新冠封闭管理下的突发灾害事故患者心理问题分析

Analysis of psychological problems in patients with sudden disaster accidents under closed management of COV⁃ID-19

目的分析新冠封闭管理下的突发灾害事故患者心理问题。方法采用回顾性分析研究法,对2021年1月至2022年6月期间治疗的96例突发灾害事故患者展开研究,所有患者均使用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估,并依据评估分数将患者分为两组,观察组31例(SAS≥50分和SDS≥53分)和对照组65例(SAS<50分和SDS<53分)。比较两组患者的心理危机评分、疾病不确定感评分,并采用logistic多因素分析突发灾害事故患者不良心理感受的危险因素。结果观察组的心理危机评分、疾病不确定感评分均高于对照组,差异均有统计学意义(t分别=5.67、2.00,P均<0.05)。logistic多因素分析结果显示,年龄≥60岁、医疗费用为自费、受教育年限<12年为突发灾害事故患者不良心理感受的危险因素(OR分别=1.74、3.52、3.67,P均<0.05)。结论新冠封闭管理下的突发灾害事故患者极易出现焦虑、抑郁、心理危机等负性情绪,对疾病也存在严重不确定感,应对年龄≥60岁、医疗费用为自费、受教育年限<12年的高危患者加强关注,以改善其心理感受。

Objective To analyze the psychological problems of patients with sudden disasters and accidents under the closed management of COVID-19.Methods A retrospective analysis method was used to study 96 patients with sudden disasters and accidents treated from January 2021 to June 2022.All patients were evaluated with the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS),and the patients were divided into two groups according to the evaluation scores,31 patients in the observation group(SAS≥50 points and SDS≥53 points)and 65 patients in the control group(SAS<50 points and SDS<53 points).The psychological crisis score and disease uncertainty score of the two groups were compared,and the risk factors of adverse psychological feelings of patients with sudden disasters and accidents were analyzed by logistic analysis.Results The psychological crisis score and disease uncertainty score of the observation group were higher than those of the control group,and the differences were statistically significant(t=5.67,2.00,P<0.05).The results of logistic multivariate analysis showed that age≥60 years,self-funded medical expen⁃ses,and years of education less than 12 were risk factors for adverse psychological feelings in patients with sudden disas⁃ter accidents(OR=1.74,3.52,3.67,P<0.05).Conclusion Patients with sudden disaster accidents under closed manag⁃ement of COVID-19 are prone to negative emotions such as anxiety,depression and psychological crisis,and also have a serious sense of uncertainty about the disease.More attention should be paid to high-risk patients aged≥60 years,with self-funded medical expenses and less than 12 years of education to improve their psychological feelings.