新型冠状病毒肺炎疑似患者隔离留观期间焦虑、抑郁水平及其影响因素分析

Analysis of anxiety and depression levels and influencing factors of suspected patients with COVID-19 during isolation and observation

目的探讨新型冠状病毒肺炎(COVID-19)疑似患者隔离留观期间的焦虑、抑郁水平及影响因素,为提供针对性护理措施提供依据。方法选取该院2020年1月27日至2月24日,发热隔离病房收治的COVID-19疑似患者145例作为研究对象。采用一般资料调查表、社会支持评定量表(SSRS)、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行调查,分析患者焦虑、抑郁水平的影响因素。结果145例COVID-19疑似患者隔离留观期间,焦虑人数126例(86.9%),抑郁人数102例(70.3%)。单因素分析、多因素Logistic回归分析均表明患者的文化程度、并发症情况、疾病认知程度和社会支持水平是影响COVID-19疑似患者焦虑、抑郁水平的危险因素,差异有统计学意义(P<0.05)。结论COVID-19疑似患者在隔离留观期间发生焦虑、抑郁的情绪较普遍,其发生与多种因素有关;临床医护人员应重视此类影响因素,并采取针对性的干预措施加强患者隔离留观期间的心理管理,改善患者的心理状态。

Objective To investigate the anxiety and depression levels and influencing factors of the patients with COVID-19,so as to provide evidence for targeted nursing measures.Methods From January 27,2020 to February 24,2020,145 patients with COVID-19 admitted to the fever isolation ward of Shanghai Tenth People′s Hospital were selected as the subjects.Using general data questionnaire,social support revalued scale(SSRS),self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were investigated,analysis the influencing factors of anxiety and depression levels in suspected patients.Results During the period of isolation,there were 126 patients(86.9%)with anxiety and 102 patients(70.3%)with depression.Univariate analysis and Multivariate logistic regression analysis both showed that the education level,comorbidities,disease cognition level and social support level were the risk factors influencing the anxiety and depression level of the patients with COVID-19(P<0.05),and the differences were statistically significant.Conclusion Level of anxiety and depression of suspected patients with COVID-19 during the period of isolation is associated with a variety of factors.Clinicians should pay more attention to these factors and provide targeted interventions to improve the psychological management and psychological status,which is advantageous to the prevention and rehabilitation of the disease.