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2022年度新冠疫情防控放开后感染一线医务人员心理状况调查

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目的 调查疫情管控初步放开时期一线医务人员新型冠状病毒(简称新冠病毒)感染后生理及心理健康状况,为新冠病毒感染全球大流行事件后,一线医务人员生理及心理干预提供依据.方法 选取2022年12月15日-2023年1月15日来自首都医科大学宣武医院感染新冠病毒的320名一线医务人员为调查对象,运用定量研究方式进行信息收集,采用自制调查表收集医务人员一般资料,采用6分钟步行试验(6MWD)测试医务人员心功能情况,采用焦虑自评量表(SAS)和抑郁筛查量表(PHQ-9)收集医务人员焦虑和抑郁症状.结果 本研究共发放320份问卷,其中有效问卷320份,有效率为100.00%;心功能不达标9名,其中轻度7名,中度1名,重度1名;出现焦虑症状160名(50.00%),出现抑郁症状35名(10.94%),多因素Logistic回归分析显示:女性(OR=2.989)、已婚(OR=33.958)、未参与过其他公共卫生事件(OR=50.092)、健康状况差(OR=121.657)、感染后仍有临床症状(OR=40.576),均为医务人员发生焦虑症状的影响因素(P<0.05);健康状况差(OR=6.920)为医务人员发生抑郁症状的影响因素(P<0.05).结论 常态化疫情防控期间一线医务人员工作强度大、风险高,易出现生理和心理问题,应得到更多的关心关注,及早提供有效的干预措施,确保一线医务人员身心健康.
Psychological status of first-line health care workers after COVID-19 epidemic at the end of 2022
OBJECTIVE To investigate the physical and mental health status of frontline medical staff after SARS-CoV-2 infection during corona virus disease 2019(COVID-19)restrictions have been initially lifted,and to provide basis for the physical and psychological intervention of frontline medical staff after COVID-19 pandemic.METHODS A total of 320 frontline medical staff infected with SARS-CoV-2 from Xuanwu Hospital of Capital Medical University between Dec 15th,2022 and Jan 15th,2023 were investigated.Quantitative research was used to collect information.Self-made questionnaires were used to collect general information of medical staff.Six-mi-nute walk test(6MWD)was used to test the cardiac function of medical staff,and self-rating anxiety scale(SAS)and patient health questionnaire 9(PHQ-9)depression scale questionnaire were used to collect anxiety and depres-sion symptoms of medical staff.RESULTS A total of 320 questionnaires were distributed,of which 320 were val-id,with a 100.00%effective rate.There were 9 cases with inadequate cardiac function,including 7 cases with mild symptoms,1 case with moderate symptoms,and 1 case with severe symptoms.160 cases(50.00%)experienced anxiety symptoms and 35 cases(10.94%)experienced depression symptoms.Multivariate logistic regression anal-ysis showed that female(OR=2.989),married(OR=33.958),no involvement in other public health events(OR=50.092),poor health status(OR=121.657),and still having clinical symptoms after infection(OR=40.576)were all influencing factors for the occurrence of anxiety symptoms among medical staff(P<0.05).Poor health status(OR=6.920)was a risk factor for the occurrence of depressive symptoms among healthcare workers(P<0.05).CONCLUSION During regular epidemic prevention and control,frontline medical personnel have high work intensity and risks,and are prone to physiological and psychological problems.They should receive more at-tention and attention,and effective intervention measures should be provided early to ensure the physical and men-tal health of frontline medical personnel.

Medical personnelNovel coronavirus infectionAnxiety symptomsPsychological interventionQuestionaire surveyEpidemic prevention and control

岳天洋、康利红

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首都医科大学宣武医院感染性疾病科,北京 100053

医务人员 新冠病毒感染 焦虑症状 心理干预 问卷调查 疫情防控

北京市高层次公共卫生技术人才建设项目

2022-3-007

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(16)