闭环管理下陕西省713名核酸采集人员心理状况及影响因素分析

Analysis on psychological status and influencing factors of 713 nucleic acid collection medical workers in Shaanxi Province under closed-loop management

目的 了解重大公共卫生事件期间闭环管理下核酸采集医务人员抑郁、焦虑情绪和睡眠障碍发生现况,并分析相关因素的影响。方法 2022年3—5月,便利抽样法抽取陕西省7所三级甲等医院713名闭环管理下核酸采集医务人员,采用自编问卷、患者健康问卷抑郁量表、广泛性焦虑障碍量表和匹兹堡睡眠质量指数量表进行调查,并对数据进行分析。结果 713名闭环管理下核酸采集医务人员抑郁、焦虑情绪和睡眠障碍阳性率分别为41.9%、34.8%和45.9%。人员年龄、采集频率、采集时间和对发生感染的担心程度与抑郁量表评分均呈正相关(r=0.119、0.187、0.227、0.171,均P<0.05);人员年龄、采集频率、采集时间和对发生感染的担心程度与焦虑量表评分均呈正相关(r=0.137、0.198、0.210、0.177,均P<0.05),发生感染的担心程度与睡眠量表评分呈正相关(r=0.195,P<0.05);教育程度与抑郁、焦虑和睡眠障碍量表呈负相关(r=-0.238、-0.244、-0.074,均P<0.05)。二元logistic回归分析显示,医务人员教育程度、年龄、采集时间、采集地点、对感染的担心程度和外在环境是抑郁、焦虑情绪和睡眠障碍的影响因素。结论 核酸采集医务人员抑郁、焦虑情绪和睡眠障碍等情况处于轻度水平。在开展核酸采集工作时管理者应当优化采集地点,控制每场采集时间,及时替换采集人员,密切关注采集人员的心理状态。

Objective To investigate the status of depression,anxiety and sleep disorder among nucleic acid collection medical staff under closed-loop management during the major public health emergencies,analyze the impact of relevant factors.Methods By the convenient sampling method,713 nucleic acid collection medical workers under closed-loop management were collected from seven grade-A tertiary hospitals in Shaanxi Province from March 2022 to May 2022.They were investigated by the self-made questionnaire,patients health questionnaire depression scale(PHQ-9),generalized anxiety disorder scale(GAD-7)and Pittsburgh sleep quality index(PSQI),and the data were analyzed.Results The positive rate of depression,anxiety and sleep disorder of 713 nucleic acid collection medical workers under closed-loop management was 41.9%,34.8%and 45.9%,respectively.The scores of depression scale were positively correlated with the age of medical staff,collection frequency,collection time and the fear of infection(r=0.119,0.187,0.227,0.171,all P<0.05).The scores of anxiety scale were positively correlated with the age of medical staff,collection frequency,collection time and the fear of infection(r=0.137,0.198,0.210,0.177,all P<0.05).The score of sleep scale was positively correlated with the fear of infection(r=0.195,P<0.05).The education level was negatively correlated with the scores of depression,anxiety and sleep disorder scales(r=-0.238,-0.244,-0.074,all P<0.05).The binary logistic regression analysis showed that the educational level of medical staff,age,collection time,collection location,the fear of infection and external environment were the influencing factors of depression,anxiety and sleep disorders.Conclusions The depression,anxiety and sleep disorders of nucleic acid collection medical workers are in mild level.When carrying out nucleic acid collection,the managers should optimize the collection location,control the time of each collection,replace the collection personnel in a timely manner,and pay closeattention to the psychological state of the collection staff.