新型冠状病毒肺炎疫情对武汉市一线医护人员心理状况的影响

Psychological status of Wuhan medical staff in fighting against COVID-19

目的:了解新型冠状病毒肺炎疫情对一线医护人员心理状况的影响。方法:采用症状自评量表(SCL-90)对湖北省武汉市收治新型冠状病毒肺炎重症患者的定点医院的一线医护人员进行量表评定,并将结果与中国成人SCL-90常模进行对照分析。结果:在新型冠状病毒肺炎疫情一线的医务人员SCL-90各因子分均值与中国成人常模比较,躯体化、焦虑、恐怖三个因子有极显著性差异(P<0.01),强迫、精神病性这两个因子比较有显著性差异(P<0.05),而两组间人际关系敏感、敌对、偏执没有统计学差异。不同性别的医务人员躯体化因子比较有显著性差异(P<0.05),家庭月收入<10000元的医务人员各因子间与家庭月收入≥10000元的医务人员比较,躯体化、焦虑、精神病性因子具有显著性差异(P<0.05),人际关系敏感、敌对、偏执三个因子有极显著性差异(P<0.01)。结论:新型冠状病毒肺炎一线的医护人员有着较低水平的心理状况水平,表现为较强的躯体化、焦虑、恐怖情绪,并且不同性别、不同家庭收入的医护人员之间心理状况也有差异。我们需要关注疫情一线医护人员心理健康,为保持医务人员持续健康的工作状态提供保障。

Objective:To investigate the mental health conditions of Chinese medical staff in response to coronavirus disease 2019(COVID-19)outbreak in Wuhan,Hubei.Methods:We did a survey with SCL-90 in 112 frontline medical staff who were working in the period of COVID-19 outbreak.Results:There were significant differences in somatization,anxiety,and terror(P<0.01),and had significant differences(P<0.05)in obsession and psychosis between the frontline medical staff and the general population.There was significant difference only in somatization factor of medical staff between different genders(P<0.05).The factors of somatization,anxiety,and psychotic had significant differences between the medical staff with a monthly household income<10000 Yuan(RMB)and those with income≥10000 Yuan(P<0.05),and interpersonal sensitivity,hostility,and paranoid factors also had significant differences between two different monthly household income groups(P<0.01).Conclusion:The frontline medical staff had a lower level of psychological status,which is manifested by stronger somatization,anxiety,and horror of medical staff.The medical staff with different gender and different family income had different psychological status.We need to pay attention to the mental health of frontline medical staff in the epidemic,and provide guarantees to the medical staff to maintain a healthy working status.