SARS治疗一线医护人员心理健康状况调查

A follow-up study of mental health status of medical staff after caring for SARS patients

目的研究SARS治疗一线医护人员在工作不同阶段的心理健康状况。方法采用症状自评量表(SCL90)对小汤山医院620名一线医护人员进行心理评估。结果除精神病性因子以外,该群体SCL90各因子5个时间段的得分与地方常模比较,差异均有统计学意义(P<0.05);每个因子5个时间段的得分之间的比较差异有统计学意义(P<0.05)。各因子不同时间段的得分呈动态变化,焦虑、恐怖因子得分逐步下降,躯体化、强迫、抑郁、偏执因子得分先升高后下降,人际敏感因子得分先下降后上升,敌对因子得分最后有所升高。结论SARS治疗一线医护人员的心理健康水平总体上低于地方常模,焦虑、恐怖、强迫、躯体化症状相对突出,其心理健康状况值得重视。

Objective To study the mental health status of medical staffs who had worked under strong stress in caring patients during SARS epidemic. Method 620 medical workers in Xiaotangshan Hospital of PLA were subjected to SCL-90 scale evaluation. The results were compared with Chinese norm. Results It was shown that the factor score of SCL-90, except psychoticism factor, were relatively higher than that of Chinese norm, and there was significant difference between them and that of Chinese norm. There was also significant difference among the five scores of every factor except psychoticism. Every factor score on the five phases were dynamic, the scores of anxiety and phobia were reduced gradually, but the scores of somatization, obsessive-compulsive, depression, paranoia were increased and then reduced, and the score of interpersonal sensitivity was reduced and then increased. During at the early three time intervals of work the score of hostility didn't show remarkable change, but scores were higher than before during the fourth and fifth time intervals. It indicated that the mental health status of medical staff in Xiaotangshan Hospital of PLA had become worse than that of Chinese norm after working under stress. Conclusion The symptom of anxiety, phobia, obsession, somatization were comparatively prominent. The results suggested that strong stress of work in the SARS wards could strongly influence the mental health of medical staffs.