正念减压疗法对新冠疫情期间医务人员主观压力及焦虑抑郁的影响

The effect of mindfulness-based stress reduction on negative emotions and perceived stress of front-line medical staffs during the novel coronavirus pneumonia epidemic

目的新冠肺炎具有传染性强、传播速度快、人群普遍易感等特点。医务人员在高风险、高压力的环境下工作,极易出现焦虑和抑郁等心理问题,亟待有效的心理干预。方法研究共招募到510名一线抗疫医务人员,有44名最终完成研究,其中干预组20名,对照组24名。对干预组进行8周的线上正念减压训练(Mindfulness-Based Stress Reduction,MBSR),对照组予以心理支持。采用焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)、和压力知觉量表(Chinese Perceived Stress Scale,CPSS)对参与者进行测评,评估干预效果。结果两组医务人员的SDS、SAS、CPSS评分均显著下降(P值<0.001);干预组下降较对照组更明显(P值<0.001)。结论正念减压疗法能有效降低新冠疫情期间医务人员焦虑、抑郁和压力水平。

Objective New coronary pneumonia has the characteristics of strong contagion,rapid spread,and general susceptibility of the population. Frontline medical staff working in a high-risk and high-stress environment are prone to psychological problems such as anxiety and depression. Effective psychological intervention is urgently needed.This study aims to evaluate the effect of mindfulness-based stress reduction(MBSR)on perceived stress,anxiety,and depression in frontline medical staffs. Methods A total of 510 frontline medical staffs were recruited for the study,and 44 of them finally completed the study,including 20 in the experimental group and 24 in the control group. The experimental group was given 4 weeks of online MBSR training,and the control group was given psychological support. Participants were assessed using the Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),and Chinese Perceived Stress Scale(CPSS)to evaluate the effect of intervention. Results The scores of SDS,SAS and CPSS of the two groups of frontline medical staff decreased significantly(P value <0.001). The score of the experimental group dropped more significantly than that of the control group(P value <0.001). Conclusion MBSR can effectively reduce the anxiety,depression and stress levels of frontline medical staff during the COVID-19 epidemic.