上海奥密克戎疫情期间方舱医院医务人员心理健康水平及影响因素研究

A study on level of mental health and influencing factors of medical staff in the makeshift hospital during COVID-19 in Shanghai

目的分析上海新型冠状病毒肺炎(COVID-19)奥密克戎变异株流行期间国家会展中心方舱医院第四分院医务人员的心理健康状况,为研究COVID-19疫情等突发公共卫生事件中医务人员的心理卫生、心理干预提供理论依据。方法采用广泛性焦虑障碍量表(GAD-7)、患者健康问卷(PHQ-9)和阿森斯失眠量表(AIS)分别在入舱前和入舱1个月后对医务人员进行在线问卷调查。结果方舱医院工作开始前,医务人员焦虑、抑郁、失眠的检出率分别为18.4%、22.1%、27.0%,入舱1个月后随访,焦虑、抑郁、失眠的检出率分别为28.8%、59.5%、64.2%;医务人员在方舱医院工作1个月后,其GAD-7、PHQ-9和AIS得分较基线期均明显上升(P<0.01)。女性、既往有镇静催眠类药物用药史是方舱医院医务人员抑郁水平升高的危险因素(P<0.05)。结论进入方舱工作1个月后,援沪医务人员的焦虑、抑郁、失眠情况更加严重。早期识别存在严重心理问题的医务人员并进行心理干预对一线支援工作的开展具有重要意义。

Objective To analyze the mental health status of medical staff in the Fourth Branch of National Convention and Exhibition Center Makeshift Hospital during the COVID-19 epidemic in Shanghai to lay a theoretical foundation for the mental health and psychological intervention of medical staff in COVID-19 and other public health emergencies.Methods An online questionnaire survey was conducted with the generalized anxiety disorder scale(GAD-7),patient health questionnaire(PHQ-9),and Athens insomnia scale(AIS)before medical staff entering the makeshift hospital and one month later.Results The detection rates of anxiety,depression and insomnia were 18.4%,22.1%and 27.0%respectively before entering the makeshift hospital,and 28.8%,59.3%and 64.2%respectively during the follow-up period one month later.The GAD-7,PHQ-9 and AIS scores of medical staff after working in the makeshift hospital for one month increased significantly compared with those at the baseline period(P<0.01).Female and previous history of using sedative and hypnotic drugs were risk factors for increased depression level among medical staff in the makeshift hospital.Conclusions The anxiety,depression and insomnia levels of the medical staff in Shanghai increased after working in the makeshift hospital for one month.It is of great significance for the front-line support work to identify the medical staff with serious psychological problems and carry out psychological intervention in the early stage.