2019冠状病毒病疫情下支援疫区医护人员心理应激水平与焦虑情绪、抑郁情绪和睡眠的相关性分析

An analysis of the correlation between psychological stress levels and anxiety,depression and sleep in supporting health care workers in epidemic area un⁃der the epidemic situation of coronavirus disease 2019

目的调查2019冠状病毒病疫情下支援疫区医护人员抗疫期间心理健康状况,分析心理应激水平与焦虑情绪、抑郁情绪和睡眠的相关性。方法采用一般情况调查表、心理应激自评问卷(psychological stress self-evaluation test,PSET)、匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)问卷,对2019年12月~2022年5月支援武汉、牡丹江、绥芬河、望奎、黑河等地参加抗疫工作的医护人员中抽取163人进行问卷调查分析,采用描述性分析、单因素分析和相关性分析分别研究心理应激水平与焦虑情绪、抑郁情绪和睡眠的相关性。结果不同心理应激水平支援疫区医护人员在睡眠质量、抑郁程度、焦虑情绪上差异具有统计学意义(P<0.01)。支援疫区医护人员心理应激水平与焦虑情绪、抑郁情绪及睡眠程度呈显著正相关。支援疫区医护人员心理应激状况可以通过焦虑状态、睡眠情况以及居住状态达到有效预测。R2=0.611,总解释率为61.1%。结论支援疫区医护人员存在一定程度的心理应激反应,在进行心理应激干预时应充分考虑焦虑情绪、抑郁情绪和睡眠等影响因素。

Objective To investigate the mental health status of medical staff supporting the epidemic area under the epidemic situation of coronavirus disease 2019,and to analyze the cor⁃relation between psychological stress level and anxiety,depression and sleep index.Methods A total of 163 medical and nursing staff were selected from those who supported Wuhan,Mu⁃danjiang,Suifenhe,Wangkui,Heihe and other places to participate in the anti⁃epidemic work from December 2019 to May 2022,they were investigated and analyzed with the general situa⁃tion questionnaire,psychological stress self⁃evaluation test(PSET),Pittsburgh Sleep Quality Index(PSQI),self⁃rating anxiety scale(SAS),and Self⁃rating Depression Scale(SDS)ques⁃tionnaire.Descriptive analysis,one⁃way analysis and correlation analysis were used to investi⁃gate the correlation between psychological stress levels and anxiety,depression and sleep,re⁃spectively.Results There were statistically significant differences in sleep quality,depression and anxiety among medical staff supporting the endemic area with different levels of psychologi⁃cal stress(P<0.01).The level of psychological stress of medical staff supporting the endemic areas was significantly positively correlated with anxiety,depression and sleep levels.The psy⁃chological stress status of medical staff in endemic areas could be effectively predicted through anxiety,sleep status and residential status.R2=0.611,the total interpretation rate was 61.1%.Conclusion There is a certain degree of psychological stress response in medical staff supporting the epidemic areas,and the influencing factors such as anxiety,depression and sleep should be fully considered when carrying out psychological stress intervention.