感染SARS的医护人员及其他职业人员患者心理状态的研究

A study on the differences of emotion and depression between patients as doctor/nurse and others occupation with severe acute respiratory syndrome

目的 分析感染SARS的医护人员同其他职业的SARS患者在情绪状态和抑郁状态上的差异.方法 在2003年北京市SARS爆发的3个月内收集宣武医院、佑安医院、小汤山医院、人民医院、地坛医院共524例SARS患者的调查问卷,其中医护人员109例,从其他职业人群中找出与医护人员相匹配的患者进行对照研究。结果 在收回的218例患者问卷中发现,医护人员情绪状态评分(46.6204±8.4408)好于其他职业人群SARS患者(41.6789±8.612 95,P<0.001),医护人员抑郁评分(37.7615±9.026 61)好于其他职业人群SARS患者(41.2844±9.655 25,P=0.006)。逐步相关回归分析均同“我不能把握我自己的命运”相关联。结论 感染SARS的医护人员的心理状态要好于其他职业人群SARS患者,可以解释为两组人群对医学知识掌握程度不同,平时工作环境不同和被感染途径的不同。逐步相关回归分析的结果,可以给出后SARS时期的心理干预的重点。

Objective To study the emotional and depressive differences between severe acute respiratory syndrome ( SARS) patients whose occupations were doctor/nurse and others. Methods During the three months when SARS was explosive in 2003, 524 questionnaires were collected from Xuanwu Hospital, You' an Hospital, Xiaotangshan Hospital, Renmin Hospital and Ditan Hospital in Beijing. There were 109 questionnaires finished by patients as doctors/nurses themselves. For a background matching, 109 questionnaires were also finished by the others. Results From 218 questionnaires, we found that the score on emotional condition (46.6204 ±8.4408 vs. 41.6789±8.612 95,P<0.001) of SARS patients whose jobs were doctor/nurse was higher than the other groups on while the score of SARS patients whcxse jobs were doctor/nurse was lower than the other groups (37.7615±9.02661 vs. 41.2844±9.655 25, P= 0.006) regarding depressive condition. The scores of emotional and depressive condition were all correlated with the factor as ' I can not master my future'. Conclusion Doctors/nurses having SARS had less emotional and depressive conditions than the others, which might due to the difference in medical knowledge, working condition and the route of infection, suggesting that psychological intervention in the post-SARS period called for attention.