Huang J Z, Han M F, Luo T D, Ren A K, Zhou X P
Department of Infection Management, NO.2 People's Hospital of Fuyang City, Fuyang 236015, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Mar 20;38(3):192-195. doi: 10.3760/cma.j.cn121094-20200219-00063.
To investigate the mental health of clinical first-line medical staff in COVID-19 epidemic and provide theoretical basis for psychological intervention. The mental health status of the first-line medical staff was investigated by Self-rating Anxiety Scale(SAS) and Post-Traumatic Stress Disorder Self- rating Scale (PTSD-SS). From February 7 to 14, 2020, 246 medical staff participated in the treatment of COVID-19 were investigated using cluster sampling, and received 230 responses, with a recovery rate of 93.5%. The incidence of anxiety in medical staff was 23.04% (53/230) , and the score of SAS was(42.91±10.89). Among them, the incidence of severe anxiety, moderate anxiety and mild anxiety were 2.17%(5/230) , 4.78%(11/230) and 16.09%(37/230) , respectively. The incidence of anxiety in female medical staff was higher than that in male [25.67%(48/187) 11.63%(5/43) , =-2.008, =0.045], the score of SAS in female medical staff was higher than that in male [(43.78±11.12) (39.14±9.01) , =-2.548, =0.012]. The incidence of anxiety in nurses was higher than that in doctors[26.88% (43/160) 14.29% (10/70) , =-2.066, =0.039], and the score of SAS in nurses was higher than that in doctors [ (44.84±10.42) (38.50±10.72) , =-4.207, <0.001]. The incidence of stress disorder in medical staff was 27.39% (63/230) , and the score of PTSD-SS was (42.92±17.88) . The score of PTSD-SS in female medical staff was higher than that in male[ (44.30±18.42) (36.91±13.95) , =-2.472, =0.014]. In COVID-19 epidemic , the incidence of anxiety and stress disorder is high among medical staff. Medical institutions should strengthen the training of psychological skills of medical staff. Special attention should be paid to the mental health of female nurses.
为调查新型冠状病毒肺炎(COVID-19)疫情期间临床一线医务人员的心理健康状况,为心理干预提供理论依据。采用焦虑自评量表(SAS)和创伤后应激障碍自评量表(PTSD-SS)对一线医务人员的心理健康状况进行调查。2020年2月7日至14日,采用整群抽样法对246名参与COVID-19治疗的医务人员进行调查,回收有效问卷230份,回收率为93.5%。医务人员焦虑发生率为23.04%(53/230),SAS评分为(42.91±10.89)。其中,重度焦虑、中度焦虑和轻度焦虑发生率分别为2.17%(5/230)、4.78%(11/230)和16.09%(37/230)。女性医务人员焦虑发生率高于男性[25.67%(48/187)比11.63%(5/43),Z=-2.008,P=0.045],女性医务人员SAS评分高于男性[(43.78±11.12)比(39.14±9.01),Z=-2.548,P=0.012]。护士焦虑发生率高于医生[26.88%(43/160)比14.29%(10/70),Z=-2.066,P=0.039],护士SAS评分高于医生[(44.84±10.42)比(38.50±10.72),Z=-4.207,P< 0.001]。医务人员创伤后应激障碍发生率为27.39%(63/230),PTSD-SS评分为(42.92±17.88)。女性医务人员PTSD-SS评分高于男性[(44.30±18.42)比(36.91±13.95),Z=-2.472,P=0.014]。在COVID-19疫情期间,医务人员焦虑和创伤后应激障碍发生率较高。医疗机构应加强医务人员心理技能培训。应特别关注女性护士的心理健康。