新冠肺炎精神科隔离病房医护人员心理健康状况调查

Investigation on mental health status of medical staff in COVID-19 psychiatric isolation ward

目的调查新冠肺炎精神科隔离病房医护人员的心理健康状况。方法利用问卷星的方式对武汉市某定点收治新冠肺炎精神障碍重症患者的精神专科医院隔离病房医护人员的心理状态进行调查,调查内容包括基本资料和症状自评量表(SCL-90),并与中国成人SCL-90常模对比。结果精神科隔离病房工作的医护人员SCL-90总均分及躯体化、抑郁、焦虑、恐怖因子分均高于全国常模(P<0.05)。SCL-90总均分及躯体化因子分女性要高于男性(P<0.05);强迫因子分三个年龄段比较差异均有统计学意义(P<0.05),40~59岁的强迫程度要高于20~29岁和30~39岁(P<0.05);焦虑因子分性别、职业、婚姻、生育、是否为双一线职工、家人是否被照料比较差异均有统计学意义(P<0.05),其中女性、护士、已婚、已生育、双一线职工及家人未得到照料高于其他特征的医护人员(P<0.05)。结论新冠肺炎疫情期间精神科隔离病房医护人员的心理健康水平较低,表现为躯体化、抑郁、焦虑、恐怖,不同人口学特征的医护人员在部分因子分值上也具有一定的差异。

Objective To investigate the mental health status of medical staff in psychiatric isolation ward during COVID-19 epidemic.Methods The Questionnaire Star was used to investigate the psychological state of medical staff in isolation ward of a psychiatric specialist hospital in Wuhan city,which was designated to treat COVID-19’s patients with severe mental disorders.The contents of the survey included basic information and Symptom Checklist 90(SCL-90),and the scores were compared with the norm of SCL-90 in Chinese adults.Results The total score and factor scores of somatization,depression,anxiety,terror of SCL-90 in medical staff were significantly higher than national norms(P<0.05).The total score and factor scores of somatization of SCL-90 in females were significantly higher than those in males(P<0.05).There was significant difference in factor scores of obsession among three different age groups(P<0.05),and the factor score of obsession in 45~59 years old group was significantly higher than those in 20~29 and 30~39 years old groups(P<0.05).There existed significant differences in factor scores of anxiety among medical staff with different genders,occupations,marital status,childbearing or not,double front-line workers or not and family members being taken care of or not(P<0.05),and those females,nurses,married,childbearing,double front-line workers and family members without care showed higher factor scores of anxiety than those with other characteristics(P<0.05).Conclusion During the epidemic period of COVID-19,the mental health level of the medical staff in psychiatric isolation ward is relatively low,characterized by somatization,depression,anxiety,terror.There are also some differences in some factor scores among medical staff with different demographic characteristics.