公众对新型冠状病毒肺炎的心理应激与应对方式的相关性

Correlation between public psychological stress and medical coping style on novel coronavirus pneumonia

目的探索公众应对新型冠状病毒感染肺炎的心理应激与应对方式,为提高公众对突发性公众卫生事件的应对能力提供参考。方法采用滚雪球抽样法,收集2020年1月31日—2月9日新型冠状病毒肺炎流行期间在全国的样本1018名,采用一般人口学调查表、突发性公共卫生事件心理问卷(PQEEPH)和自行设计的突发性公共卫生事件医学应对量表进行横断面调查。结果公众应对新冠肺炎疫情的心理应激总均分0.39(0.17,0.71),医学应对总分44(41,47)。经Pearson相关性分析,医学应对的面对维度与性别、职业、学历、生活地、接触史、恐惧呈正相关(P<0.01);屈服维度与年龄、学历、省份、生活地、接触史、心理应激各维度呈正相关(P<0.01);回避维度及支持维度与心理应激各维度呈负相关(P<0.01);并且支持维度与年龄段(P<0.05)、省份(P<0.05)呈负相关,与职业呈正相关(P<0.05)。进一步回归分析应对方式的相关因素,职业、生活地、接触史、抑郁、神经衰弱、恐惧进入回归方程(P<0.001)。结论对突发性公共卫生事件的干预工作可考虑这些因素的影响,进一步提升医学应对能力。

Objective To explore the public's psychological stress and medical coping style caused by the novel coronavirus pneumonia in order to improving respond ability to the public health emergencies.Methods A total of 1018 samples were collected from January 31 to February 9,2020 in China by snowball sampling method.A cross-sectional survey was conducted by using general demographic questionnaire,public health emergency psychological questionnaire(PQEEPH)and medical coping scale.Results The public's average psychological stress on the novel coronavirus pneumonia was 0.39(0.17,0.71),and the total score of medical coping scale was 44(41,47).According to Pearson correlation analysis,the face-dimensions of medical coping were positively correlated with gender,occupation,education,living place,contact history and fear(P<0.01);the yield-dimensions were positively correlated with age,education,province,living place,contact history and all dimensions of psychological stress(P<0.01);the avoidance-dimensions and the support-dimensions were negatively correlated with all dimensions of psychological stress(P<0.01);and support dimension was negatively correlated with age(P<0.05),province(P<0.05),and positively correlated with occupation(P<0.05).Further regression analysis showed that occupation,living place,contact history,depression,neurasthenia and fear entered the regression equation(P<0.001).Conclusion These factors can be taken into account in the future intervention of public health emergencies,so as to further improve the medical coping ability.