医护人员传染性非典型肺炎患者心理状况分析(英文)

Psychological analysis for the medical staff suffering from severe acute respiratory syndrome

背景:传染性非典型肺炎(severeacuterespiratorysyndrome,SARS)作为一种应激源,给人们带来了较大的心理压力。作为抗击SARS的医护人员,在这场危机中,更是处于高度的心理应激状态。心理学、病原学等与SARS发病的相关关系仍处于研究探索阶段。心理因素在医护人员SARS患病中的作用如何?目的:了解心理因素在医护人员SARS患病中的作用,为今后制定切实可行的针对医护人员及SARS患者的心理干预方案提供客观的依据。设计:抽样调查。地点和对象:2003-04/06在北京佑安医院工作并与SARS患者直接接触时间超过60h的医护人员,其中患SARS的医务人员35例,均确诊并住院治疗的患者。方法:由受过训练的医生向被试说明测验的目的和意义,让被试者独立填写自行设计的一般状况调查表、症状自评量表(SCL-90)、艾森克人格问卷(EPQ)和自编认知观念调查表。主要观察指标:①患病的医护人员的心理状态。②人格类型与SARS患病有无直接关系。③SARS患者与健康人在认知观念、自信心及情绪状态上的差别。结果:患病的医护人员在SCL-90的9个因子中,躯体化、强迫症状、人际关系敏感、抑郁、焦虑、恐怖6个因子分都高于健康的医护人员,差异有显著性意义(t=-3.06～11.65,P均<0.01)。人格类型与SARS患病无直接关系。

BACKGROUND:Severe acute respiratory syndrome(SARS),as a stressor, caused a great psychological stress to human beings.In this crisis,medical staff were in highly psychological stressing state as fighting against SARS. Correlations among SARS,psychology and pathology etc.have been being investigated.What is the function of psychological factors on medical staff with SARS?OBJECTIVE:To understand the function of psychological factors on medical staff suffering from SARS,and provide objective evidences for making practical psychological intervention plan during medical care process for medical staff and SARS patients. DESIGN:Sampling investigation. SETTING:Department of Medical psychology,Capital University of Medical Sciences. PARTICIPANTS:Totally 35 medical staff with SASR were diagnosed and hospitalized.They were selected from the medical staff who had working in Beijing You'an Hospital from April 2003 to June 2003 and contacting with SASR parients directly more than 60 hours. INTERVENTIONS:Objective and significance of test were explained to the subjects by trained doctors.General condition questionnaire edited by ourselves, Symptom Checklist(SCL-90),Eysenck Personality Questionnaire(EPQ), and self-edited cognitive questionnaire were filled in by the subjects. MAIN OUTCOME MEASURES:①Psychological state of medical staff. ②Whether personality types had directive relations to contraction of SARS. ③Differences of SARS patients from healthy persons in cognition,self-confidence and emotional state. RESULTS:Scores of six factors in SCL-90 nine factors,or somatization, obsession,interpersonal sensitivity,depression,anxiety and phobia of sick medical staff were higher than those of healthy medical staff;and differences was significant(t=-3.06 to 11.65,all P < 0.01).Personality style had no direct relationship to SARS,and scores of psychoticism,introvertion and extrovertion,neuroticism and covering tendency in EPQ of SARS group and control group had no significance(t=-1.50 to 1.17, all P >0.05). Differences of cognition,self-confidence and emotional state between the two groups were significant(χ2=6.01,16.83,16.67,P< 0.05-0.01).CONCLUSION:The medical staff suffering from SARS had improper psychological state.The irrational cognition and negative mood state had certain effects on contraction of SARS.More attention should be paid to Aim,actuality and persistence in training psychological property of medical staff.