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《中华肺部疾病杂志》[ISSN:1006-6977/CN:61-1281/TN]

卷:

期数:

2020年04期

页码:

501-506

栏目:

呼吸道传染病与心理卫生

出版日期:

2020-08-20

文章信息/Info

Title:

Characteristics of depression and anxiety of non-first-line medical staff in epidemic situation of acute respiratory infectious diseases

作者:

宋 宇¹ 杜 娟¹ 张晋丽¹ 陈 忱¹ 李至伟² 钱 丹³ 林 辉⁴

621000 四川省绵阳市科学城医院¹ 625000 四川雅安解放军78511 部队门诊部² 400037 重庆,陆军(第三)军医大学第二附属医院检验科³、消化内科⁴

Author(s):

Song Yu¹;  Du Juan¹;  Zhang Jinli¹;  Chen Chen¹;  Li Zhiwei²;  Qian Dan³.

¹Science City Hospital, Mianyang 621000, Sichuan Province, China; ²Outpatient Department of Unit 78511 of PLA, Ya'an 625000, Sichuan Province, China; ³Department of Clinical Laboratory, Army Medical University, Xinqiao Hospital, Chongqing 400037, China; ⁴Digestive System Department, Army Medical University, Xinqiao Hospital, Chongqing 400037, China
Corresponding author

关键词:

急性呼吸道传染病;  抑郁;  焦虑;  医护人员

Keywords:

Acute respiratory infectious diseases;  Depression;  Anxiety;  Healthcare workers

分类号:

R563

DOI:

10.3877/cma.j.issn.1674-6902.2020.04.015

摘要:

目的 了解突发急性呼吸道传染病疫情中非一线医护人员的医护人员的抑郁和焦虑现状及其特征,为尽早干预提供科学依据。方法 通过网页、微信群、QQ群、工作群等多种线上调查方式面向全国募集调查对象,采用标准Zung氏抑郁(SDS)自评量表、Zung氏焦虑(SAS)自评量表和一般信息调查表作为调查工具进行线上匿名调查,采用Excel和SPSS 23.0进行数据管理和分析。结果 共646名医护人员纳入分析。高危科室(急性呼吸道传染病疫情相关科室,如呼吸科、急诊科、发热门诊、重症监护病房和传染科等)医护人员的SDS和SAS平均得分分别为51.18±15.05和46.54±12.55,中度及以上焦虑发生率为20.85%(67/307),均分别显著高于其他科室的44.21±11.22、39.95±9.36和3.24%(12/339)(P=0.000); 但在同类科室中,不同年龄段、职业(医生/护士)和学历等特征对象中,SDS和SAS平均得分未见统计学显著性差异(P>0.05)。结论 高危科室医护人员的抑郁和焦虑负性心理水平较高,但在不同特征人群中差异不显著,有必要针对全体高危科室医护人员进行系统地健康教育和心理辅导,并应对存在负性心理的人群进行及时干预。

Abstract:

Objective To explore the characteristics of depression and anxiety phenomena of the non-front-line medical staff in epidemic situation of acute respiratory infections. Methods Online anonymous surveys were conducted with the Self-rating Depression Scale(SDS)and the Self-rating Anxiety Scale(SAS)through various ways including web page, WeChat, QQ and working groups to recruit volunteers. The data were managed and analyzed by Excel and SPSS 23.0. Results A total 646 medical staff were analyzed. The average scores of SDS and SAS were 51.18±15.05 and 46.54±12.55, respectively, the incidence of moderate/severe anxiety was 20.85%(67/307)of the medical staff in the departments related to the epidemic situation of acute respiratory infectious diseases, which was significantly higher than that of the medical staff from other departments(44.21±11.22 and 39.95±9.36 and 3.24%, respectively, P=0.000). There was no significant difference in the average scores of SDS and SAS among the medical staff with different ages, occupations(doctors or nurses)or education levels(P>0.05). Conclusion The negative psychological scores of the medical staff in high-risk departments are significantly higher than those of the general departments, but there is no significant difference among the different characteristic medical staff. It is necessary to carry out systematical healthy and psychological education for the medical staff from high-risk departments and conduct interventions for the crowds with negative psychology.

参考文献/References:

1 Hussin A Rothan, Siddappa N Byrareddy. The epidemiology and pathogenesis of coronavirus disease(COVID-19)outbreak.[J]. J Autoimm, 2020, 109: 102433-102438.
2 Ziad A Memish, Stanley Perlman, Maria D Van Kerkhove, et al. Middle East respiratory syndrome[J]. Lancet, 2020, 395(10229): 1063-1077.
3 Weston S, Frieman MB. COVID-19: Knowns, unknowns, and questions[J]. mSphere, 2020, 5(2): e00203-002020.
4 Nader Salari, Amin Hosseinian-Far, Rostam Jalali, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis[J]. Globalizat Health, 2020, 16(1): 1-11.
5 Shigemura J, Ursano RJ, Morganstein JC, et al. Public responses to the novel 2019 coronavirus(2019-nCoV)in Japan: Mental health consequences and target populations[J]. Psychiatry Clin Neurosci, 2020, 74(4): 281-282.
6 Wu P, Fang Y, Guan Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk[J]. Can J Psychiatry, 2009, 54(5): 302-311.
7 Shultz JM, Baingana F, Neria Y. The 2014 Ebola outbreak and mental health: current status and recommended response[J]. JAMA, 2015, 313(6): 567-568.
8 Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak[J]. Lancet Psychiatry, 2020, 20: 30077-30078.
9 程 辉, 周 琼, 刘小莉, 等. 新型冠状病毒肺炎疫情期间医护人员应激状况及对策[J]. 中国医院管理, 2020,(3): 81-83.
10 申 微, 秦月兰, 陶美伊, 等. 湖南省新型冠状病毒肺炎疫情防控一线医护人员心理健康水平调查[J]. 全科护理, 2020, 18(8): 957-962.
11 Fiona Cocker, Nerida Joss. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review.[J]. International Journal of Environmental Research & Public Health, 2016, 13(6): 618-623.
12 陈 洁, 张 东, 王宇锋, 等. 某三甲医院外科临床医生焦虑、抑郁现状研究[J]. 临床医学研究与实践, 2016,(15): 103-105.
13 Steinmair D, Richter F, Löffler-Stastka AH. Relationship between Mentalizing and Working Conditions in Health Care[J]. Int J Environ Res Public Health, 2020, 17(7): 2420.
14 Wang C, Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern[J]. Lancet, 2020, 395(10223): 470-473.
15 Lijun Kang, Simeng Ma, Min Chen, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study[J]. Brain Behav Immun, 2020, 87: 11-17.
16 Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak[J]. Lancet Psychiatry, 2020, 7(4): e17-e18.
17 Kang L, Li Y, Hu S, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus[J]. Lancet Psychiatry, 2020, 7(3): e14.
18 Edward J Caruana, Akshay Patel, Simon Kendall, et al. Impact of Covid-19 on training and wellbeing in subspecialty surgery: a national survey of cardiothoracic trainees in the United Kingdom[J]. J Thorac Cardiovasc Surg, 2020, S0022-5223(20): 31275-31277.
19 朱红强, 周 茜, 杨玉东, 等. 医生工作压力源、应对方式与焦虑的关系[J]. 中国伤残医学, 2014, 22(6): 47-48.
20 林海燕, 蒋海仙, 潘疆疆, 等. 医护人员心理压力的现状调查分析及干预措施[J]. 浙江临床医学, 2019, 21(6): 875-876.
21 陆斯琦. 临床医生焦虑、抑郁与其防御方式的关系[J]. 中国健康心理学杂志, 2018,(2): 244-247.
22 Koh Y, Hegney DG, Drury V. Comprehensive systematic review of healthcare workers'perceptions of risk and use of coping strategies towards emerging respiratory infectious diseases[J]. Int J Evid Healthc, 2011, 9(4): 403-419.
23 Bohlken J, Schömig F, Lemke MR, et al. COVID-19 pandemic: stress experience of healthcare workers-a short current review[J]. Psychiatr Prax, 2020, 47(4): 190-197.
24 Nichell LA, Crighton EJ, Tracy CS, et al. Psychosocial effects of SARS on hospital staff:survey of a large tertiary care institution[J]. CMAJ, 2004, 170(5): 793-798.
25 谢幸尔, 钱湘云, 韩建平, 等. 甲型H1N1流感病房医护人员负性心理调查分析[J]. 护理研究, 2012,(11): 985-987.
26 李淑贞. 甲型H1N1流感患者住院期间对我院医护人员心理状况调查分析[J]. 中国当代医药, 2011,(27): 145-146.
27 Robert Maunder, Jonathan Hunter, Leslie Vincentet, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital.[J]. Canadian Medical Association Journal, 2003, 168(10): 1245-1251.
28 吕 扬, 贾燕瑞, 高凤莉. 参与救治新发急性呼吸道传染病医护人员心理健康影响因素及应对策略[J]. 中国护理管理, 2019, 19(1): 83-86.
29 国家卫生健康委疾病预防控制局. 关于印发新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则的通知[EB/OL].(2020-01-26)[2020-02-24]. http://www.nhc.gov.cn/jkj/s3577/202001/6adc08b966594253b2b791be5c3b9467.shtml.
30 Chenyu Zhou, Lei Shi, Lei Gao, et al. Determinate factors of mental health status in Chinese medical staff: A cross-sectional study[J]. Medicine, 2018, 97(10): 1-9.
31 吴喜强, 邱大宏, 叶百维, 等. 临床医生人格特征、焦虑抑郁情绪及应对方式关系[J]. 四川精神卫生, 2015, 28(3): 260-262.
32 肖 聪, 王 蕾, 刘建蓉, 等. 新型冠状病毒肺炎疫情下非一线医护人员的焦虑抑郁情绪[J]. 四川精神卫生, 2020, 33(1): 15-18.
33 周小东. 抗击新型冠状病毒肺炎疫情心理防线要点[J]. 解放军医药杂志, 2020, 32(2): 1-2.

备注/Memo

备注/Memo:

基金项目: 国家自然科学基金资助项目(81773468)
通信作者: 钱 丹, Email: 380810382@qq.com

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更新日期/Last Update: 2020-08-20