新冠感染疫情下社区医护人员抑郁状况与心理健康疏导方式的认知调查

Cognitive survey of depression status and mental health counseling methods of the community medical staff in Shanghai under COVID-19

目的:探讨新型冠状病毒感染疫情背景下,社区医护人员的抑郁状况、抑郁状况影响因素及对心理健康疏导方式的认知情况。方法:于2022年3—8月采用偶遇抽样方法选取上海市各社区卫生服务中心的医护人员进行问卷调查,调查内容包括医护人员的一般资料、流调中心用抑郁量表、汉密尔顿抑郁量表和心理健康疏导方式认知等。按流调中心用抑郁量表、汉密尔顿抑郁量表的评分结果将社区医护人员分别纳入健康组、阈下抑郁组和抑郁组。结果:645名社区医护人员中,健康组395名(61.3%),阈下抑郁组173名(26.8%),抑郁组77名(11.9%)。多元Logistic回归分析结果显示,年龄、慢性基础性疾病患病情况、所在部门、心理健康疏导接受情况是对社区医护人员抑郁状况具有统计学意义的影响因素(P<0.05)。在感兴趣的内容、倾向接受的心理辅导方式、容易接受的心理辅导对象方面,健康组、阈下抑郁组、抑郁组的认知差异有统计学意义(P<0.05)。结论:2022年新型冠状病毒感染疫情对本次调研的社区医护人员心理健康产生了较大影响,阈下抑郁及抑郁人群的检出率均较高,应重点关注这部分高危人群的心理健康状态。

Objective:To explore the depression status,influencing factors of depression status,and mental health counseling methods of the community medical staff under the background of the COVID-19 outbreak in Shanghai.Methods:From March to August in 2022,the community medical staff in each community health service center in Shanghai were selected by chance sampling method for the questionnaire survey and the contents of the survey included the basic information,depression scale,Hamilton depression scale,and cognitive health counseling methods used by the epidemiological survey center.The result scores of depression scale,and Hamilton depression scale were used to include medical staff in the healthy group,subthreshold depression group,and depression group.Results:In 645 community health staff,there were 395 people in the healthy group(61.24%),173 people in the subdomain depression group(26.82%),and 77 people in the depression group(11.94%).Multiple logistic regression analysis results showed that age,chronic underlying disease,department and mental health counseling were statistically significant factors affecting depression status of community medical staff(P<0.05).In terms of interested contents,psychological counseling mode and easy to accept psychological counseling objects,the cognitive differences among the healthy group,subthreshold depression group and depression group were statistically significant(P<0.05).Conclusion:The COVID-19 outbreak in 2022 has negative impact on the mental health of medical staff in this survey,the detection rate in the subthreshold depression and depression groups is high,and attention should be paid to the mental health status in this high-risk group.