[1]徐松,吴娟娟,许辰,等.武汉地区新型冠状病毒肺炎定点医院一线医护人员心理健康调查及分析[J].第三军医大学学报,2020,42(18):1830-1835.
 XU Song,WU Juanjuan,XU Chen,et al.Survey of mental health status of first-line healthcare workers in designated hospitals for COVID19 in Wuhan[J].J Third Mil Med Univ,2020,42(18):1830-1835.
点击复制

武汉地区新型冠状病毒肺炎定点医院一线医护人员心理健康调查及分析(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
42卷
期数:
2020年第18期
页码:
1830-1835
栏目:
特别报道
出版日期:
2020-09-30

文章信息/Info

Title:
Survey of mental health status of first-line healthcare workers in designated hospitals for COVID19 in Wuhan
作者:
徐松吴娟娟许辰彭李李燕李敏
解放军第991医院卫勤训练中心;中部战区总医院传染科;陆军军医大学(第三军医大学)医学心理系军事心理学教研室
Author(s):
XU Song WU Juanjuan XU Chen PENG Li LI Yan LI Min

Health Service Training Center, No. 991 Hospital of PLA, Xiangyang, Hubei Province, 441003; 2Department of Infectious Diseases, General Hospital of PLA Central War Theater, Wuhan, Hubei Province, 430000; 3Department of Military Psychology, Faculty of Medical Psychology, Army Medical University (Third Military Medical University), Chongqing, 400038, China

关键词:
新型冠状病毒肺炎医护人员焦虑抑郁认知调整武汉  
Keywords:
coronavirus disease 2019 medical staff anxiety depression cognitive adjustment  
分类号:
R192;R195.1;R395.
文献标志码:
A
摘要:

目的调查武汉地区新型冠状病毒肺炎
(Corona Virus Disease 2019,COVID19)定点医院一线医护人员的心理健康状况。方法2020年2月4-14日在网络平台上采用焦虑自评量表(SelfRating Anxiety Scale, SAS)、抑郁自评量表(Selfrating Depression Scale, SDS)、知觉压力问卷(Perceptual Stress Scale, PSS)以及情绪调节问卷(Emotion Regulation Scale, ERS)对251名参与救治新冠肺炎患者的一线医护人员进行调查。结果①一线医护人员伴随的焦虑、抑郁情绪显著高于全国常模(P<0.01);其中伴焦虑情绪的有62人(24.70%),伴抑郁情绪的有83人(33.07%),同时伴焦虑抑郁情绪有56人(22.31%);②护士或女性在焦虑、抑郁及知觉压力上的得分显著高于医生或男性(P<0.05);③对战胜疫情很有信心和对获得支持感到满意的医护人员在焦虑、抑郁及知觉压力的得分上显著低于其他人员(P<0.01);④医护人员的焦虑情绪、抑郁情绪、知觉压力分别与认知重评、表达抑制、在一线工作的时间呈显著相关(P<0.05);其中认知重评在知觉压力与焦虑、抑郁之间起中介作用。结论武汉地区新冠肺炎定点医院一线医护人员伴随明显的焦虑、抑郁情绪,认知调整在减轻压力和缓解负性情绪中起关键作用。

Abstract:

ObjectiveTo investigate mental health status of firstline healthcare workers in designated hospitals for coronavirus disease 2019 (COVID19) in Wuhan. MethodsWe conducted an online survey of mental health status among 251 firstline medical staff treating COVID19 patients in 3 designated hospitals in Wuhan during the period from February 4 to 14, 2020 using SelfRating Anxiety Scale (SAS), Selfrating Depression Scale (SDS), Perceptual Stress Scale (PSS) and Emotion Regulation Scale (ERS). ResultsThe surveyed firstline healthcare workers had significantly higher levels of anxiety and depression than the national norms (P<0.01), and among them 62 (24.70%) individuals had anxiety, 83 (33.07%) had depressive emotions, and 56 (22.31%) had both. Nurses or female staff scored significantly higher than clinicians or male staff for anxiety, depression and sensory stress (P<0.05). The individuals who were confident of winning the fight against the pandemic and satisfied with the support they were provided with had significantly lower scores for anxiety, depression, and perceived stress (P<0.01). The scores for anxiety, depression, and perceptual stress showed significant negative correlations with cognitive reassessment, suppressed expressions, and time spent in frontline work among the staff members (P<0.05); cognitive reassessment played an intermediary role between perceived stress and anxiety and depression. ConclusionDuring the fight against COVID19, the firstline healthcare workers experience obvious anxiety and depression, and cognitive adjustment plays a key role in reducing the levels of stress and negative emotions.

参考文献/References:

[1]张禹, 张佳蕾.基于SCL90量表的妇幼医院护士心理健康状况调查[J]. 中华现代护理杂志,  2019, 25(15): 1951-1954. DOI:  10.3760/cma.j.issn.16742907.2019.15.025.

ZHANG Y, ZHANG J L.Investigation of mental health status of nurses in women’s and children’s hospital based on SCL90 scale [J]. Chin J Modern Nurs, 2019, 25(15): 1951-1954. DOI:  10.3760/cma.j.issn.16742907.2019.15.025.

[2]徐朝艳,  张振路,  谢文,  等. SARS期间医护人员心理状况调查分析[J]. 现代护理,  2006(6):  503-504.

XU Z Y,  ZHANG Z L,  XIE W,  et al. Investigation and analysis of psychological status of medical staff during the period of SARS[J]. Mod Nurs,  2006(6):  503-504.

[3]王发强,  许建阳,  刘庆安,  等. SARS患者与抗SARS医护人员心理健康对比分析[J]. 中国心理卫生杂志,  2003,  17(8):  533-532.

WANG F Q,  XU J Y,  LIU Q A,  et al. Comparison of psychological status between patients with SARS and physicians,  nurses treating SARS[J]. Chin Ment Heal J,  2003,  17(8):  533-532.

[4]LEE S H,  JUANG Y Y,  SU Y J,  et al. Facing SARS:  psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital[J]. Gen Hosp Psychiatry,  2005,  27(5):  352-358. DOI: 10.1016/j.genhosppsych.2005.04.007.

[5]赵津京,  袁萍,  杨志丽,  等. 新冠肺炎疫情隔离观察期某部士兵心理健康管理对策[J]. 解放军预防医学杂志,  2020,  38(2):  115-116. DOI: 10.13704/j.cnki.jyyx.2020.02.039.

ZHAO J J,  YUAN P,  YANG Z L,  et al. Mental health management countermeasures of a soldier in the isolation observation period of new coronary pneumonia [J]. J Prev Med Chin PLA,  2020,  38(2):  115-116. DOI: 10.13704/j.cnki.jyyx.2020.02.039.

[7]李晓云. 新冠肺炎疫情下高职学生的心理问题及疏导方法[J]. 中国中医药现代远程教育, 2020, 18(3):  5-6. DOI: 10.3969/j.issn.16722779.2020.03.001.

LI X Y. Psychological problems and counseling methods of higher vocational colleges students under the novel coronavirus pneumonia[J]. Chin Med Mod Distance Educ China, 2020, 18(3):  5-6. DOI: 10.3969/j.issn.16722779.2020.03.001.

[8]张春艳, 彭小贝, 张磊, 等. 新冠肺炎疫情期间驰援武汉一线护士心理健康状况与应对方式分析[J]. 齐鲁护理杂志, 2020, 26(5):  7-10. DOI:  10.3969 /j.issn.10067256.2020.05.001.

ZHANG C Y, PENG X B, ZHANG L, et al. Analysis of mental health status and coping styles of firstline nurses in Wuhan during the outbreak of new coronary pneumonia[J]. J Qilu Nurs, 2020, 26(5):  7-10. DOI:  10.3969 /j.issn.10067256.2020.05.001.

[9]王贺, 朱可可, 郝义彬, 等. 新冠肺炎临床一线人员心理管控探索与经验[J]. 河南医学研究, 2020, 29(8):  1345-1348. DOI:  10.3969/j.issn.1004437X.2020.08. 001.

WANG H, ZHU K K, HAO Y B, et al. Psychological management and thinking of firstline staff in designated hospitals of COVID19[J]. Henan Med Res, 2020, 29(8):  1345-1348. DOI:  10.3969 /j.issn.1004437X.2020.08. 001.

[10]张明园.精神科评定量表手册[M]. 长沙:  湖南科学技术出版社, 1993: 34-41.

ZHANG M Y. Psychiatric rating scale manual [M]. Changsha:  Hunan Science and Technology Press, 1993: 34-41.

[11]杨廷忠. 社会转型中城市人群心理压力研究[J]. 中华流行病学杂志,  2002,  23(6):  473-475.

YANG T Z. Study on psychological pressure of urban population in social transformation [J]. Chin J Epidemiol,  2002,  23(6):  473-475.

[12]GROSS J J,  JOHN O P. Individual differences in two emotion regulation processes:  implications for affect,  relationships,  and wellbeing[J]. J Pers Soc Psychol,  2003,  85(2):  348-362. DOI: 10.1037/00223514.85.2.348.

[13]温忠麟, 叶宝娟. 中介效应分析:  方法和模型发展[J]. 心理科学进展, 2014, 22(5):  731-745. DOI:  10.3724/SP.J.1042.2014.00731.

WEN Z L, YE B J. Analyses of mediating effects:  the development of methods and models[J]. Adv Psychol Sci, 2014, 22(5):  731-745. DOI:  10.3724/SP.J.1042.2014.00731.

[14]刘薇, 张华, 杨露, 等.灾难救援人员心理应激反应及干预的研究进展[J].中国急救复苏与灾害医学杂志,  2019, 14(4): 366-368. DOI: 10.3969/j.issn.16736966.2019.04.019.

LIU W, ZHANG H, YANG L, et al. Research progress on psychological response and intervention of disaster rescuers [J]. Chin J Emerg
Rescue Disaster Med, 2019, 14(4): 366-368. DOI: 10.3969/j.issn.16736966.2019.04.019.

[15]孙红,  孟庆华,  杨凤池,  等. 医护人员SARS患者心理状况分析[J]. 中国行为医学科学,  2003(5):  554-555.

SUN H,  MENG Q H,  YANG F C,  et al. The psychological analysis for the medical staffs suffered with SARS[J]. Chin J Behav Med Sci,  2003(5):  554-555.

[16]JANCIN B. SARS outbreak caused psychological trauma:  physicians also affected:  Clinical Rounds[J]. OB/GYN News,  2003, 38(21): 111-115.

[17]万云高,  黄蔚,  华琦,  等. 抗击严重急性呼吸综合征的医生与护士心理状态的比较与分析[J]. 首都医科大学学报,  2003,  24(4):  478-482.

WAN Y G,  HUANG W,  HUA Q,  et al. Emotional and depressive differences between doctors and nurses fighting against SARS[J]. J Cap Univ Med Sci,  2003,  24(4):  478-482.

[18]王丽娟,  林静静,  宋亮,  等. 北京市HIV/AIDS病人焦虑抑郁与社会支持状况及其相关性分析[J]. 中国艾滋病性病,  2019,  25(2):  162-165. DOI: 10.13419/j.cnki.aids.2019.02.13.

WANG L J,  LIN J J,  SONG L,  et al. Crosssectional and correlation study of anxiety,  depression and social support of 310 people living with HIV/AIDS in Beijing[J]. Chin J AIDS STD,  2019,  25(2):  162-165. DOI: 10.13419/j.cnki.aids.2019.02.13.

[19]赵晓惠,  白海燕,  王莎莎,  等. 徐州市心内科护理人员职业倦怠与不良情绪及社会支持的关系[J]. 工业卫生与职业病,  2019,  45(3):  178-181. DOI: 10.13692/j.cnki.gywsyzyb.2019.03.006.

ZHAO X H,  BAI H Y,  WANG SS,  et al. The relationship between occupational burnout and negative emotion and social support among cardiology nurses of Xuzhou[J]. Ind Heal Occup Dis,  2019,  45(3):  178-181. DOI: 10.13692/j.cnki.gywsyzyb.2019.03.006.

[20]王惠. 医护人员血源性职业暴露后感知压力、创伤后应激症状及焦虑抑郁情绪[J]. 中国健康心理学杂志,  2018,  26(9):  1367-1370. DOI: 10.13342/j.cnki.cjhp.2018.09.024.

WANG H. Perceived stress,  posttraumatic stress symptoms,  anxiety and depression in medical staff after bloodinduced occupationalexposure[J]. China J Heal Psychol,  2018,  26(9):  1367-1370. DOI: 10.13342/j.cnki.cjhp.2018.09.024.

[21]袁媛,  陈英,  韩海宏,  等. 医护人员焦虑抑郁现状与工作强度的相关性[J]. 中国健康心理学杂志,  2019,  27(7):  1059-1063. DOI: 10.13342/j.cnki.cjhp.2019.07.024.

YUAN Y,  CHEN Y,  HAN H H,  et al. The status of anxiety and depression and their correlation with work intensity in medical staffs[J]. China J Heal Psychol,  2019,  27(7):  1059-1063. DOI: 10.13342/j.cnki.cjhp.2019.07.024.

[22]张丽,  朱智佩,  方芳,  等. 简化认知行为治疗对广泛性焦虑患者抑郁症状影响的研究[J]. 精神医学杂志,  2017,  30(5):  329-333.

ZHANG L,  ZHU Z P,  FANG F,  et al. A comparative study of effects of simplified cognitive behavioral therapy on depressive symptoms in patients with generalized anxiety disorder[J]. J Psychiatry,  2017,  30(5):  329-333.

[23]谢国军, 贾福军. MoodGYM网络认知行为治疗对护理人员焦虑抑郁情绪的干预研究[J]. 中华行为医学与脑科学杂志,  2019, 32(5): 453-457. DOI:  10.3760/cma.j.issn. 16746554.2019.05.014.

XIE G J, JIA F J.Intervention study of MoodGYM network cognitive behavior therapy on nursing staff’s anxiety and depression[J]. Chin J Behav Med Brain Sci, 2019, 32(5): 453-457. DOI:  10.3760/cma.j.issn. 16746554.2019.05.014.

[24]高见, 王鹏翀, 李占江. 认知行为治疗的生物学机制[J]. 心理科学进展, 2019, 27(3):  522-532. DOI:  10.3724/SP.J.1042.2019.00522.

GAO J, WANG P C, LI Z J. The biological mechanism of cognitive behavioral therapy[J]. Adv Psychol Sci, 2019, 27(3):  522-532. DOI:  10.3724/SP.J.1042.2019.00522.

[25]高月霞, 刘华丽, 余红, 等.团体认知行为治疗焦虑障碍的临床对照研究[J].中国健康心理学杂志,  2019, 13(6): 816-819. DOI: 10.13342/j.cnki.cjhp.2019.06.004.

GAO Y X, LIU H L, YU H, et al. A clinical controlled study of group cognitive behavior in the treatment of anxiety disorders[J]. Chin J Heal Psychol,  2019, 13(6): 816-819. DOI: 10.13342/j.cnki.cjhp.2019.06.004.

更新日期/Last Update: 2020-09-22