安徽省援鄂医护人员的心理应激状况及影响因素分析

Analysis of Psychological Stress and Influencing Factors of of Anhui’s Medical Staff Assisting Hubei Under Novel Coronavirus Pneumonia

目的:了解新型冠状病毒肺炎疫情期间安徽省援鄂医护人员的心理应激状况并探讨其影响因素。方法:采用心理应激障碍自评量表、症状自评量表以及社会支持量表,对前往武汉一线支援的155名医护人员进行心理应激状况调查,并采用单因素分析及多因素Logistic回归分析其影响因素。结果:155名一线支援医护人员中38名发生心理应激,93名存在心理应激症状,心理应激发生率为24.52%;相关性分析表明,医护人员心理应激与心理健康水平呈正相关(P<0.05),与社会支持呈负相关(P<0.05);多因素Logistic回归分析结果显示,医护人员心理应激的发生在性别、文化程度及婚姻状况、心理健康水平及社会支持方面存在差异,医护人员为女性、文化程度为硕士及以上学历者,未婚者更易发生心理应激(P<0.05)。结论:新型冠状病毒肺炎疫情期间援鄂医护人员心理应激发生率较高,性别、婚姻状况、文化程度、心理健康水平及社会支持水平会影响医护人员的心理应激状况,应针对相关因素对医护人员尽早进行心理干预。

Objective: To understand the psychological stress of the medical staff assisting Hubei from Anhui Province under novel coronavirus pneumonia and explore its influencing factors. Methods: PTSD Check-list-Civilian Version, Symptom Checklist and Social Support Rating Scale were used to investigate the psychological stress of medical staff who went to Wuhan for frontline support. The influencing factors were analyzed by single factor analysis and Logistic regression. Results: A total of 155 frontline support medical staff were investigated in this study, of which 38 experienced psychological stress and 93 had psychological stress symptoms and the incidence of psychological stress was 24.52%. The correlation analysis showed that the psychological stress of medical staff was positively correlated with mental health(P<0.05) and negatively correlated with social support(P<0.05). The result of multivariate logistic regression analysis showed that the psychological stress differed in gender, education level, marital status, mental health and social support(P<0.05). Female medical staff, those with master degree or above and unmarried persons were more prone to psychological stress(P<0.05). Conclusion: The incidence of psychological stress of medical staff who assisted Hubei under novel coronavirus pneumonia is relatively high. Factors such as gender, marital status, educational level, mental health and social support level can affect the psychological stress of medical staff. Thus, it is very necessary to provide psychological intervention to medical staff as soon as possible based on related factors.