Department of International Medical Center, West China Hospital/West China School of Nursing, Sichuan University, China.
Medicine (Baltimore). 2021 Feb 12;100(6):e24739. doi: 10.1097/MD.0000000000024739.
Coronavirus disease 2019 (COVID-19) has rapidly spread across China and many countries worldwide, and community healthcare workers at the front lines of disease control are under high physical and mental pressure. This study investigated the mental health status of community healthcare workers during the COVID-19 outbreak in Sichuan Province, China. This cross-sectional study, which was conducted from February 8 to 18, 2020, involved 450 healthcare workers in 18 community hospitals who had worked for more than 1 year. A self-designed demographic data questionnaire and Symptom Checklist 90 (SCL-90) were provided to the participants through links and quick response codes. The respondents completed and submitted the questionnaires online. Binary logistic regression was used to analyze multiple factors related to the SCL-90 scores of these community healthcare workers in China. For the 450 community healthcare workers who completed the study, the median scores in each SCL-90 factor were lower than the Chinese norms, and 119 (26.4%) participants were SCL-90 positive. Among them, 178 participants were doctors and had the highest scores on most SCL-90 factors except for obsessive compulsiveness, hostility, phobic anxiety, and psychoticism (P < 0.05). The top 3 positive items for doctors working in the community were obsessive compulsiveness, others, and somatization, and those among nurses were obsessive compulsiveness, others, and hostility. Sex, type of workers, and occupational exposure risk to COVID-19 were independent risk factors for the mental health status of the community healthcare workers. Overall, the community healthcare workers experienced psychological problems during the COVID-19 outbreak in Sichuan Province, China. More attention should be paid to the mental health of these workers, and their mental status should be regularly assessed. Psychological interventions should be provided to those with serious mental problems through networks or telephone visits.
新型冠状病毒肺炎（COVID-19）在中国和世界许多国家迅速蔓延，处于疾病控制第一线的社区卫生工作者承受着巨大的身心压力。本研究调查了中国四川省 COVID-19 爆发期间社区卫生工作者的心理健康状况。这项横断面研究于 2020 年 2 月 8 日至 18 日进行，涉及 18 家社区医院的 450 名工作超过 1 年的卫生保健工作者。通过链接和快速响应码向参与者提供了自我设计的人口统计学数据问卷和症状清单 90（SCL-90）。受访者在线完成并提交问卷。使用二元逻辑回归分析与中国这些社区卫生工作者 SCL-90 评分相关的多个因素。对于完成研究的 450 名社区卫生保健工作者，每个 SCL-90 因子的中位数评分均低于中国正常值，有 119 名（26.4%）参与者 SCL-90 呈阳性。其中，178 名参与者是医生，除了强迫观念、敌意、恐怖症和精神病性之外，在大多数 SCL-90 因子上的得分最高（P<0.05）。在社区工作的医生中，排名前 3 的阳性项目是强迫观念、其他和躯体化，而护士中排名前 3 的阳性项目是强迫观念、其他和敌对。性别、工人类型和接触 COVID-19 的职业风险是社区卫生保健工作者心理健康状况的独立危险因素。总的来说，在 COVID-19 在中国四川省爆发期间，社区卫生工作者经历了心理问题。应该更加关注这些工作者的心理健康，并定期评估他们的精神状态。对于有严重精神问题的人，应通过网络或电话访问提供心理干预。
