医院工作人员感染新型冠状病毒后鼻、咽部等上呼吸道临床特征与心理健康相关因素分析  

Clinical characteristics of upper respiratory tract such as nose and pharynx and related factors of mental health in hospital staff infected with novel coronavirus

作　　者：张俊丽 黄荷花 邹红梅 赵雨萌 巩玫丽 柴若楠 ZHANG Junli;HUANG Hehua;ZOU Hongmei;ZHAO Yumeng;GONG Meili;CHAI Ruonan(Department of Respiration,General Hospital of North Theater Command,Shenyang,Liaoning,110000,China)

机构地区：[1]北部战区总医院呼吸内科,沈阳110000 [2]大连医科大学北部战区总医院研究生培养基地,沈阳 [3]中国医科大学北部战区总医院研究生培养基地,沈阳

出　　处：《中国中西医结合耳鼻咽喉科杂志》2024年第6期445-450,共6页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的研究医院工作人员感染新型冠状病毒(severe acute respiratory syndrome coronavirus 2,SARS-CoV-2)的鼻、咽部临床特征,为今后新型冠状病毒感染医护人员的救治提供依据。方法选择我院部分科室(呼吸科、耳鼻咽喉科、感染科、消化科、血液科、急诊科、重症医学科、口腔外科、烧伤科、儿科、风湿免疫科、麻醉科、药剂科、消毒供应室、肝胆外科)的医护人员,调查2022年12月1日~2023年1月14日期间是否感染新型冠状病毒及其相关鼻及咽部临床特征、心理健康等进行问卷调查。统计学方法:临床症状大多为多分类变量,采用单因素逻辑回归分析各个症状与各分组(涉疫科室与非涉疫科室、有心理问题与无心理问题)之间的相关性。将心理问题进行分数数值转化,工作环境、工作强度、年龄以及职业等计数资料采用百分比表示,组间比较选用皮尔逊卡方检验,新冠持续天数组间比较选用两独立样本T检验。结果共收集有效医护人员调查问卷1212份,按照不同科室、心理健康评分进行分类,组内及组间比较得出结论。依据科室涉疫情况分类,非涉疫科室的人员病程更长,更容易出现寒战、口渴口干、喜饮水等症状(P<0.05),涉疫科室人员嗅觉减退/消失、味觉减退/消失、咽痒、胸痛等症状更明显(P<0.05)。将人员工作环境及基础情况同是否有心理问题进行相关性分析,外科医护人员和新冠持续时间是出现心理问题的危险因素(P<0.05)。结论不同科室医护人员感染新型冠状病毒后鼻、咽部等上呼吸道临床特征有细节上的不同,同时应重视新型冠状病毒感染后医护人员的心理问题。Objective To study the nasopharyngeal and pharyngeal clinical features of hospital staff infected with novel coronavirus,and to provide evidence for the treatment of novel coronavirus infected medical staff in the future.Methods Medical staff from some departments in our hospital(respiratory department,otolaryngology department,infectious department,gastroenterology department,hematology department,emergency department,critical care department,oral surgery department,burn department,pediatrics department,rheumatology and immunology department,anesthesia department,pharmacy department,disinfection supply room,hepatobiliary surgery department)were selected to investigate whether they were infected with novel coronavirus and its related clinical characteristics of nose and pharynx from December 1,2022 to January 14,2023.Statistical methods:Most clinical symptoms are multi-classified variables,and the correlation between each symptom and each group(epidemic-related departments and non-epidemic departments,with and without psychological problems)was analyzed by single factor logistic regression.The scores of psychological problems were transformed into numerical values,and the counting data of working environment,working intensity,age,education and occupation were expressed as percentages.Pearson Chi-square test was used for the comparison between groups,and two independent samples t-test was used for the comparison between COVID-19 continuous days.Results A total of 1212 questionnaires of effective medical staff were collected and classified according to different departments and mental health scores,and conclusions were drawn by comparison within and between groups.According to the classification of epidemic-related departments,people in non-epidemic departments have a longer course of disease,and are more likely to have symptoms such as chills,thirst and drinking water(P<0.05),while those in epidemic-related departments have more obvious symptoms such as loss/disappearance of sense of smell,taste and itchy throat,c

关 键 词：新型冠状病毒感染 医护人员 临床特征 

分 类 号：R192[医药卫生—卫生事业管理] R511[医药卫生—公共卫生与预防医学]