Que Jianyu, Shi Le, Deng Jiahui, Liu Jiajia, Zhang Li, Wu Suying, Gong Yimiao, Huang Weizhen, Yuan Kai, Yan Wei, Sun Yankun, Ran Maosheng, Bao Yanping, Lu Lin
Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
National Institute on Drug Dependence and Beijing Key Laboratory on Drug Dependence Research, Peking University, Beijing, China.
Gen Psychiatr. 2020 Jun 14;33(3):e100259. doi: 10.1136/gpsych-2020-100259. eCollection 2020.
Healthcare workers fighting against the coronavirus disease 2019 (COVID-19) pandemic are under tremendous pressure, which puts them at an increased risk of developing psychological problems.
This study aimed to investigate the prevalence of psychological problems in different healthcare workers (ie, physicians, medical residents, nurses, technicians and public health professionals) during the COVID-19 pandemic in China and explore factors that are associated with the onset of psychological problems in this population during this public health crisis.
A cross-sectional, web-based survey was conducted in February 2020 among healthcare workers during the COVID-19 pandemic. Psychological problems were assessed using the Generalized Anxiety Disorder Scale, Patient Health Questionnaire and Insomnia Severity Index. Logistic regression analyses were used to explore the factors that were associated with psychological problems.
The prevalence of symptoms of anxiety, depression, insomnia and the overall psychological problems in healthcare workers during the COVID-19 pandemic in China was 46.04%, 44.37%, 28.75% and 56.59%, respectively. The prevalence of the overall psychological problems in physicians, medical residents, nurses, technicians and public health professionals was 60.35%, 50.82%, 62.02%, 57.54% and 62.40%, respectively. Compared with healthcare workers who did not participate in front-line work, front-line healthcare workers had a higher risk of anxiety, insomnia and overall psychological problems. In addition, attention to negative or neutral information about the pandemic, receiving negative feedback from families and friends who joined front-line work, and unwillingness to join front-line work if given a free choice were three major factors for these psychological problems.
Psychological problems are pervasive among healthcare workers during the COVID-19 pandemic. Receiving negative information and participating in front-line work appear to be important risk factors for psychological problems. The psychological health of different healthcare workers should be protected during the COVID-19 pandemic with timely interventions and proper information feedback.
抗击2019冠状病毒病（COVID-19）大流行的医护人员承受着巨大压力，这使他们出现心理问题的风险增加。
本研究旨在调查中国COVID-19大流行期间不同医护人员（即医生、住院医师、护士、技术人员和公共卫生专业人员）心理问题的患病率，并探讨在此公共卫生危机期间该人群心理问题发生的相关因素。
2020年2月对COVID-19大流行期间的医护人员进行了一项基于网络的横断面调查。使用广泛性焦虑障碍量表、患者健康问卷和失眠严重程度指数评估心理问题。采用逻辑回归分析探讨与心理问题相关的因素。
中国COVID-19大流行期间医护人员焦虑、抑郁、失眠症状及总体心理问题的患病率分别为46.04%、44.37%、28.75%和56.59%。医生、住院医师、护士、技术人员和公共卫生专业人员总体心理问题的患病率分别为60.35%、50.82%、62.02%、57.54%和62.40%。与未参加一线工作的医护人员相比，一线医护人员出现焦虑、失眠及总体心理问题的风险更高。此外，关注有关大流行的负面或中性信息、收到参加一线工作的家人和朋友的负面反馈以及如果可以自由选择不愿意参加一线工作是这些心理问题的三个主要因素。
COVID-19大流行期间医护人员普遍存在心理问题。接收负面信息和参加一线工作似乎是心理问题的重要危险因素。在COVID-19大流行期间，应通过及时干预和适当的信息反馈来保护不同医护人员的心理健康。
