新型冠状病毒肺炎疫情期间住院医师心理健康状况分析

Analysis of mental health status of residents during COVID-19 epidemic

目的调查新型冠状病毒肺炎(COVID-19)疫情期间的住院医师心理健康状况。方法针对疫情期间浙江大学医学院附属第一医院住院医师,以问卷的形式运用抑郁症筛查量表(PHQ-9)和广泛性焦虑问卷(GAD-7)对其心理健康状况进行调查。结果共收回有效问卷711份。问卷填写的有效率为99.85%。711名中有抑郁症状的住培学员占26.02%(185/711),其中轻度、中度、中重度和重度抑郁依次占18.99%、3.94%、2.81%和0.28%。711名中有焦虑症状的住培学员占21.66%(154/711),其中轻度、中度和重度焦虑依次占17.44%、2.67%和1.55%。从性别来看,男性和女性住培学员有抑郁、焦虑症状的分布相当;从政治面貌来看,群众的抑郁、焦虑程度相对较高,团员次之,党员最低;从学员类型来看,外院住培学员的抑郁、焦虑程度最高;从目前取得的最高学历来看,学历越高,抑郁、焦虑程度相对也较高。在政治面貌、学员类型与最高学历水平三个要素的分类中,焦虑程度最为严重的群体均与抑郁程度最为严重群体相同。结论COVID-19疫情期间,有抑郁和焦虑症状的住院医师占比较高,心理健康总体状况不容乐观,有必要加强住院医师的心理健康管理。

ObjectiveTo investigate the mental health status of residents during COVID-19 epidemic.MethodsAs for residents of the first affiliated hospital of Zhejiang university school of medicine during COVID-19 epidemic,the mental health status were investigated by PHQ-9(patient health questionnaire-9)and GAD-7(general anxiety disorder-7).Results Totally 711 valid questionnaires were recovered.The effective rate of the questionnaire was 99.85%.Among 711 residents,185 residents had depression symptoms which accounted for 26.02%,of which mild,moderate,medium severity,and severe depression accounted for 18.99%,3.94%,2.81%,and 0.28%respectively.Among 711 residents,154 residents had symptoms of anxiety which accounted for 21.66%,of which mild,moderate,and severe anxiety accounted for 17.44%,2.67%,and 1.55%respectively.From the perspective of gender,the distribution of depression and anxiety status of male and female is similar.From the perspective of political status,the masses have relatively high levels of depression and anxiety,followed by the member of communist youth league,and the members of the communist party of china were the lowest.From the perspective of the types of residents,residents from other hospital have the highest levels of depression and anxiety.From the perspective of degree,the higher degree,the worse status of depression and anxiety.In the classification of the three factors including political status,the types of residents,and degree level,the residents of the most severe anxiety and depression are from the same group.ConclusionDuring COVID-19 epidemic,the proportion of residents with symptoms of depression and anxiety is relatively high,and the overall status of mental health is not optimistic.It is necessary to strengthen the management of mental health of residents.