新冠肺炎疫情暴发期间基层医务人员心理健康调查分析

Analysis of the mental health of primary healthcare workers during the outbreak of Corona Virus Disease 2019(COVID-19)

目的:调查分析新冠肺炎疫情暴发期间基层医务人员的心理健康,为更好地开展心理辅导提供理论与实践依据。方法:选取2020.1.24至2020.2.20贵阳地区基层医务人员,采用焦虑自评表(SAS)和抑郁自评表(SDS)评估新冠肺炎疫情暴发期间基层医务人员的焦虑和抑郁状态,并对其影响因素进行调查分析。结果:本次共发放问卷95份,回收有效问卷83份,参与率为87.4%,平均年龄(31.39±9.22)岁,其中男22.9%。调查问卷分析后发现新冠肺炎疫情暴发期间基层医务人员的 SAS和SDS得分与国内常模比较(37.99±8.78 vs.33.80±5.90,P<0.001;47.09±8.73 vs.41.88±10.57,P<0.001),均高于中国正常人群常模。13.25%基层医务人员有焦虑症状,轻、中、重度发生率分别为12.04%、1.20%和0%;20.48%基层医务人员有抑郁症状,轻、中、重度发生率分别为19.27%、0%和1.204%。基层医务人员的性别、年龄、民族、婚姻、工作年限、职业、文化程度、经济收入因素与焦虑、抑郁情绪无关。结论:新冠肺炎疫情暴发期间基层医务人员的焦虑、抑郁发生率明显高于正常人群,应加强对这一特定人群心理状态的评价与重视,并及时进行相应的人文关怀和心理干预,为其在工作中的身心健康打下良好基础。

Objective:To investigate the mental health of primary healthcare workers during the outbreak of Corona Virus Disease 2019 (COVID-19),and to provide theoretical and practical basis for better psychological counseling.Methods:The primary healthcare workers were recruited in Guiyang during 2020.1.24 to 2020.2.2.All participants were invited to completed the self-anxiety scale (SAS) and self-depression scale (SDS),and the influencing factors were analyzed.Results:A total of 95 questionnaires were distributed and 83 valid ones were retrieved,with a participation rate of 87.4%,22.9% of male,with an average age of 31.39±9.22 years old.The results revealed that the scores of SAS and SDS in primary healthcare workers were higher than the norms of Chinese (37.99±8.78 VS.33.80±5.90 for SAS,P<0.001;SDS 47.09±8.73 VS.41.88±10.57 for SDS,P<0.001) during the outbreak of new coronary pneumonia.Among them,13.253% of primary medical staff had anxiety symptoms,and the incidence of mild,moderate and severe was 12.04%,1.204% and 0%,respectively;20.48% of primary medical staff had depression symptoms,and the incidence of mild,moderate and severe was 19.27%,0% and 1.204%,respectively.The gender,age,nationality,marriage,working years,occupation,educational level and economic income of primary medical personnel had nothing to do with anxiety and depression.Conclusions:The incidence rate of anxiety and depression among primary healthcare workers was significantly high during the outbreak ofCOVID-19.Therefore,it is important to strengthen the assessment of the psychological state of this particular group and timely take corresponding intervention measures to maintain their physical and mental health.