The Sixth Affiliated Hospital of Kunming Medical University, CN.
Yunnan Mental Health Center, CN.
Ann Glob Health. 2020 Oct 6;86(1):128. doi: 10.5334/aogh.3005.
COVID-19 first appeared in China in December 2019, with a high rate of infectivity and morbidity, which brought tremendous psychological pressure to healthcare workers.
To understand the psychological health status of healthcare workers during the COVID-19 outbreak and decline, and to provide a theoretical reference for the future establishment of a psychological crisis intervention system.
Healthcare workers were recruited using convenience sampling and snowball sampling methods, and the electronic version of the SCL-90 scale and a sociodemographic questionnaire were administered. In the pretest, a total of 5018 responses were collected; after six weeks, random sampling was performed. The SCL-90 and measures of other epidemic-related problems were administered, with 1570 responses received; then, the final data analysis was performed.
After six weeks, the post-test GSI score; SCL-90 total score; and PST, PSDI, O-C, I-S, DEP, ANX, PHOB, PAR, PSY, and HOS scores were significantly lower than the corresponding pretest scores (p < 0.05). The results by occupational category showed that the scores of nursing staff decreased significantly for 12 indexes and that the scores of the doctors and other hospital staff also significantly decreased. There was a significant difference between the pretest (50.78 ± 28.18) and post-test (45.00 ± 28.49) scores for the degree of worry about the epidemic. Healthcare workers believed that the top three aspects of life affected by the epidemic were economic problems (816 people), interpersonal communication problems (731 people), and mental health (728 people).
Over the course of the epidemic, the item scores generally declined significantly. Therefore, during an outbreak period, attention should be paid to psychological crisis interventions for healthcare workers; problems caused by psychological pressure, and even other psychological conditions, can be significantly alleviated to reduce the probability of subsequent health problems.
COVID-19 于 2019 年 12 月在中国首次出现,其具有较高的传染性和发病率,这给医护人员带来了巨大的心理压力。
了解 COVID-19 爆发期间医护人员的心理健康状况及下降情况,为今后建立心理危机干预体系提供理论参考。
采用便利抽样和雪球抽样方法招募医护人员,采用电子 SCL-90 量表和一般情况问卷进行调查。预调查共收集 5018 份问卷,6 周后进行随机抽样,共收回 1570 份问卷,进行 SCL-90 及其他与疫情相关问题的测量,最后进行数据分析。
6 周后,后测 GSI 得分、SCL-90 总分、PST、PSDI、O-C、I-S、DEP、ANX、PHOB、PAR、PSY、HOS 得分均显著低于前测得分(p<0.05)。按职业类别进行的结果显示,护理人员的 12 项得分显著下降,医生和其他医院工作人员的得分也显著下降。对疫情的担忧程度在前后测(50.78±28.18,45.00±28.49)上有显著差异。医护人员认为疫情对生活影响最大的前三个方面是经济问题(816 人)、人际交往问题(731 人)和心理健康问题(728 人)。
在疫情期间,各项目得分普遍显著下降。因此,在疫情期间,应关注医护人员的心理危机干预;对心理压力引起的问题,甚至其他心理状况进行干预,可以显著缓解,降低后续健康问题的发生概率。