新型冠状病毒感染疫情下发热门诊医护人员身心健康的影响因素及平衡点穴的干预作用  

Contributory Factors of Physical and Mental Health of Medical Staff in Fever Clinic Under COVID-19 Pandemic and Intervention Effect of Balanced Acupoints Massage

作　　者：王兰 陈雁 郭权来[3] 王进忠[3] 童俊生 郑珊珍[3] 覃小兰[3] WANG Lan;CHEN Yan;GUO Quanlai;WANG Jinzhong;TONG Junsheng;ZHENG Shanzhen;QIN Xiaolan(The Second Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510405,China;School of Basic Medical Sciences,Guangzhou University of Chinese Medicine,Guangzhou Guangdong 510006,China;Guangdong Provincial Hospital of Chinese Medicine,Guangzhou Guangdong 510120,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广州中医药大学基础医学院,广东广州510006 [3]广东省中医院,广东广州510120

出　　处：《新中医》2024年第22期135-141,共7页New Chinese Medicine

基　　金：广州民政科技基金(2021MZK25)。

摘　　要：目的:分析新型冠状病毒感染疫情下发热门诊医护人员身心健康的影响因素,观察平衡点穴按压对医护人员身心健康的干预作用。方法:将170例医护人员分为空白组60例及治疗组110例,空白组不进行任何干预,治疗组进行平衡点穴按压,根据总的治疗天数将治疗组进一步分为低频治疗组(治疗天数<20 d)及高频治疗组(治疗天数≥20d),观察平衡点穴的干预作用。统计医护人员年龄、性别、岗位等基线资料,比较3组匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)及健康调查简表(SF-36)评分。结果:护士SAS、SDS评分均高于医师,每周运动次数<3次的医护人员PSQI评分高于每周运动次数≥3次的医护人员,差异均有统计学意义(P<0.05)。护士与医师PSQI、SF-36评分比较,以及每周运动次数≥3次的医护人员与每周运动次数<3次的医护人员SAS、SDS、SF-36评分比较,差异均无统计学意义(P>0.05)。性别、每周运动次数对PSQI评分的影响,岗位、每次运动时长对SAS评分的影响,以及岗位对SDS评分的影响,差异均有统计学意义(P<0.05)。3组PSQI、SDS、SF-36评分时间效应差异均有统计学意义(P<0.05),SAS评分时间效应差异无统计学意义(P>0.05)。3组上述4项评分组间效应差异均无统计学意义(P>0.05)。结论:新型冠状病毒感染疫情期间,发热门诊医护人员存在身心健康不良的情况,但随着时间进展,不良身心状况逐渐改善;医护人员中女性的睡眠质量优于男性,护士较医师焦虑、抑郁更明显,运动可改善睡眠质量及焦虑状态;平衡点穴按压对身心健康的影响有限,可能与干预时间过短及纳入样本量较少有关。Objective:To analyzed the contributory factors of the physical and mental health of medical staff in fever clinic under the COVID-19 pandemic,and observe the intervention effect of balanced acupoints massage on the physical and mental health of medical staff.Methods:A total of 170 medical staff were divided into in the blank group and the treatment group,with 60 and 110 cases in each group.The blank group was not given any intervention,and the treatment group was treated with balanced acupoints massage.According to the total treatment days,the treatment group was further divided into the low-frequency treatment group(treatment days<20)and the high-frequency treatment group(treatment days≥20)to observe the intervention effect of balanced acupoints massage.Baseline data such as age,gender and position of medical staff were collected.The scores of Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and 36-Item Short Form Health Survey(SF-36)were compared among the three groups.Results:The scores of SAS and SDS of nurses were higher than those of doctors,and the PSQI scores of medical staff with less than three times of exercise per week was higher than those of medical staff with more than or equal to three times of exercise per week,differences were significant(P<0.05).There was no significant difference being found in the comparisons of scores of PSQI and SF-36 between nurses and physicians,and of scores of SAS,SDS and SF-36 between medical staff with more than or equal to three times of exercise per week and medical staff with less than three times of exercise per week(P>0.05).There were significant differences in the effects of gender and weekly exercise frequency on PSQI score,the effects of position and duration of each exercise on SAS score,and the effects of position on SDS score(P<0.05).There were significant differences in the time effects of scores of PSQI,SDS and SF-36 among the three groups(P<0.05),and there was no significant difference in the time eff

关 键 词：新型冠状病毒感染 发热门诊 医护人员 身心健康 影响因素 平衡点穴 

分 类 号：R19[医药卫生—卫生事业管理] R244.1[医药卫生—公共卫生与预防医学]