2例确诊和6例疑似新型冠状病毒肺炎患者创伤后应激症状调查

A preliminary study of post-traumatic stress symptoms of two confirmed and six suspected coronavirus disease 2019 patients

目的分析新型冠状病毒肺炎(COVID-19)确诊和疑似患者的心理状况,并探讨其心理干预措施。方法通过网络在线方式调查收集2例确诊和6例疑似COVID-19患者的资料。采用自编自评式一般情况问卷收集患者的人口学资料,用创伤后应激障碍自评量表5(PCL-5)评估患者创伤后应激症状,用匹兹堡睡眠质量指数量表评价患者的睡眠质量。结果2例COVID-19确诊患者和6例疑似患者的年龄为17~71岁。女5例,男3例;7例为专科或本科以上学历,1例为高中及以下学历;5例有武汉市居民接触史。2例确诊COVID-19患者中有1例创伤后应激障碍筛查阳性,6例疑似患者中有1例创伤后应激障碍筛查阳性,8例患者侵入症状尤为明显(5例)。疫情对8例患者的睡眠质量均有不同程度的影响,主要表现为夜间易醒或早醒(5例)。PCL-5总分与睡眠质量变化趋势总体一致,PCL-5总分越高睡眠质量越差。结论COVID-19确诊患者与疑似患者均存在不同程度的睡眠问题及创伤后应激症状,夜间易醒或早醒和侵入症状较明显,需要采取及时、有效的心理干预措施。

Objective To explore the psychological status and interventions in confirmed and suspected coronavirus disease 2019(COVID-19)patients.Methods The data of 2 confirmed cases and 6 suspected cases of COVID-19 were collected through the Internet.Demographic data of the patients were collected by self-designed self-assessment general situation questionnaire.Post-traumatic stress symptoms were assessed by post-traumatic stress disorder checklist for DSM-5(PCL-5).Sleep quality was evaluated by Pittsburgh sleep quality index.Results There were 5 females and 3 males aged from 17 to 71 years old.The education level was junior college,bachelor degree and above in 7 patients,and senior high school or below in one patient.Five cases had the contact history with Wuhan residents.The screening result of post-traumatic stress symptom was positive in one confirmed case and one suspected case.Invasive symptoms presented in 5 cases.The epidemic affected the sleep quality of 8 patients in different degrees,mainly manifested as sleep fitfully at night or early morning awakening(5 cases).The total score of PCL-5 was consistent with the change trend of sleep quality.The higher the total score of PCL-5,and the worse the sleep quality.Conclusion Confirmed and suspected COVID-19 patients have sleep disorders(sleep fitfully at night or early morning awakening)and psychological trauma(invasive symptoms),and they need timely and effective psychological interventions.