新冠疫情期间院前急救人员心理健康状况调查

Investigation on Mental Health Status of Pre Hospital Emergency Workers During the COVID-19 Epidemic

目的 了解新冠疫情期间院前急救人员的心理状况及其影响因素,为开展心理干预服务提供理论依据。方法 在2022年4—6月,对上海市金山区医疗急救中心的116名职工进行问卷调查,对院前急救人员的心理健康状况进行评估。结果 本次调查共收集有效问卷111份,其中检出应激症状阳性的有50人(45.05%),焦虑症状阳性的有45人(40.54%),抑郁症状阳性的有42人(37.84%)。调查发现同时具备两种或两种以上阳性症状的心理健康高危人员47人(42.34%)。不同性别、工作岗位、有无负面行为表现的院前急救人员,其焦虑症状、抑郁症状及心理健康状态比较的差异有统计学意义(均P<0.05)。Logistic回归分析显示:男性、有负面行为表现是发生焦虑的影响因素(均P<0.05);有负面行为表现是发生应激、抑郁和心理健康状态高危的影响因素(均P<0.05)。结论 新冠疫情期间,金山区院前急救人员的焦虑、抑郁及应激感受程度较高,需关注这一群体的身心健康,并健全合理的保障制度,以达到更好地应对日常急救工作及各类突发公共卫生事件的能力。

Methods Objective To understand the psychological status of pre hospital emergency workers and its influencing factors characteristics,epidemic-related characteristics,and SRH scores of 479 subjects.Results The SRH scoresduring the prevalence of the COVID-19,and to provide a theoretical basis for psychological intervention services.Methods From of the research subjects and the subscores of physical,psychological and social health were(44.86±5.54)April to June 2022,a questionnaire survey was conducted on 116 employees of Jinshan District Medical Emergency Center in Shanghai to evaluate the mental health status of pre hospital emergency personnel in Jinshan District.Results A total of 111 valid(14.10±1.38),(19.90±3.77),and(10.86±2.26)respectively.Those under 45 years old,suffering from chronicquestionnaires were collected in this survey,of which 50(45.05%)were positive for stress symptoms,45(40.54%)were positive for diseases,going out to school/work,or understanding little of the epidemic reported lower total scores of SRH.anxiety symptoms,and 42(37.84%)were positive for depression symptoms.The survey found that 47(42.34%)high-risk individuals with two or more positive symptoms of mental health at the same time.There was a statistically significant difference in anxiety Those under 45 years old,suffering from chronic diseoses,living in Hubei Province during the outbreak,or symptoms,depression symptoms,and mental health status among pre hospital emergency responders of different genders,job positions,going out to school/work reported lower total scores of mental health.Those males,under 45 years old,havingand negative behavior(all P<0.05).Logistic regression analysis showed that male and negative behavior were the influencing factors a low level of understanding of the epidemic,or paying more time on the information of the epidemic reportedfor anxiety(all P<0.05).Having negative behavior is a high-risk influencing factor for stress,depression,and mental health status(all P<0.05).Conclusion During the COVID-19,the pre hospital emergency workers in Jinshan District had a high degree of anxiety,lower scores of the social health.Conclusion During the COVID-19 epidemic,the self-rated health of thedepression and stress feelings,and more attention should be paid to their physical and mental health,so as to improve the reasonable participants was associated with age,the severity of the epidemic in the place of residence,and the individual’ssecurity system and achieve a better ability to deal with daily emergency work and various public health emergencies.