新型冠状病毒肺炎流行期间医院医务人员心理健康状况调查分析

Investigation and analysis of mental health status of hospital medical staff during epidemic of Corona Virus Disease 2019

目的探讨新型冠状病毒肺炎流行期间医务人员对新冠肺炎的态度和心理特征。方法在新冠肺炎流行期间,应用症状自评量表(SCL-90)对147名北京二级甲等新冠肺炎定点收治医院医务人员进行测评。结果医务人员SCL-90总均分及各因子分与全国常模比较,除人际关系、抑郁、恐怖外,其他因子分均为医务人员高于全国常模,差异具有统计学意义(P<0.05)。男性医务人员SCL-90敌对、偏执及精神病性因子得分均显著高于女性(P<0.05),其他因子差异无统计学意义(P>0.05)。青年医务人员在总均分、焦虑、敌对、偏执及精神病性因子得分高于中年组,差异具有统计学意义(P<0.05),其他因子得分无明显统计学差异(P>0.05)。不同文化程度、职称及职业的医务人员在SCL-90各因子得分上无统计学差异。结论新型冠状病毒肺炎流行期间北京二级甲等新冠肺炎定点收治医院医务人员心理健康状况总体低于全国平均水平,女性较男性好,不同年龄段医务人员差异有统计学意义,中年组医务人员在疫情期间较青年组医务人员保持了更好的心理健康状态。

Objective To investigate the attitude and psychological characteristics of medical staffs in the hospitals during the epidemic outbreak of Corona Virus Disease 2019(COVID-19).Methods The self-designed attitude questionnaire symptom checklist 90(SCL-90) was applied to 147 medical staffs working in the hospitals where COVID-19 patients were designated to admission.Results Compared with the national norm,except for interpersonal relationships,depression,and fear,the other factor scores of SCL-90 of the medical staff’s overall were higher than the national norm,and the differences were statistically significant (P<0.05).The scores of hostile,paranoid,and psychotic factors of male medical staff were significantly higher than those of females(P<0.05),and there was no significant difference in other factors(P>0.05).The scores of young medical staff in the overall average score,anxiety,hostile,paranoidand psychotic factors were higher than those in the middle-aged group,the difference was statistically significant(P<0.05),and there was no significant statistical difference in other factor scores(P>0.05).There were no statistical differences in the scores of SCL-90 factors among medical staff with different educational levels,professional titles and occupations.Conclusions During the epidemic of the COVID-19,the mental health status of medical staff in hospitals designated for treatment of COVID-19 such as Class II A in Beijing had worse physical and health than general population,females were better than males,and there is significantly difference among levels of different ages.During the epidemic,middle-aged medical staff maintained better mental health than younger medical staff.