新型冠状病毒肺炎抗疫一线医务人员创伤后应激障碍现状及影响因素研究

Prevalence and correlates of post-traumatic stress disorder in front-line medical workers during the COVID-19 epidemic:A cross-sectional study

目的:探讨新型冠状病毒肺炎(COVID-19)疫情后抗疫一线医护人员的创伤后应激障碍现状及影响因素,为其心理健康干预提供参考依据。方法:于2020年7月选取华中科技大学同济医学院附属协和医院医护人员作为研究对象进行问卷调查,问卷包括人口学资料、创伤后应激障碍量表、10条目简易心理弹性量表、抑郁症状量表(PHQ-2)、广泛性焦虑量表(GAD-2),并采用逐步线性回归分析对创伤后应激障碍的影响因素进行分析。结果:创伤后应激障碍平均得分为(39.48±11.41)分,心理弹性平均得分为(36.99±8.30)分,抑郁筛查量表平均得分为(1.54±1.52)分,广泛性焦虑障碍平均得分为(1.58±1.55)分。创伤后应激障碍发生率为54.6%。以创伤后应激障碍为因变量,逐步线性回归分析发现心理弹性、焦虑、抑郁、现在每天关注COVID-19相关信息的时间、是否感到孤独和年龄是一线医护人员创伤后应激障碍的影响因素(P<0.05)。结论:疫情暴发下对COVID-19信息的过度关注和对传播风险的感知会增加焦虑风险。抗疫医务工作者普遍出现焦虑,应当加强心理干预,增加社会支持并提高心理弹性。

Objective:To investigate the status and influencing factors of post-traumatic stress disorder(PTSD)among front-line medical workers during COVID-19 outbreak,and to provide reference for their mental health intervention.Methods:In July 2020,medical workers from Union Hospital affiliated to Tongji Medical College,Huazhong University of Science and Technology were selected as the research objects to conduct a questionnaire survey.The questionnaire included demographic data,PTSD Checklist-Civilian version(PCL-C),10-item Connor-Davidson Resilience scale(CD-RISC),and Patient Health Questionnaire-2(PHQ-2),generalized anxiety disorder scale(GAD-2).The influencing factors of PTSD were analyzed by stepwise linear regression analysis.Results:The PCL-C score was(39.48±11.41),the CD-RISC score was(36.99±8.30),the PHQ-2 score was(1.54±1.52),and the GAD-2 score was(1.58±1.55).The incidence of PTSD was 54.6%.Results of stepwise linear regression analysis showed that psychological resilience,anxiety,depression,the time of daily attention to COVID-19-related information,feeling lonely and age were the influencing factors for PTSD among front-line medical workers(P<0.05).Conclusions:Excessive attention to COVID-19 information and the perception of transmission risk can increase the risk of anxiety.As anxiety is prevalent among medical workers fighting against COVID-19.Psychological intervention,social support and psychological resilience should be strengthened.