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新冠疫情期间非卫生工作者人群中 COVID-19 与心理困扰相关信息。

Information on COVID-19 and Psychological Distress in a Sample of Non-Health Workers during the Pandemic Period.

机构信息

Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, 21007 Huelva, Spain.

Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil 092301, Ecuador.

出版信息

Int J Environ Res Public Health. 2020 Sep 24;17(19):6982. doi: 10.3390/ijerph17196982.

Abstract

Methods by which the population should be informed when going through a pandemic such as COVID-19 have been questioned because of its influence on the adoption of preventive measures and its effects on mental health. Non-health workers are at risk of psychological distress from exposure to contaminated people or materials or by having to stay at home and adapt their activity to telework. The objective of the study is to analyze information the public receives about COVID-19 and its influence on their level of distress. For this, 1089 questionnaires from non-health workers were collected online between 26 March and 26 April 2020 in Spain, and analysed and distributed by snowball effect. 492 participants carried out essential activities away from home, and 597 did so from home. They were surveyed about information received about COVID-19 regarding its source, time, assessment, or the beliefs expressed in it. Mental health was also measured with Goldberg's General Health Questionnaire (GHQ-12). The classification and regression tree (CART) method was used to design a binary tree with sample cases. It has been found that the time spent learning about COVID-19 and the level of knowledge about symptoms, pathways, prevention, treatment, or prognosis are associated with the level of distress, where 25% of participants were found to have spent more than 3 h daily on this activity. Social media and television are the most widely used sources, but they are considered to be of lower quality and usefulness than official sources. There is greater confidence in healthcare professionals than in the health system, and the main concern of those working away from home is spreading the virus to family members. It has been concluded that there is a need to enhance quality and truthful information on the Internet for non-health workers due to its accessibility, which should be constantly updated, a fact which international and national public bodies, research centers, and journal publishers have begun to understand during the current pandemic. Such quality information is needed to combat distress.

摘要

方法人群在经历 COVID-19 等大流行时应该得到通知,但由于其对预防措施的采用的影响及其对心理健康的影响,这种方法受到了质疑。非卫生工作者面临着因接触受污染的人或材料或因必须留在家中并调整其活动以适应远程工作而产生心理困扰的风险。本研究的目的是分析公众收到的有关 COVID-19 的信息及其对其困扰程度的影响。为此,2020 年 3 月 26 日至 4 月 26 日期间,在西班牙通过雪球效应在线收集了 1089 份非卫生工作者的问卷,并进行了分析和分发。492 名参与者在家外从事基本活动,597 名参与者在家内从事基本活动。他们接受了关于 COVID-19 的信息调查,包括信息来源、时间、评估或其中表达的信念。心理健康也用 Goldberg 的一般健康问卷(GHQ-12)进行了测量。采用分类回归树(CART)方法设计了一个包含样本案例的二叉树。结果发现,学习 COVID-19 的时间以及对症状、途径、预防、治疗或预后的了解程度与困扰程度有关,25%的参与者每天花在这方面的时间超过 3 小时。社交媒体和电视是使用最广泛的信息来源,但它们被认为质量和有用性低于官方来源。与卫生系统相比,医疗保健专业人员更受信任,而离家工作的人主要担心的是将病毒传播给家人。结论是,由于互联网的可访问性,需要为非卫生工作者增强有关信息的质量和真实性,这些信息应该不断更新,这一事实已经开始被国际和国家公共机构、研究中心和期刊出版商所理解,这是在当前大流行期间需要的。这种高质量的信息是应对困扰的必要条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b87/7579553/6a2b9125bfe9/ijerph-17-06982-g001.jpg

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