医务人员SARS病情、激素应用与愈后心理状况的相关分析

To analysis the association between state of an illness or using cortisol and psychological status in medical staffs after SARS recovery

目的 观察医务人员SARS病情严重程度与愈后心理状况相关性。方法 采用自评抑郁量表(SDS)、自评焦虑量表 (SAS)对 2 2例确诊SARS的医务人员 (愈后初期及第 3、 12个月 )进行调查 ,并结合患者SARS病情严重程度和是否使用激素治疗进行相关分析。结果 医务人员SARS愈后初期及第 3月SDS、SAS评分较正常人群明显增高 (P <0 0 5 )。愈后 3个月抑郁状况较初期明显改善 (P <0 0 5 )。愈后 12个月仍有 3例具有轻度躯体不适症状 ;SARS病情严重程度、使用激素治疗与愈后抑郁焦虑无相关性。结论 医务人员SARS愈后具有较高的抑郁焦虑患病率 ,抑郁焦虑症状愈后逐渐减弱。SARS病情严重程度、激素的应用与心理健康状况无相关性。

Objective To explore the association between the state of an illness or using cortisol and psychological status in medical staffs after SARS recovery Methods The 22 SARS cases (medical staffs) were tested by Self-Rating Depression Scale (SDS),Self-Rating Anxiety Scale SAS) at the second week and the third month and the twelfth month after SARS healing.The test results were analyzed according to the different of patients conditions and using cortisol or not. Results Compared to control group,the SARS group scored significantly higher on SDS and SAS at the second week and the third month after healing (P<0.05).The depression was significantly improved at the third month than at second week after healing (P<0.05).There were still three cases with mild somatization symptoms at the one year after healing.There were not significant the association between the state of an illness or using cortisol and depression-anxiety in medical staffs after SARS recovery. Conclusion There are higher anxiety-depression prevalence rate in medical staffs after SARS recovery.The symptoms are decreased by the time after SARS healing.The psychological health status is not correlation to patients conditions or using cortisol.