新型冠状病毒肺炎疫情对成都市某区医务人员创伤后压力的影响因素及特点

Influencing factors and characteristics of COVID-19 on post-traumatic stress of medical staff in a district of Chengdu

目的:探讨新型冠状病毒肺炎(COVID-19)疫情下成都市某区医护人员创伤后压力的影响因素。方法:采用线上问卷调查法,邀请医务人员在开展该院第1例疑似病例救治的1个月后填写问卷,共收到85份,问卷包括人口学资料及修订版事件影响量表。事件影响量表总分在35分及以上者初判创伤后应激障碍(PTSD)为阳性。结果:该区医务人员PTSD初筛阳性率为15.29%,医务人员回避分量表平均分显著低于侵入、高警觉性分量表平均分(P<0.01)。一线工作人员与非一线工作人员、不同性别及不同年龄间的事件影响量表(IES-R)3个分量表及总分间差异无显著统计学意义。不同工龄间IES-R总分差异有显著统计学意义(P<0.05),两两对比中,<10年工龄的医务人员在高警觉性分量表和总分上比10~20年的医务人员低(均P<0.05),在侵入、高警觉性分量表和总分上均比>20年工龄的医务人员低(均P<0.05)。结论:在疫情非严重地区,医务人员患PTSD的危险性随着工龄而增加,在早期临床心理实践中应多关心工龄在10年及以上的医务人员;在早期临床筛查中,尽量采用诊断性量表及面谈为主的方法,慎用修订版事件影响量表。

Objective:To identify the influencing factors for post-traumatic stress of medical staff.Methods:Using online questionnaire method,85 medical staff were collected after 1 month since the cures given to“COVID-19”suspected patients.The questionaire included demographic data and Impact of Event Scale-Revised(IES-R).Staff with a score of 35 or more were considered Post-traumatic stress disorder positive.Results:The positive rate of PTSD screening of the medical staff was 15.29%.The average score of avoidance subscale was significantly lower than that of invasion and high alertness subscale(P<0.01).There was no significance in the three subscales and total score of IES-R,gender and age between the front-line staff and non front-line staff.There was a significant difference in the total score of IES-R among different lengths of service(P<0.05).The high-alertness subscale and total score of IES-R in medical staff working for 10~20 years were significantly higher than those of less than 10 years(both P<0.05).The intrusion and high-alertness subscale and total score of IES-R in medical staff working for more than 20 years were significantly higher than those of less than 10 years(all P<0.05).Conclusion:The risk of PTSD in medical staff increases with the length of work in no serious area,so more psychological service should be given to the staff working for 10 years or more.In early clinical screening,diagnostic scale and interview should be used as much as possible,and the IES-R should be used with caution.