(SAS)and patient health questionnaire 9(PHQ-9)depression scale questionnaire were used to collect anxiety and depression symptoms of medical staff.RESULTS A total of 320 questionnaires were distributed,of which 320 were valid,with a 100.00%effective rate.There were 9 cases with inadequate cardiac function,including 7 cases with mild symptoms,1 case with moderate symptoms,and 1 case with severe symptoms.160 cases(50.00%)experienced anxiety symptoms and 35 cases(10.94%)experienced depression symptoms.Multivariate logistic regression analysis showed that female(OR=2.989),married(OR=33.958),no involvement in other public health events(OR=50.092),poor health status(OR=121.657),and still having clinical symptoms after infection(OR=40.576)were all influencing factors for the occurrence of anxiety symptoms among medical staff(P<0.05).Poor health status(OR=6.920)was a risk factor for the occurrence of depressive symptoms among healthcare workers(P<O.05).CONCLUSION During regular epidemic prevention and control,frontline medical personnel have high work intensity and risks,and are prone to physiological and psychological problems.They should receive more attention and attention,and effective intervention measures should be provided early to ensure the physical and mental health of frontline

关 键 词：医务人员 新冠病毒感染 焦虑症状 心理干预 问卷调查 疫情防控 

分 类 号：R197.323[医药卫生—卫生事业管理]