新冠肺炎流行期间被隔离医学观察人员心理健康状况影响因素分析

Influencing Factors of Mental Health Status among People Quarantined during the Epidemic of COVID-19

目的了解新型冠状病毒肺炎(新冠肺炎)流行期间被隔离医学观察人员的心理健康状况,分析其影响因素,为完善精准心理干预措施提供参考。方法以宁夏回族自治区2020年2月15日至3月15日期间被隔离医学观察人员为目标人群进行网络问卷调查,编制、应用新冠肺炎知识、隔离期间行为依从性问卷,并采用抑郁、焦虑量表测评心理健康。非条件Logistics回归模型探讨相关影响因素。结果共有1070名被隔离医学观察人员有效完成问卷,抑郁症状发生率为27.10%,其中轻度、中度、重度、极重度分别是22.24%、3.27%、1.03%、0.56%;焦虑症状发生率是19.63%,其中轻度、中度、重度分别是18.42%、0.84%、0.37%。Logistic回归分析提示:本科及以上学历、新冠肺炎知识水平低、隔离期间行为依从性低者较易出现抑郁症状;城镇人口、已婚、离异/丧偶、认为自己可能感染新冠肺炎、隔离期间行为依从性低者更易出现焦虑症状(P均<0.05)。结论新冠肺炎流行期间被隔离医学观察人员的心理健康状况有待改善,需及时采取针对性心理健康咨询、心理干预等援助措施。

Objective To investigate the mental health status and its influencing factors among quarantined people during the epidemic of coronavirus disease 2019(COVID-19),and to provide references for improving precise psychological interventions.Methods An online survey was conducted on people who had been quarantined during February 15,2020 to March 15,2020 in Ningxia.The knowledge of COVID-19,behavioral compliance questionnaires during isolation,Patient Health Questionnaire 9(PHQ-9)and Generalized Anxiety Disorder 7(GAD-7)were applied.And unconditional Logistic regression model was also used to explore predictors.Results A total of 1070 medical observers were effectively completed the questionnaire,the incidence of depression was 27.10%,of which mild,moderate,severe and extremely severe were 22.24%,3.27%,1.03% and 0.56%,respectively;the incidence of anxiety symptoms was 19.63%,of which 18.42%,0.84% and 0.37% were mild,moderate and severe respectively.Novel coronavirus pneumonia was more prone to novel coronavirus pneumonia,and the Logistic regression analysis showed that depression was more common among undergraduate and above educated,low level of knowledge of new crown pneumonia and low compliance during isolation.Urban residents,married,divorced/widowed,who thought they might have new crown pneumonia and low compliance during isolation were more likely to develop anxiety symptoms(P all<0.05).Conclusion The mental health status of quarantine persons during the epidemic of COVID-19 needs to be improved,and assistance measures such as targeted mental health consultation and psychological intervention need to be taken in time.