新冠肺炎抗疫一线医护人员的急性应激反应及相关因素:有调节的中介模型分析

Acute Stress Responses of Medical Staff Treating Patients with COVID-19:A Moderated Mediation Model

目的:本研究旨在检验新冠肺炎抗疫一线医护人员的急性应激反应与实际暴露风险、感染焦虑、抗疫效能感及积极应对策略的关系。方法:对311名武汉参与新冠肺炎抗疫一线工作的医护人员进行问卷调查,了解其工作中的实际暴露风险、感染焦虑、抗疫效能感与积极应对策略和急性应激反应。结果:1)暴露风险正向预测感染焦虑和急性应激症状;2)感染焦虑完全中介暴露风险与急性应激反应的关系;3)抗疫效能感能够降低感染焦虑与急性应激反应的关系;4)积极应对策略能够降低一线医护人员的急性应激反应。结论:本研究结果验证了新冠肺炎抗疫一线医护人员急性应激反应及其相关因素的有调节的中介模型。本研究结果揭示,引导一线医护人员提高抗疫效能感、鼓励采取积极应对策略对保护其心理健康具有积极作用。

Objective:The present study aimed to examine the associations among virus exposure chance,worries on being infected,efficacy to overcome the crisis,positive coping strategies and acute stress responses(ASR)in the first-line medical staff treating patients with COVID-19 during the outbreak of this infectious disease.Methods:Three hundred and eleven medical staff treating patients with COVID-19 in Wuhan City participated in the survey.Virus exposure chance,worries on being infected,efficacy to overcome the crisis,positive coping strategies and ASR were reported.Results:1)Virus exposure chance positively predicted worries on being infected and ASR;2)Worries on being infected fully mediated the association between virus exposure and ASR;3)Efficacy to overcome the crisis buffered the effect of worries on being infected to ASR;4)Positive coping strategies negatively predicted ASR.Conclusion:The present study suggests the deleterious effects of virus exposure and worries on being infected in mental health of medical staff treating patients with COVID-19 and the protective effects of efficacy and positive coping strategies.The findings suggest the importance of taking measures to improve the efficacy to overcome the crisis and encourage the use of positive coping strategies for the first-line healthcare workers.