新型冠状病毒肺炎疫情期间援鄂护理人员心理健康状况调查及影响因素分析

Mental health status and influencing factors among nurses a iding to Hu bei during COVID-19 epidemic

目的探讨新型冠状病毒肺炎疫情期间援鄂护理人员心理健康状况及影响因素。方法2020年3月10日—13日对河北省97名援鄂护理人员采用一般资料问卷、广泛性焦虑障碍量表、抑郁症筛查量表、健康问卷躯体症状量表进行测评分析,并对影响心理健康状况的因素采用二元Logistic回归分析。结果97名援鄂护理人员焦虑检出率为13.4%,抑郁检出率为25.8%,其中重度抑郁检出率为1.0%;躯体化障碍检出率为46.4%,其中重度躯体化障碍检出率为11.3%。Logistic回归分析显示,援鄂时间>4周是焦虑的危险因素(OR=6.44,95%CI为1.08~38.29,P<0.05);援鄂时间>4周、穿戴防护服不适感是抑郁的危险因素(OR=6.76、8.92,95%CI分别为1.08~42.36、1.60~50.03,P<0.05);女性、穿戴防护服不适感、主观感觉失眠是躯体化障碍的危险因素(OR=4.63、4.86、3.11,95%CI分别为1.13~17.39、1.61~14.68、1.09~8.89,P<0.05或0.01)。结论部分援鄂护士存在不同程度的焦虑、抑郁和躯体化障碍,影响因素涉及援鄂时间、穿防护服不适、睡眠等,相关职能管理机构应关注异地抗疫人员的心身健康问题,通过多种措施有针对性地提高其心理健康水平。

Objective To explore mental health status and influencing factors a mong nur ses aiding to Hubei during COVID-19 epidemic.Methods Evaluations and analyses were conducted using general information questionnaire,Generalized Anxiety Disorder(GAD-7),Patient Health Questionnaire(PHQ-9)and Patient Health Questionnaire-15(PHQ-15),and dualistic logistic regression analyses were used to analyze influencing factors.Results Of 97 nurses aiding to HuBei detection rate of anxiety was 13.4%;detection rate of depression was 25.8%,of which major depression 1.0%;detection rate of somatization disorder 46.4%,of which major somatization disorder 11.3%.Logistic regression analysis showed that aiding time more than 4 weeks were risk factors of anxiety(OR=6.44,95%CI 1.08~38.29,P<0.05);aiding time more than 4 weeks and protection garment discomfort were risk factors of depression(OR=6.76,95%CI 1.08~42.36;OR=8.93,95%CI 1.60~50.03,P<0.05);female,discomfort and subjective insomnia were risk factors of somatization disorders(OR=4.63、4.86、3.11,95%CI 1.13~17.39,1.61~14.68,1.09~8.89 respectively,P<0.05 or 0.01).Conclusion Some nurses aiding to Hubei suffered from varying degrees of anxiety,depression and somatization disorders.Influencing factors include aiding times,protection garment discomfort,sleep and so on.Close attention should be paid to the psychosomatic health of anti-epidemic staff and improvetheir mental health levels via various purposeful measures.