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中国武汉新冠疫情爆发期间麻醉医生和手术室护士的心理状况

Psychological Status Among Anesthesiologists and Operating Room Nurses During the Outbreak Period of COVID-19 in Wuhan, China.

作者信息

Li Xin-Yi, Wang Jin, Zhang Rui-Xian, Chen Luhua, He Colin K, Wang Cheng-Yao, Ke Jian-Juan, Wang Yan-Lin, Zhang Zong-Ze, Song Xue-Min

机构信息

Department of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, China.

Yunnan Center for Disease Control and Prevention, Kunming, China.

出版信息

Front Psychiatry. 2020 Dec 3;11:574143. doi: 10.3389/fpsyt.2020.574143. eCollection 2020.

Abstract

Coronavirus Disease 2019 (COVID-19) caused by a novel strain of coronavirus (SARS-CoV-2) posed a major threat to public health. Anesthesiologists and operating room (OR) nurses are at high risk of occupational exposure to SARS-CoV-2 and developing COVID-19. We conducted a single-center survey to investigate the psychological status and perceived social support among operation room (OR) medical staffs during the outbreak of Coronavirus Disease 2019 (COVID-19). A total of 197 OR medical staffs were enrolled in the survey. The authors performed a cohort study during the period of Wuhan lockdown and then conducted a longitudinal follow-up after lifting of lockdown. The Patient Health Questionaire-9 (PHQ-9) was used to assess for depression and Generalized Anxiety Disorder-7 (GAD-7) for anxiety. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess perceived social support. We compared the psychological status of OR medical staffs before and after lifting of Wuhan lockdown. During the period of city lockdown, 177 (89.8%) had close contact with confirmed COVID-19 cases. The prevalence of depression and anxiety in OR medical staffs was 41.6 and 43.1% under Wuhan lockdown, while 13.2 and 15.7% after lifting of lockdown ( = 0.002, = 0.004). Logistic regression analysis showed that being female, living in suburb areas, shortage of protective equipment and close contact with COVID-19 patients were associated with a higher risk of depression and anxiety. Perceived social support was negatively correlated with depression and anxiety severity in the OR medical staffs ( < 0.05). OR medical staffs exhibited high incidence of anxiety and depression faced with the high risk of exposure to COVID-19 patients. More social support and social recognition for anesthesiologists and OR nurses might potentially help them relieve their psychological pressure.

摘要

由新型冠状病毒(SARS-CoV-2)引起的2019冠状病毒病(COVID-19)对公众健康构成了重大威胁。麻醉医生和手术室护士职业暴露于SARS-CoV-2并感染COVID-19的风险很高。我们进行了一项单中心调查,以研究2019冠状病毒病(COVID-19)疫情期间手术室医务人员的心理状况和感知到的社会支持。共有197名手术室医务人员参与了此次调查。作者在武汉封城期间进行了一项队列研究,封城解除后进行了纵向随访。采用患者健康问卷-9(PHQ-9)评估抑郁情况,采用广泛性焦虑障碍量表-7(GAD-7)评估焦虑情况。采用多维感知社会支持量表(MSPSS)评估感知到的社会支持。我们比较了武汉封城解除前后手术室医务人员的心理状况。在城市封城期间,177人(89.8%)与确诊的COVID-19病例有密切接触。武汉封城期间,手术室医务人员中抑郁和焦虑的患病率分别为41.6%和43.1%,封城解除后分别为13.2%和15.7%(P = 0.002,P = 0.004)。逻辑回归分析表明,女性、居住在郊区、防护设备短缺以及与COVID-19患者密切接触与抑郁和焦虑风险较高相关。手术室医务人员感知到的社会支持与抑郁和焦虑严重程度呈负相关(P < 0.05)。面对暴露于COVID-19患者的高风险,手术室医务人员焦虑和抑郁的发生率较高。给予麻醉医生和手术室护士更多的社会支持和社会认可可能有助于缓解他们的心理压力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2f5/7744586/29f309f46f5a/fpsyt-11-574143-g0001.jpg

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