甲型H1N1流感病毒感染患者心理健康状况调查及相关因素分析

Investigation on Mental Health Among Patients Infected with H1N1 Influenza A Virus and Analysis on Related Factors

[目的]针对甲型H1N1病毒感染疫情造成的社会恐慌,研究甲型H1N1流感患者焦虑心理问题及相关因素,为采取有效干预提供科学依据。[方法]采用状态-特质焦虑问卷(STAI)量表、自编问卷对70例甲型H1N1流感患者进行心理健康状况调查,并将调查结果与健康志愿者进行比较。[结果]观察组S-AI分值46.52±16.34,对照组39.63±15.78,与对照组相比P<0.05;观察组T-AI分值41.42±18.12,对照组41.21±17.32,与对照组相比差异无统计学意义。观察组女性S-AI分值48.65±18.21,男性43.12±13.35,P<0.05,差异有统计学意义,女性T-AI分值42.32±17.13,男性40.78±19.52,差异无统计学意义;观察组年龄、文化程度总分在20～40岁较高,并有随文化程度增高而逐步增高的趋势;焦虑症状与临床躯体症状Logistic回归分析结果:胸闷、心悸、咳痰、发热OR值分别为1.857、2.041、2.656、4.420。[结论]甲型H1N1流感患者存在焦虑心理问题,性别、年龄和受教育程度与情感障碍的发生相关,甲型H1N1流感患者躯体症状与精神症状相关,除药物治疗外,甲型H1N1流感患者应给予心理干预。

[Objective]To explore anxiety status of patients infected with influenza A （H1N1） and related factors, because of the impact on society by the epidemic,provide scientific basis for effective prevention and control of the disease. [Methods] Questionnaire was conducted for 70 patients infected with influenza A （HI N1） with State-Trait Anxiety Inventory （STAI）. The result was compared with the result of healthy volunteers. [Results]The score of S-AI was 46.52_± 16.34 in observation group and 39.63±15.78 in control group, P 〈0.05,while the score of T-AI was 41.42±18.12 in observation group and 41.21±17.32 in control group, there was no difference. The score of S-AL was 48.65--d-18.21 in female and 43. 12~13.35 in male（ P〈0.05）. There was a difference. The score of T-AI was 42.32±17.13 in female and 40.78! 19.52 in male,there was no difference. The score was higher in the patients aged 20-40 and it increased along with the higher of the education level. The results of logistic regression analysis showed that OR value of chest tightness, palpitation,cough and fever was 1. 857,2. 041,2. 656 and 4. 420 respectively. [Conclusion]There is a feeling of anxiety in patients infected with influenza A （H1N1）, which is associated with age, education level and emotion. The physical syrup toms of the patients are associated with mental complaint, apart from medical treatment, psychological intervention should be given to the patients infected with influenza A （H1N1）.