COVID-19感染爆发期护理实习生的心理状况及睡眠质量调查

Psychological status and sleep quality of nursing interns during the outbreak of COVID-19

目的了解"新冠"爆发后在集中隔离措施下,在院护理实习生的心理状况及睡眠质量,为未来有针对性的开展心理干预和睡眠改善措施提供依据。方法采用自制调查问卷对在院的95名护理实习生进行一般资料、焦虑自评量表(SAS)、抑郁自评量表(SDS)和匹兹堡睡眠指数量表(PSQI)进行调查分析;采用描述性分析、单因素分析和相关性分析分别探讨实习生现阶段的心理和睡眠状况、可能的影响因素以及心理状况与睡眠质量的相关性。结果护理实习生的SAS、SDS和PSQI评分得分分别为37.79±6.59分、43.98±9.74、5.20±3.14分,与国内常模比较差异具有统计学意义(P<0.05),焦虑和抑郁分别与睡眠质量呈正相关(r值分别为0.508和0.546)。单因素分析显示集中隔离之前是否接触过湖北籍人员以在集中隔离期间是否出现过发烧症状是影响实习生焦虑、抑郁和睡眠质量的主要因素。结论新型冠状病毒爆发期间,在医院集中隔离的护理实习生存在明显的焦虑和抑郁状态,其睡眠质量受到影响,需要及时采取针对性措施进行干预,以提升身心健康,改善睡眠质量。

Objective To investigate the psychological status and sleep quality of nursing interns in collective isolation during the outbreak of coronavirus disease 2019(COVID-19) and provide evidence for adequate interventions. Methods We surveyed a total of 95 nursing interns who were isolated collectively in a general teaching hospital in Guangzhou using a self-designed questionnaire, which consisted of a basic information form, self-rating anxiety scale(SAS), self-rating depression scale(SDS)and Pittsburgh Sleep Quality Index(PSQI). Descriptive analysis, single factor analysis and correlation analysis were used to analyze the current status of the interns’ psychology and sleep quality, the potential factors affecting their psychology and sleep quality, and the correlation between their psychological status and sleep quality. Results The surveyed interns had SAS,SDS and PSQI score of 37.79±6.59, 43.98±9.74 and 5.20±3.14, respectively, which were significant higher than the national norms in China(P<0.05). Correlation analysis indicated that both anxiety and depression were positively correlated with the sleep quality score(r=0.508 and 0.546, respectively). Univariate analysis showed that the major factors affecting the psychological status and sleep quality of the interns during collective isolation included recent contact with persons from the affected area before isolation and the onset of fever during the isolation. Conclusion These interns showed relatively high levels of anxiety and depression during the collective isolation to affect their sleep quality, and interventions should be timely administered to improve their mental health and sleep quality.