新型冠状病毒肺炎流行期间医护人员心理健康与应对方式相关性研究

Correlation study between mental health and coping style of medical staff during COVID-19 epidemic

目的调查新型冠状病毒肺炎(COVID-19)流行期间六安市区三家三级医院医护人员心理健康的现状,分析医护人员心理健康水平与应对方式的关系。方法于2020年2月7日~2月15日,使用问卷星形式,采用焦虑自评量表、抑郁自评量表及简易应对方式问卷调查COVID-19流行期间六安市区三家三级医院360名医护人员心理状况,分析医护人员焦虑、抑郁水平及其与应对水平的相关性。结果COVID-19流行期间六安市区三家三级医院医护人员焦虑粗分(32.82±7.80)分,抑郁粗分(37.90±8.30)分,均高于中国常模,差异有统计学意义(P<0.05)。焦虑阳性者(总粗分≥40分)68例(18.9%),抑郁阳性者(总粗分≥41分)138例(38.4%);医护人员应对方式总分9~60分,平均为(36.61±8.55)分。积极应对6~36分,平均为(24.49±6.14)分。消极应对1~24分,平均为(12.12±4.19)分;偏相关分析显示,医护人员焦虑得分与积极应对呈负相关(r=-0.315,P<0.05),与消极应对呈正相关(r=0.147,P<0.05)。抑郁得分与积极应对呈负相关(r=-0.374,P<0.05),与消极应对呈正相关(r=0.207,P<0.05)。结论COVID-19流行期间医护人员存在不同程度的焦虑和抑郁,疫情期间医护人员的心理健康与积极应对方式呈正相关,与消极应对方式呈负相关。

Objective To investigate the status of the mental health of the medical staff in Lu’an city hospitals during the outbreak of COVID-19,and to analyze the relationship between the mental health level of medical staff and their coping styles.Methods We conducted a questionnaire survey among 360 medical staffs in Lu’an city,including demographic characteristics,self-rating anxiety scale,self-rating depression scale and simple coping style questionnaire,and analyzed the psychological health level of medical staffs and its correlation with coping style.Results①.During the new corona virus disease epidemic,the rough scores of anxiety and depression were(32.82±7.80)and(37.90±8.30),which were higher than the Chinese norm,and the differences were statistically significant(P<0.05).There were 68 cases(18.9%)of anxiety positive staffs(rough score≥40)and 138 cases(38.4%)of depression positive staffs(rough score≥41).②.The total response score of medical staff ranged from 9 to 60,with an average of(36.61±8.55).Positive response scores ranged from 6 to 36,with an average of(24.49±6.14).Negative coping scores ranged from 1 to 24,with an average of(12.12±4.19).③.Partial correlation analysis showed that the anxiety scores of medical staffs were negatively correlated with positive coping(r=-0.315,P<0.05)and positively correlated with negative coping(r=0.147,P<0.05).Depression scores were negatively correlated with positive coping(r=-0.374,P<0.05)and positively correlated with negative coping(r=0.207,P<0.05).Conclu sions During the new corona virus epidemic,medical staffs have different degrees of anxiety and depression,their mental health is positively correlated with positive coping style,and negatively correlated with negative coping style.