新型冠状病毒肺炎疫情期间精神专科医院医护人员心理健康现状及影响因素分析

Psychological status and influencing factors of medical staff in a mental hospital during COVID-19 epidemic period

目的:了解新型冠状病毒肺炎疫情期间精神专科医院医护人员心理健康状况及其影响因素。方法:选取安徽省某精神专科医院380名医护人员为研究对象,采用一般资料调查表、一般健康问卷(GHQ-12)和心理弹性量表(CD-RISC)进行心理健康状况调查,使用非条件二分类Logistic回归分析其影响因素。结果:380名医护人员中,33.4%(127/380)疑似有健康问题;多因素Logistic回归分析结果显示未婚医务工作者(OR=0.736,95%CI:0.571~0.949)和护理工作者(OR=1.928,95%CI:1.162~3.197)可能是心理健康的危险因素。年龄大(OR=0.736,95%CI:0.571~0.949)和高心理弹性(OR=0.654,95%CI:0.490~0.872)可能是心理健康的保护因素。结论:疫情期间精神科医护人员存在一定程度的心理健康问题,未婚和护理工作者为重点人群。

Objective:To analyze the psychological status of medical staff in a mental hospital and its influencing factors during novel coronavirus disease 2019(COVID-19)epidemic period.Method:380 medical staff in a psychiatric hospital of Anhui province were slected and surveyed with a general information questionnaire,General Health Questionnaire(GHQ-12)and Conner-Davidson resilience scale(CD-RISC).Multivariable Logistic regression model was used to identify risk factors for mental health problems.Results:380 subjects completed the questionnaire and estimated 33.4%of them were suspected to have mental health problem.Logistic model analysis indicated that unmarried medical workers(OR=0.736,95%CI:0.571-0.949)and nurse(OR=1.928,95%CI:1.162-3.197)may be the risk factors for mental health.Age(OR=0.736,95%CI:0.571-0.949)and high psychological resilience(OR=0.654,95%CI:0.490-0.872)may be the protective factors.Conclusion:Psychiatric medical staff during the outbreak have certain mental health problems,especially the unmarried medical workers and nurses.