昆明市一线医护人员焦虑、抑郁、睡眠及事件影响状况的相关性研究

Correlation Study on Anxiety,Depression,Sleep and Event Impacts among Front-line Medical Staff in Kunming during the Outbreak of COVID-19

目的:了解新冠疫情期间昆明市一线医务人员心理健康状况及其相关性。方法:对昆明市9家市属医院550名医护人员进行调查研究,通过电子问卷方式,对其进行焦虑筛查量表(GAD-7)、抑郁筛查量表(PHQ-9)、失眠严重指数问卷(ISI)及事件影响量表修订版(IES-R)测评,并对上述4个因子测评结果进行相关性分析。结果:IES-R评分与PHQ-9、GAD-7、ISI呈正相关,相关系数r分别为0. 92、0. 93、0. 95,P <0. 05,差异有统计学意义。IES-R≥35分者焦虑抑郁及失眠严重程度明显高于IES-R <35分者(P <0. 05)。结论:面对COVID-19事件,参与抗疫的一线医护人员心理健康均受到不同程度的影响。在繁重且存在感染风险的抗疫战斗中,有必要对一线医护人员心理健康进行关注。

Objective: To investigate the anxiety,depression,sleep quality and event influence and anlyse their correlation of frontline medical staff in Kunming during COVID-19’ s outbreak. Methods: Anxiety screening scale( GAD-7),depression screening scale( PHQ-9),insomnia severity index( ISI) and event impact scale( IES-R) were assessed by electronic questionnaire among 550 medical staff from 9 municipal hospitals in Kunming. And the correlation of the above four factors was analyzed. Results: After statistical analysis of 514 valid electronic questionnaires,it was found that the total score of IES-R was positively correlated with PHQ-9,GAD-7 and ISI:( r PHQ-9 = 0. 92,r GAD-7 = 0. 93,r ISI = 0. 95),p < 0. 05). The generalized cut-off score≥35 was used to score the PTSD cut-off value of the event impact scale,and the results showed that the severity of anxiety,depression and insomnia in the patients with≥35 were significantly higher than those with < 35( P < 0. 05). Conclusion: The mental health of front-line medical staff who are involved in anti-epidemic with COVID-19,are affected in different degrees. The higher the score of event impact scale,the higher the severity of anxiety,depression and insomnia. Therefore,in the heavy anti-epidemic battle with the risk of infection,it is necessary to pay attention to the mental health of front-line medical staff.