新冠肺炎疫情期间某院住院医师规范化培训学员焦虑与抑郁水平调查分析

Investigation and analysis of anxiety and depression status of residents standardised training student in a hospital during the COVID-19 pandemic

目的分析新型冠状病毒肺炎(简称新冠肺炎)疫情下住院医师规范化培训学员(以下简称规培学员)心理行为反应,为规培学员心理健康及课程建设提供科学依据及参考。方法2020年2月12-19日,通过钉钉问卷,对中国科学技术大学附属第一医院规培学员进行焦虑和抑郁水平调查及相关分析(SAS、SDS)。结果共回收问卷529份,剔除无效或空白答卷,回收有效问卷484份(91.49%)。其中14.67%(71/484)的规培学员表现为焦虑状态,焦虑得分为(38.96±9.16)分,23.97%(116/484)的规培学员表现为抑郁状态,抑郁得分为(40.00±11.35)分。新冠肺炎疫情期间规培学员焦虑(H=5.635,P=0.018)和抑郁(H=10.029,P=0.002)的严重程度在不同性别分布差异有统计学意义,而抑郁的严重程度在不同人员类别群体中差异有统计学意义(H=10.844,P=0.004),该群体的焦虑和抑郁间有明显相关性(r=0.731,P<0.001),其严重程度的分布有显著不同(Kendall相关系数为0.433,P<0.001)。结论新冠肺炎疫情期间规培学员面临疫情、工作双重压力,出现焦虑、抑郁状态比例有所提高,主要分布在男生与社会人群体中。焦虑与抑郁共病也较易发生。在新冠肺炎疫情期间,医院教育处需制定切实可行的疫情防控学习,有效保障规培学员心理健康。

Objective To understand the anxiety and depression status of residents standardised training students during the Corona Virus Disease-19(COVID-19)epidemic,and to establish an evidence-based strategy for improving the mental health of residents and curriculum construction.Methods A questionnaire survey was conducted by combining the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)in Feb.12-Feb.19,2020 through the Ding Talk APP.The participants were resident students of the First Affiliated Hospitals of China University of Science and Technology.Results A total of 529 questionnaires were distributed,and 484 valid questionnaires were returned,with a recovery rate of 91.49%.During the COVID-19 epidemic,we found that 14.67%(71/484)of the residents were in an anxious state,and the mean scores of SAS was(38.96±9.16)points.Meanwhile,23.97%(116/484)residents were in a depressed state,and the mean scores of SDS was(40.00±11.35)points.The severity of anxiety(H=5.635,P=0.018)and depression(H=10.029,P=0.002)was related to gender.The severity of depression was significantly different in different personnel groups(H=10.844,P=0.004),there was a significant correlation between anxiety and depression in this group(r=0.731,P<0.001),and the distribution of severity was significantly different(Kendall=0.433,P<0.001).Conclusion During the COVID-19 epidemic,resident students are faced with multiple pressures such as epidemic and employment,and the incidence rates of anxiety and depression are considerably higher than those of the general population and postgraduate students,especially in the male and unsigned group.Comorbid anxiety and depression also easily occurred.Sufficient attention and intervention measures should be actively taken by the hospital education section for the prevention of depression and anxiety.