新型冠状病毒肺炎疫情期间封闭管理对精神科医护人员心理压力及睡眠质量的影响

Effects of closed management on psychological stress and sleep quality of psychiatric medical staff during the COVID-19 epidemic

目的 探讨新型冠状病毒肺炎疫情期间封闭管理对精神科医护人员心理压力、睡眠质量的影响。方法 对封闭管理的215名精神科医护人员,采用问卷星形式进行一般情况调查表、心理压力相关量表、匹兹堡睡眠质量指数测评,采用Pearson相关分析探讨心理压力与睡眠质量的相关性,采用多元逐步回归分析探讨心理压力、睡眠的影响因素。结果 入组的医护人员心理压力相关量表总分为(24.73±9.13)分,匹兹堡睡眠质量指数总分为(6.47±4.27)分。不同文化程度精神科医护人员心理压力相关量表总分比较差异有统计学意义(P<0.05),不同文化程度、年龄段及工作年限精神科医护人员匹兹堡睡眠质量指数总分比较差异均有统计学意义(P<0.05或0.01)。Pearson相关分析显示,医护人员心理压力相关量表总分与匹兹堡睡眠质量指数总分呈显著正相关(P<0.01)。逐步回归分析显示,医护人员心理压力的影响因素是文化程度(P<0.05),睡眠质量的影响因素是工作年限(P<0.01)。结论 封闭管理精神科医护人员心理压力大、睡眠质量差,其中本科学历,尤其是参加工作10 a~15 a的人群是高危人群。

Objective To explore the influence of closed management on psychological stress and sleep quality of psychiatric medical staff during the COVID-19 epidemic. Methods A total of 215 psychiatric medical staff under closed management were evaluated by general information questionnaire, psychological stress scale and Pittsburgh sleep quality index(PSQI) in the form of questionnaire star. Pearson correlation analysis was used to explore the correlation between psychological stress and sleep quality, and multiple stepwise regression analysis was used to explore the influencing factors of psychological stress and sleep. Results The total score of psychological stress scale of medical staff was(24.73±9.13), and the total score of PSQI was(6.47±4.27). There were statistically significant differences in the total scores of psychological stress scale among psychiatric medical staff with different education levels(P<0.05). There were significant differences in the total scores of PSQI among psychiatric medical staff with different education levels, age groups and working years(P<0.05 or 0.01). Pearson correlation analysis showed that the total score of psychological stress scale was positively correlated with the total score of PSQI(P<0.01). Stepwise regression analysis showed that the influencing factor of psychological stress of medical staff was educational level(P<0.05), and the influencing factor of sleep quality was working years(P<0.01). Conclusions Psychiatric medical staff under closed management have high psychological pressure and poor sleep quality. Among them, those with bachelor’s degree, especially those who have worked for 11-15 years, are at high risk.