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新冠疫情期间医疗工作者的心理状况:一项横断面研究。

Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study.

机构信息

Department of healthcare and disease control and prevention, Fujian Provincial Hospital, Fuzhou, Fujian, China.

Department of healthcare and disease control and prevention, Fujian Provincial Hospital South Branch, Fuzhou, Fujian, China.

出版信息

Psychiatry Res. 2020 Jun;288:112936. doi: 10.1016/j.psychres.2020.112936. Epub 2020 Apr 4.

Abstract

The pandemic of 2019 coronavirus disease (COVID-19) has burdened an unprecedented psychological stress on people around the world, especially the medical workforce. The study focuses on assess the psychological status of them. The authors conducted a single-center, cross-sectional survey via online questionnaires. Occurrence of fear, anxiety and depression were measured by the numeric rating scale (NRS) on fear, Hamilton Anxiety Scale (HAMA), and Hamilton Depression Scale (HAMD), respectively. A total of 2299 eligible participants were enrolled from the authors' institution, including 2042 medical staff and 257 administrative staff. The severity of fear, anxiety and depression were significantly different between two groups. Furthermore, as compared to the non-clinical staff, front line medical staff with close contact with infected patients, including working in the departments of respiratory, emergency, infectious disease, and ICU, showed higher scores on fear scale, HAMA and HAMD, and they were 1.4 times more likely to feel fear, twice more likely to suffer anxiety and depression. The medical staff especially working in above-mentioned departments made them more susceptible to psychological disorders. Effective strategies toward to improving the mental health should be provided to these individuals.

摘要

2019 年冠状病毒病(COVID-19)大流行给全世界人民带来了前所未有的心理压力,尤其是医疗工作者。本研究旨在评估他们的心理状况。作者通过在线问卷进行了一项单中心、横断面调查。通过数字评分量表(NRS)评估恐惧、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)分别评估恐惧、焦虑和抑郁的发生情况。共有 2299 名符合条件的参与者来自作者所在机构,包括 2042 名医务人员和 257 名行政人员。两组之间的恐惧、焦虑和抑郁严重程度存在显著差异。此外,与非临床人员相比,与感染患者密切接触的一线医务人员,包括在呼吸科、急诊科、传染病科和 ICU 工作的人员,在恐惧量表、HAMA 和 HAMD 上的得分更高,他们感到恐惧的可能性高 1.4 倍,焦虑和抑郁的可能性高 2 倍。特别是在上述科室工作的医务人员更容易出现心理障碍。应向这些人提供改善心理健康的有效策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8b3/7195354/e10cfe1fdc08/gr1_lrg.jpg

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