新型冠状病毒疫情下血透医护人员心理应激现况调查分析

Investigation of psychological stress among medical staff for hemodialysis in the epidemic context of COVID-19

目的了解新型冠状病毒疫情下血透医护人员心理应激现况并分析原因,为提出相应的对策提供一定的参考依据。方法通过问卷星平台,使用自制的一般资料调查表、Zung氏焦虑自评量表、突发事件应激障碍症状问卷,对新型冠状病毒疫情下在临床一线工作的血透医护人员进行心理问卷调查,并针对现况进行原因分析。结果血透医护人员SAS平均得分(43.74±7.46)分,高于国内常模(29.78±0.46)分,两者比较差异具有统计学意义(P<0.01);对血透医护人员的不同一般资料对比分析,不同职业、睡眠时间和健康状况的血透医护人员焦虑评分比较具有统计学差异(P<0.01),不同年龄、职务和健康状况的血透医护人员突发事件应激障碍评分比较差异具有统计学意义(P<0.01)。结论疫情期间血透医护人员承受着较大的心理压力,透析患者或家人被感染是他们最担心的问题之一,其中血透科主任和护士长的压力较大。疫情期间部分血透医护人员存在一定焦虑情绪及心理应激障碍症状,需要针对性并尽早进行心理干预。

Objective To investigate the status of psychological stress of medical staff for hemodialysis and analyze the reasons,so as to provide some reference for corresponding countermeasures.Methods On the online platform Questionnaire Star,a psychological questionnaire survey was carried out for hemodialysis staff working on the front line of the clinic in the epidemic context of COVID-19 using a self-made questionnaire for general information,Zung Anxiety Self-rating Scale and Emergency Stress Disorder Symptom Questionnaire.Furthermore,the causes of their status were analyzed.Results The average SAS score of all hemodialysis staff was(43.74±7.46),which was higher than the domestic norm(29.78±0.46),and the difference was statistically significant(P<0.01).The comparative analysis of the general data of different hemodialysis staff showed that there were statistically significant differences in the anxiety scores among hemodialysis staff with different occupations,sleep duration and health status(P<0.01).And there were statistically significant differences in the scores of emergency stress disorder among hemodialysis staff with different ages,positions and health conditions(P<0.01).Conclusion During the epidemic period,medical staff for hemodialysis was under great psychological pressure.Infection in dialysis patients or the patients’family members was one of their biggest concerns.The director and head nurse of hemodialysis department were under greater pressure.During the epidemic period,some hemodialysis staff had some symptoms of anxiety and psychological stress disorder,which required early targeted psychological intervention.