某康复中心医护人员新型冠状病毒肺炎隔离期心理健康状况与维护

Mental health status and maintenance of the medical personnel in a certain military rehabilitation center during the period of COVID-19 isolation

目的探究某区域康复中心医护人员在隔离观察期心理健康的现状与维护策略的效果。方法根据陆军军医大学李敏设计的网络调查问卷,选取具有医学背景的131名隔离人员进行问卷调查,对其防疫隔离期间心理健康状况进行数据分析。结果(1)隔离人员中,男性的抑郁程度高于女性(t=2.239,P=0.031);(2)认知重评与失眠、焦虑、抑郁存在低到中度负相关(r=-0.241^-0.591,P<0.05);(3)隔离人员焦虑(t=8.915,P<0.01)与抑郁(t=6.528,P<0.01)严重程度均高于中国常模。结论隔离观察人员中抑郁、焦虑严重程度均高于中国成人平均水平,其中男性比女性更加抑郁。另外,认知重评的情绪调节策略能有效地降低抑郁、焦虑和失眠问题。同时医护人员自我心理调适的技术欠缺,应提高康复疗养机构医护人员面对突发事件时心理应对能力,维护心理健康。

Objective To investigate the mental health status and maintenance of the medical personnel in a certain military rehabilitation center during the period of Corona Virus Disease 2019(COVID-19)isolation and the effect of the implemented maintenance strategy.Methods By using the questionnaire forms designed by Li Min from the Army Military Medical University,a survey was performed on-line among the 131 people who were medically isolated.Data analysis was made on their mental health status during isolation.Results Of those isolated people,the seriousness of depression among the males was severer than that of the females(t=2.239,P=0.031).Cognitive reappraisal was negatively correlated with insomnia,anxiety and depression,to a low and moderate degrees(r=-0.241--0.591,P<0.05).The anxiety(t=8.915,P<0.01)and depression(t=6.528,P<0.01)levels of the isolated people all were higher than those of the normal Chinese population.Conclusion The seriousness of anxiety and depression among the isolated people was all higher than that of the average data of normal Chinese adults,with the seriousness of depression among the male being severer than that among the female.Mood regulation in cognitive reappraisal could effectively decrease the seriousness of depression,anxiety and insomnia.In addition,self-mental adaptation of the medical personnel was insufficient.Efforts should be devoted to the coping capacity of the medical personnel in face of abrupt medical events,so that mental health could be properly maintained.