新型冠状病毒肺炎期间医务人员心理健康状况研究

Research on mental health status of medical staff during COVID-19 epidemic

目的了解新型冠状病毒肺炎期间医务人员的心理健康状况,为进一步开展医务人员的心理干预、确保医务人员心理健康提供参考和科学依据。方法于2020年2月4至16日,采用方便抽样方法,应用《抑郁-焦虑-压力量表》(DASS-21)中的《压力-焦虑亚量表》,通过问卷星调查615名医务人员的心理健康状况。共发放、回收615份问卷,有效问卷615份,有效回收率100%。结果医务人员心理压力和焦虑情绪的检出率分别为13.82%(85/615)及25.37%(156/615)。31~40岁年龄段、工作于重点科室是医务人员心理压力的危险因素(OR=1.779、2.127);女性、经常用肥皂/洗手液/消毒液洗手是心理压力的保护因素(OR=0.520、0.528)。医务人员工作于定点救治医院、重点科室更容易产生焦虑(OR=2.042、2.702);口罩与面部及鼻梁贴合高是医务人员心理焦虑的保护因素(OR=0.500)。结论新型冠状病毒肺炎疫情防控期间,医务人员表现较高的心理压力及焦虑,应早期对医务人员进行心理干预,重点关注男性、31~40岁年龄段、工作于定点救治医院及重点科室的医务人员。

Objective To explore the psychological status of medical staff during COVID-19 epidemic,so as to provide reference and scientific basis for carrying out further psychological intervention and ensuring the mental health of medical staff.Methods By using convenient sampling method and the Stresss-Anxiety ubscale of Depression Anxiety Stress(DASS-21),the mental health status of 615 medical staff was investigated by the way of questionnaire star from February 4 to 16,2020.A total of 615 questionnaires were distributed and collected,and 615 were valid,with an effective recovery rate of 100%.Results The detection rates of psychological stress and anxiety of medical staff were 13.82%(85/615)and 25.37%(156/615),respectively.31-40 years old and working in key departments were risk factors for psychological stress of medical staff(OR=1.779,2.127);Women,frequently washing hands with soap/hand sanitizer/disinfectant were protective factors for psychological stress(OR=0.520,0.528).Medical staff working in designated hospitals and key departments were more likely to have anxiety(OR=2.042,2.702);The high fit of the mask to the face and bridge of the nose was a protective factor for the psychological anxiety of medical staff(OR=0.500).Conclusion Medical staff show higher stress and anxiety during the epidemic of COVID-19.Psychological intervention should be carried out early,focusing on men,age 31 to 40,medical staff working in designated hospitals and key departments.