甘肃省抗击新冠肺炎一线医护人员焦虑和抑郁症状的患病率及影响因素
Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against COVID-19 in Gansu.
作者信息
Zhu Juhong, Sun Lin, Zhang Lan, Wang Huan, Fan Ajiao, Yang Bin, Li Wei, Xiao Shifu
机构信息
Department of Psychiatry, Lanzhou University Second Hospital, Lanzhou, China.
Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
出版信息
Front Psychiatry. 2020 Apr 29;11:386. doi: 10.3389/fpsyt.2020.00386. eCollection 2020.
BACKGROUND
The outbreak of novel coronavirus pneumonia (COVID-19) has brought enormous physical and psychological pressure on Chinese medical staff. It is extremely important to understand the prevalence and influencing factors of anxiety and depression symptoms in first-line anti-epidemic medical staff and their coping styles for these negative emotions.
METHODS
A cross-sectional survey was conducted in Gansu (China), with a questionnaire packet which consisted of the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and the simplified coping style questionnaire (SCSQ). A total of 79 doctors and 86 nurses participated in the survey. Correlation analysis was performed to explore the relationship between SAS, SDS, and SCSQ score. A linear regression model was used to determine the influencing factors for anxiety or depression symptoms.
RESULTS
The prevalence rates of anxiety and depression symptoms among doctors was 11.4% and 45.6%, respectively. History of depression or anxiety (T=-2.644, p= 0.010, 95%CI: -10.514-1.481) was shown to be a risk factor for anxiety symptoms in doctors, while being male (T=2.970, p=0.004, 95%CI: 2.66713.521) was a protective factor for depression. The prevalence rate of anxiety and depression symptoms among nurses was 27.9% and 43.0%, respectively. History of depression or anxiety was a common risk factor for anxiety symptoms (T=-3.635, p=0.000, 95%CI: -16.360-4.789) and depression symptoms (T=-2.835, p=0.005, 95%CI:-18.238-3.254) in nurses. The results of partial correlation analysis (controlled for gender and history of depression or anxiety) indicated that the total score of positive coping was negatively correlated with the total score of anxiety (r=-0.182, p=0.002) and depression (r=-0.253, p=0.001).
CONCLUSIONS
The first-line anti-epidemic medical staff have high anxiety and depression symptoms and adopting positive coping styles will help to improve their negative emotions.
背景
新型冠状病毒肺炎（COVID-19）疫情给中国医护人员带来了巨大的身心压力。了解一线抗疫医护人员焦虑和抑郁症状的患病率、影响因素以及他们应对这些负面情绪的方式极为重要。
方法
在中国甘肃进行了一项横断面调查，采用包含自评焦虑量表（SAS）、自评抑郁量表（SDS）和简易应对方式问卷（SCSQ）的问卷包。共有79名医生和86名护士参与了调查。进行相关性分析以探讨SAS、SDS和SCSQ得分之间的关系。使用线性回归模型确定焦虑或抑郁症状的影响因素。
结果
医生中焦虑和抑郁症状的患病率分别为11.4%和45.6%。抑郁或焦虑病史（T=-2.644，p=0.010，95%CI：-10.514-1.481）被证明是医生焦虑症状的一个危险因素，而男性（T=2.970，p=0.004，95%CI：2.66713.521）是抑郁的一个保护因素。护士中焦虑和抑郁症状的患病率分别为27.9%和43.0%。抑郁或焦虑病史是护士焦虑症状（T=-3.635，p=0.000，95%CI：-16.360-4.789）和抑郁症状（T=-2.835，p=0.005，95%CI：-18.238-3.254）的一个常见危险因素。偏相关性分析结果（控制性别和抑郁或焦虑病史）表明，积极应对总分与焦虑总分（r=-0.182，p=0.002）和抑郁总分（r=-0.253，p=0.001）呈负相关。
结论
一线抗疫医护人员焦虑和抑郁症状发生率较高，采用积极的应对方式有助于改善他们的负面情绪。
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