新冠疫情防控初期住培医师焦虑情绪分析与思考

An anxiety analysis of residents during the early stage of COVID-19 prevention and control

目的调查新冠肺炎疫情防控初期,参与住院医师规范化培训的医师(以下简称住培医师)群体的焦虑程度和对防控措施的认同倾向,以期在常态化疫情防控工作中采取针对性措施,更好地减轻住培医师的焦虑情绪,为类似公共卫生事件突发时住培医师的焦虑情绪管理提供参考。方法采用问卷调查方法对南京医科大学第一附属医院住培医师进行调查,了解其新冠疫情防控初期焦虑情绪等情况。结果不同年级、不同身份类别和疫情暴发初期轮转科室工作繁忙程度对住培医师的焦虑情绪有所影响(均P<0.05);住培医师对培训基地“提供充足的防护用品”“出台正式制度保障住院医师在疫情防控中的各项待遇”“每天对患者体温及流行病学史等数据进行监测上报”等配套防护措施缓解焦虑情绪的认同程度最高。结论培训基地应该重视住培医师在疫情防控工作中的焦虑情绪,并根据不同住院医师的具体情况采取实质性的措施以缓解其焦虑程度,提高其对防控措施的认同倾向。

Objective Investigate the anxiety level of residents in training and their tendency to identify with prevention and control measures during the early stage of the COVID-19.It is hoped that targeted measures will be taken in the normalized prevention and control work to better reduce the anxiety of the residents,and provide a reference for the management on the residents’anxiety during a public health emergency.Methods A questionnaire survey was conducted on residents in a large tertiary A hospital in Jiangsu to understand their anxiety and other conditions in the early stage of the prevention and control of the COVID-19.Results Grades,status categories,and work busyness in rotating departments had an impact on residents’anxiety(P<0.05).Residents most agreed that the following measures were helpful for alleviating anxiety,including“providing adequate protective equipment”,“promulgating a formal system to guarantee the treatment of residents in epidemic prevention and control”,and“monitoring and reporting of patient temperature and epidemiological history data daily”.Conclusions The training base should pay attention to the anxiety of the residents in training during the epidemic prevention and control work,and take substantive measures to relieve their anxiety according to the specific conditions of different residents.