Personnel Office, Anhui Provincial Chest Hospital (Anhui Institute of Tuberculosis Control), Hefei, 230022, Anhui, China.
Anhui Provincial Chest Hospital affiliated to Anhui Medical University, Hefei, China.
BMC Psychiatry. 2021 Jan 12;21(1):34. doi: 10.1186/s12888-020-02998-y.
Coronavirus disease 2019 (COVID-19) has spread rapidly in China and other overseas areas, which has aroused widespread concern. The sharp increase in the number of patients has led to great psychological pressure on health care workers. The purpose of this study was to understand their mental health status and needs, so as to provide a scientific basis for alleviating the psychological pressure of health care workers.
Using a cross-sectional study design, 540 health care workers were randomly selected from two designated tuberculosis medical institutions in Anhui Province. The basic situation, perceived social support, depression level, loneliness and COVID-19 related knowledge were collected and analyzed by questionnaire.
A total of 511 valid questionnaires were finally retrieved. There were 139 people in epidemic prevention and control positions (27.20%). Depression level: People in isolation ward, fever clinic and pre-check triage were at the level of mild to moderate depression. Female was higher than male; nurse was higher than doctor; middle and junior job titles were higher than senior titles; junior college degree or below were higher than bachelor's degree, master's degree and above; isolation ward, fever clinic and pre-check triage were significantly higher than those of non-prevention and control positions (p < 0.05). Loneliness scores: Doctors were higher than that of medical technicians, and isolation ward, fever clinic and pre-check triage were higher than those of other medical departments (p < 0.05). Social support: Doctors were lower than that of medical technicians, and isolation ward, fever clinic and pre-check triage were significantly lower than those of other departments (p < 0.05). The score of social support was negatively correlated with depression and loneliness (p < 0.001), while depression was positively correlated with loneliness (p < 0.001). Health care workers most want to receive one-to-one psychological counseling (29.75%), and provide crisis management (24.07%). The awareness rate of health care workers on COVID-19's knowledge was relatively high.
The psychological problems of health care workers, especially women, nurses with low educational background, low professional title, and staff in the epidemic prevention and control positions are relatively serious.
2019 年冠状病毒病（COVID-19）在中国和其他海外地区迅速传播，引起了广泛关注。患者数量的急剧增加给医护人员带来了巨大的心理压力。本研究旨在了解他们的心理健康状况和需求，为缓解医护人员的心理压力提供科学依据。
采用横断面研究设计，随机抽取安徽省两家定点结核病医疗机构的 540 名医护人员，通过问卷收集和分析基本情况、感知社会支持、抑郁水平、孤独感和 COVID-19 相关知识。
共检索到 511 份有效问卷。其中，有 139 人在疫情防控岗位（27.20%）。抑郁水平：隔离病房、发热门诊和预检分诊人员处于轻度至中度抑郁水平。女性高于男性；护士高于医生；中级及以下职称高于高级职称；大专及以下学历高于本科及以上学历；隔离病房、发热门诊和预检分诊人员明显高于非防控岗位（p<0.05）。孤独感评分：医生高于技师，隔离病房、发热门诊和预检分诊高于其他科室（p<0.05）。社会支持：医生低于技师，隔离病房、发热门诊和预检分诊明显低于其他科室（p<0.05）。社会支持得分与抑郁和孤独呈负相关（p<0.001），而抑郁与孤独呈正相关（p<0.001）。医护人员最希望接受一对一心理咨询（29.75%），并提供危机管理（24.07%）。医护人员对 COVID-19 知识的知晓率相对较高。
医护人员，尤其是女性、低学历背景、低职称、疫情防控岗位的护士，心理问题较为严重。
