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支援武汉抗击新型冠状病毒肺炎疫情一线医务人员焦虑、抑郁现状及其影响因素。

Current status of and factors influencing anxiety and depression in front-line medical staff supporting Wuhan in containing the novel coronavirus pneumonia epidemic.

机构信息

NingBo College of Health Sciences, Ningbo, China.

出版信息

Jpn J Nurs Sci. 2021 Apr;18(2):e12398. doi: 10.1111/jjns.12398. Epub 2020 Dec 1.

Abstract

AIM

This research aimed to shed light on the relationship between the sociodemographic characteristics of front-line medical workers and their anxiety and depression, to provide the basis and reference for targeted mental health education and for relevant departments to formulate appropriate policies during the COVID-19 outbreak.

METHODS

This study adopted a convenient sampling method and examined the psychological status of 150 front-line medical workers from Zhejiang Province with questionnaire surveys using the Hamilton Anxiety and Depression Scale.

RESULTS

The participants had severe anxiety and depression; the top three items under the category of anxiety were genitourinary symptoms, behavior at interview, and respiratory symptoms, whereas the top three items under depression were feelings of guilt, weight loss, and retardation. Among all personal data, the following factors influenced anxiety, in decreasing order: degree of suspicion of being infected when showing associated symptoms, degree of fear of yourself and your family being infected, and the affiliated hospital (p < .05). As for depression, the factors were the degree of suspicion of being infected when showing associated symptoms and the degree of fear of yourself and your family being infected (p < .05).

CONCLUSION

This study revealed that front-line medical staff presented symptoms of anxiety and depression when dealing with the COVID-19 outbreak and the factors influencing their psychological stress. Guiding policies and psychological interventions is crucial to maintaining their psychological well-being. Different measures may be implemented to solve this problem.

摘要

目的

本研究旨在探讨一线医务人员的社会人口学特征与焦虑和抑郁的关系,为疫情期间有针对性地开展心理健康教育和相关部门制定政策提供依据和参考。

方法

本研究采用便利抽样法,对浙江省 150 名一线医务人员进行问卷调查,采用汉密尔顿焦虑量表和汉密尔顿抑郁量表进行心理状态评估。

结果

参与者存在严重的焦虑和抑郁;焦虑的前三项为泌尿生殖系统症状、访谈时的行为和呼吸症状,抑郁的前三项为内疚感、体重减轻和迟钝。在所有个人资料中,以下因素按影响焦虑程度的降序排列:出现相关症状时对感染的怀疑程度、对自己和家人感染的恐惧程度以及附属医院(p <.05)。对于抑郁,影响因素为出现相关症状时对感染的怀疑程度和对自己和家人感染的恐惧程度(p <.05)。

结论

本研究揭示了一线医务人员在应对新冠肺炎疫情时出现焦虑和抑郁症状,以及影响其心理压力的因素。指导政策和心理干预对维护他们的心理健康至关重要。可能需要采取不同的措施来解决这个问题。

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