Li Q, Wei J, Wu Q, Zhang N X, Zhao T N
The Third Central Clinical College of Tianjin Medical University, Department of Respiratory of Tianjin Third Central Hospital, Artificial Cell Engineering Technology Research Center of Public Health Ministry, Tianjin 300170, China.
The Third Central Clinical College of Tianjin Medical University, Department of VIP Ward of Tianjin Third Central Hospital, Artificial Cell Engineering Technology Research Center of Public Health Ministry, Tianjin 300170, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Dec 20;38(12):908-911. doi: 10.3760/cma.j.cn121094-20200227-00091.
To evaluate the degree of anxiety and depression of medical staff during the epidemic period of the COVID-19, and to provide theoretical basis for the pertinence psychological intervention timely. The investigation about the psychological status of 183 medical staffs on duty during the epidemic period was conducted using Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) from 18th to 20th February, 2020, who came from Tianjin and other provinces. The respondents were divided into first-line and non-first-line groups according to their jobs, and local and non-local groups according to their work places, respectively. The data was collected by "Star Questionnaires" using the mobile terminal, and the statistical analysis was carried out to compare whether there were differences in depression and anxiety among medical staff of different groups. The total SAS score (48.96±9.21) and SDS score (56.69±7.57) of all medical staff were higher than those of the national norm SAS (33.80±5.90) and SDS (41.88±10.57) from 1158 individuals (<0.01) . Among 183 medical staff, the anxiety was found in 87 individuals and the rate of anxiety was 47.5%. The depression was found in 134 individuals and its rate was 73.2%. The anxiety combined with depression was found in 69 individuals and its rate was 37.7%. The scores of SAS and SDS of first-line group were (49.40±9.77) and (55.76±6.86) , respectively. And those of non-first-line group were (48.69±8.87) and (57.29±7.96) . They were higher than those of the national norm, and the differences were both statistically significant (<0.01) , but there was no difference between the first-line group and non-first-line group. The scores of SAS and SDS of local group were (48.23±9.04) and (56.76±7.05) , while those of non-local group were (50.63±9.45) and (56.54±8.71) , respectively. The differences were statistically significant (<0.01) , compared with the national norm respectively. But there was no difference between the local group and non-local group. No matter which classification criteria were used, there was no statistically significant difference in the severity distribution of anxiety and depression among different groups (>0.05) . The anxiety and depression exist obviously among the medical staff during the epidemic period of the COVID-19, and the psychological intervention should be taken out in time.
为评估新型冠状病毒肺炎疫情期间医护人员的焦虑和抑郁程度,及时为针对性心理干预提供理论依据。于2020年2月18日至20日,采用焦虑自评量表(SAS)和抑郁自评量表(SDS),对来自天津及其他省份的183名疫情期间在岗医护人员的心理状况进行调查。根据工作岗位将受访者分为一线组和非一线组,根据工作地点分为本地组和非本地组。通过移动终端使用“星问卷”收集数据,并进行统计分析,比较不同组医护人员抑郁和焦虑情况是否存在差异。所有医护人员SAS总分(48.96±9.21)和SDS总分(56.69±7.57)均高于全国常模SAS(33.80±5.90)和SDS(41.88±10.57)(1158例)(P<0.01)。183名医护人员中,发现焦虑87例,焦虑发生率为47.5%;发现抑郁134例,发生率为73.2%;焦虑合并抑郁69例,发生率为37.7%。一线组SAS、SDS得分分别为(49.40±9.77)、(55.76±6.86),非一线组分别为(48.69±8.87)、(57.29±7.96),均高于全国常模,差异均有统计学意义(P<0.01),但一线组与非一线组之间无差异。本地组SAS、SDS得分分别为(48.23±9.04)、(56.76±7.05),非本地组分别为(50.63±9.45)、(56.54±8.71),与全国常模比较差异均有统计学意义(P<0.01),但本地组与非本地组之间无差异。无论采用哪种分类标准,不同组间焦虑和抑郁严重程度分布差异均无统计学意义(P>0.05)。新型冠状病毒肺炎疫情期间医护人员焦虑和抑郁情况明显存在,应及时进行心理干预。