Teaching and Research Section of Clinical Nursing.
Infection Control Center, Xiangya Hospital, Central South University.
Medicine (Baltimore). 2021 Feb 5;100(5):e24503. doi: 10.1097/MD.0000000000024503.
Recently, the coronavirus disease 2019 (COVID-19) epidemic has greatly threatened global public health. The responsibility of healthcare-associated infection control professionals (ICPs) is to prevent and control the nosocomial infections. The mental health status of ICPs deserves more attention, however, the correlational research is still lacking. This study aims to investigate the incidence and risk factors of mental health status among ICPs in China during the outbreak of COVID-19.A national cross-sectional survey was performed. The online questionnaire was completed by 9228 ICPs from 3776 hospitals throughout China. Data collection tools were used, including demographics data questionnaire, the Chinese version of the 12-item general health questionnaire (GHQ-12) and the Chinese version of the psychological capital questionnaire (PCQ) for medical staff. Univariate and multivariable analyses were conducted.The total score of mental health of Chinese ICPs was 3.45 ± 2.57. 5608 (60.77%) ICPs might have mental health problems. The psychological capital was in the upper-middle level with an average score of 3.72 ± 0.38. An increased mental health problem risk was associated with the greater self-efficacy and working in the public hospital; a significantly lower risk was obtained by working in the second-class hospital rather than in the third-class hospitals. Besides, mental health problem risk of ICPs working in hospitals of the western economic region or northeast economic region was more significant than that in hospitals of the central economic region. However, a lower risk was caused by the unmarried than married, and working years in department ≤1 year contributed to the lower risk than that >20 years. Moreover, fewer working hours per week, higher values of hope, and optimism each were contributed to a lower risk.Chinese healthcare-associated ICPs were under different levels of mental health problems in fighting against COVID-19. More importantly, we should actively deal with the mental health problem of ICPs and help them get rid of psychological disorders.
最近，2019 年冠状病毒病（COVID-19）疫情极大地威胁了全球公共卫生。医疗保健相关感染控制专业人员（ICPs）的责任是预防和控制医院感染。然而，ICPs 的心理健康状况更值得关注，但相关的研究仍然缺乏。本研究旨在调查 COVID-19 爆发期间中国 ICPs 的心理健康状况发生率和危险因素。
进行了一项全国性的横断面调查。该在线问卷由来自中国 3776 家医院的 9228 名 ICPs 完成。使用的数据收集工具包括人口统计学数据问卷、中文版 12 项一般健康问卷（GHQ-12）和中文版医务人员心理资本问卷（PCQ）。进行了单变量和多变量分析。
中国 ICPs 的心理健康总分为 3.45±2.57。5608（60.77%）名 ICPs 可能存在心理健康问题。心理资本处于中上水平，平均得分为 3.72±0.38。自我效能感和在公立医院工作的 ICPs 的心理健康问题风险增加；与在三级医院工作相比，在二级医院工作的心理健康问题风险显著降低。此外，西部地区或东北地区经济区医院的 ICPs 的心理健康问题风险比中部经济区医院更为显著。然而，与已婚相比，未婚的风险较低，科室工作年限≤1 年比>20 年的风险较低。此外，每周工作时间较少、希望和乐观程度较高都有助于降低风险。
在抗击 COVID-19 的过程中，中国医疗保健相关的 ICPs 面临着不同程度的心理健康问题。更重要的是，我们应该积极应对 ICPs 的心理健康问题，帮助他们摆脱心理障碍。
