援鄂一线医护人员自我领导力与急性应激反应相关性研究

Correlation between self-leadership and acute stress reaction in front-line medical staff of anti-COVID-19 in Hubei province

目的调查援鄂一线医护人员自我领导力与急性应激反应现状,并探讨两者的相关性。方法采用便利抽样的方法,运用自行设计的一般资料调查问卷、修正版自我领导力问卷(RSLQ)及斯坦福急性应激反应量表(SASRQ)对263名医护人员进行横断面调查。结果突发公共卫生事件期间医护人员RSLQ总分为(123.86±20.83)分,处于中等偏上水平;SASRQ评分为(25.92±21.56)分,超过20%医护人员存在急性应激障碍(SASRQ总分≥40分)。医护人员不同婚姻状况、是否为一线医护人员、自己周围人感染可能性以及目前所在地疫情流行情况的SASRQ总分比较差异具有统计学意义(P<0.05)。Pearson相关分析结果显示,RSLQ自我惩罚与SASRQ总分呈正相关(P<0.01)。分层回归分析显示,本研究所纳入的自变量可解释的总变异为23.9%,其中婚姻状态为在婚及离异、自己周围人感染的可能性大、所在地目前疫情处于上升等一般因素与医护人员产生急性应激反应呈正相关,可解释的总变异为13.7%。第二层,去除上述因素后自我领导力中自我惩罚与自我对话可解释总变异的10.2%。结论婚姻状况、目前所在地疫情流行状态、周围人感染的可能性、自我惩罚及自我对话与突发公共卫生事件急性应激反应呈正相关,医院管理及心理专业人员可采取相应的处理措施。

Objective To explore the current situations and their correlations between self-leadership and acute stress reaction in front-line medical staff of anti-COVID-19 in Hubei province.Methods A cross-sectional survey was conducted among 263 medical staff by using self-designed general information questionnaire,Revised Self-Leadership Questionnaire(RSLQ)and Stanford Acute Stress Reaction Questionnaire(SASRQ).Results During public health emergency,the total score of RSLQ in medical staff was(123.86±20.83),which was above the average level;the total score of SASRQ was(25.92±21.56),and more than 20%of the medical staff had the acute stress disorder(SASRQ score≥40).There were significant differences in the total scores of SASRQ among medical staff with different marital statuses,whether they were front-line health care workers,different possibilities of infection in the people around,and different epidemic situation at the current location(P<0.05).Pearson correlation analysis showed that there was a positive correlation between the self-punishment dimension score of RSLQ and the total score of SASRQ(P<0.01).Further stratified regression analysis showed that the total explanatory variation of the independent variables included in this study was 23.9%,and general factors such as being married or divorced,possibility of infection in people around,and current epidemic situation in the area were positively correlated with acute stress reactions in medical staff,with a total explanatory variation of 13.7%.In the second level,after removing the above factors,self-punishment and self-dialogue in self-leadership could explain 10.2%of the total variance.Conclusion Marital status,epidemic situation in the local area,possibility of infection in people around,self-punishment and self-dialogue are positively correlated with acute stress reaction in public health emergencies.Hospital management and psychological professionals can take corresponding measures.