广西新冠肺炎疫情常态化防控下一线与非一线医务人员心理健康对比

Comparison of mental health between front-line and non front-line medical staffs under normalized prevention and control of COVID-19 in Guangxi

目的对比区内新冠肺炎疫情常态化防控下一线与非一线医务人员的心理健康状态,为有针对性开展心理干预提供依据。方法采用等距抽样法选取新冠肺炎疫情期间公立医院一线医务人员132名、非一线医务人员157名,分别用SCL-90量表、阿森斯失眠量表对两类人群的心理症状、睡眠情况进行评估;分析两组人群得分差异,以评价两者心理健康状况。结果一线医务人员SCL-90强迫症状、人际关系敏感、抑郁、敌对、恐怖、偏执、精神病性因子得分显著低于常模,焦虑因子得分高于常模(P<0.05或0.001),非一线医务人员强迫症状、人际关系敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子得分高于常模(P<0.001),一线医务人员与非一线医务人员在SCL-90的强迫症状、人际关系敏感、抑郁、敌对、恐怖、偏执、精神病性因子得分比较差异有统计学意义(P<0.001)。非一线医务人员失眠人数明显多于一线医务人员,差异有统计学意义(P<0.001)。结论一线与非一线医务人员在疫情常态化防控下心理健康状况存在差异,应对两组人群进行差异化心理干预。

Objective To compare the mental health status between front-line and non front-line medical staffs under normalized prevention and control of COVID-19 in Guangxi,so as to provide basis for targeted psychological intervention.Methods 132 front-line medical staffs and 157 non front-line medical staffs in public hospitals during the pandemic of COVID-19 were selected by equidistant sampling method.The psychological symptoms and sleep status of the two groups were assessed by SCL-90 scale and Athens insomnia scale,respectively.Finally,the difference of scores between the two groups was analyzed to evaluate their mental health status.Results The scores of obsessive-compulsive symptoms,interpersonal sensitivity,depression,hostility,terror,paranoia and psychotic factors of the front-line medical staffs in SCL-90 scale were significantly lower than those of the norm,while the score of anxiety factor was significantly higher than that of the norm(P<0.05 or 0.001).However,the scores of obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety,hostility,terror,paranoia and psychotic factors of non front-line medical staffs were significantly higher than those of the norm(P<0.001).There was statistically significant difference in the scores of obsessive-compulsive symptoms,interpersonal sensitivity,depression,hostility,terror,paranoia,and psychiatric factors between front-line medical staffs and non-front-line medical staffs in SCL-90(P<0.001).The number of non front-line medical staffs suffered from insomnia was larger than that of front-line medical staffs,and difference was statistically significant(P<0.001).Conclusion There are differences in mental health status between front-line staffs and non front-line medical staffs,and differential psychological intervention should be carried out for the two groups.