重症病区新型冠状病毒肺炎患者心理状况及影响因素分析

Analysis of psychological status and influencing factors of COVID-19 patients in the intensive care unit

目的 调查分析重症病区新型冠状病毒肺炎患者的心理状况及影响因素.方法 采用横断面研究法,应用医院焦虑抑郁量表、阿森斯睡眠量表对2020年2月2日至2020年3月5日在武汉大学人民医院东院重症病区住院的新型冠状病毒肺炎患者进行问卷调查.结果 40例重症病区新型冠状病毒肺炎患者中,肯定焦虑5例,肯定抑郁3例,失眠32例.焦虑水平与乏力、呼吸困难、肌痛、咽喉痛均呈正相关(r分别为0.391、0.553、0.458、0.390,P<0.05);抑郁水平与乏力、咽喉痛呈正相关(r分别为0.493、0.331,P<0.05);睡眠水平与乏力、呼吸困难呈正相关(r分别为0.403、0.398,P<0.05).不同工作状态、文化程度的重症新型冠状病毒肺炎确诊患者焦虑得分的差异有统计学意义;不同性别、年龄、工作状态、婚姻状态、文化程度的重症新型冠状病毒肺炎确诊患者抑郁得分的差异有统计学意义;不同年龄、工作状态、婚姻状态、文化程度的重症新型冠状病毒肺炎确诊患者睡眠得分的差异有统计学意义.结论 重症病区新型冠状病毒肺炎患者易产生焦虑、抑郁、失眠等问题.

Objective To investigate and analyze the psychological status and influencing factors of novel coronavirus pneumonia(COVID-19)patients in the intensive care unit.Methods A cross-sectional study was conducted to investigate the COVID-19 patients hospitalized in the intensive care unit of Renmin Hospital of Wuhan University from February 2,2020 to March 5,2020,and the Hospital Anxiety and Depression Scale and the Athens Insomnia Scale(AIS)questionnaires were used to evaluate the psychological status of the patients.Results Among the 40 confirmed COVID-19 patients in the intensive care unit,5 cases had anxiety,3 cases had depression and 32 cases had insomnia.The anxiety level was positively correlated with fatigue,dyspnea,myalgia and sore throat(r=0.391,0.553,0.458,0.390,respectively,P<0.05).The depression level was positively correlated with fatigue and sore throat(r=0.493 and 0.331,respectively,P<0.05).Sleep disorders were positively correlated with fatigue and dyspnea(r=0.403 and 0.398,respectively,P<0.05).COVID-19 patients with different working status and educational level had significant difference in anxiety scores.There were statistically significant differences in depression scores among severe COVID-19 patients with different gender,age,working status,marital status and education level with those with severe COVID-19.Severe COVID-19 patients with different age,working status,marital status and education level had significant difference in AIS score.Conclusions The COVID-19 patients in the intensive care unit are prone to anxiety,depression and insomnia,who need more attention.