Yao Dandan, Lyu Jihui, Ma Zongjuan, Champ Mei, Xiong Qian, Li Mo, Li Wenjie, Mu Haiyan, Hu Yueqing, Gao Wenchao, Jia Dongmei
Center for Cognitive Disorders, Beijing Geriatric Hospital, Beijing, China.
Beijing Institute of Brain Disorders, Laboratory of Brain Disorders, Ministry of Science and Technology, Collaborative Innovation Center for Brain Disorders, Capital Medical University, Beijing, China.
Front Psychiatry. 2021 Feb 4;12:591026. doi: 10.3389/fpsyt.2021.591026. eCollection 2021.
Recent studies report that hospital staff at the forefront of caring for COVID-19 patients experience increased psychological distress. To effectively manage the outbreak of COVID-19, China established COVID-19 designated and non-designated hospitals. To date, few studies have examined the impacts of COVID-19 on psychological health of staff working at non-designated hospitals. This study is to explore factors affecting psychological health of non-designated hospital staff in China during the COVID-19 pandemic. Data were collected through an online questionnaire between February and March 2020. The questionnaire consists of General Health Questionnaire (GHQ-20), Social Support Rating Scale (SSRS), Simplified Coping Style Questionnaire (SCSQ), sociodemographic characteristics, employment history, health status, and contact history of COVID-19. The questionnaire was distributed through hospital WeChat groups and work colleague referrals. A total of 470 non-designated hospital staff members completed the questionnaire. Multiple Linear Regression analysis was used to interpret the associations among social support, coping styles, sociodemographic factors, job roles, and psychological status. Data were analyzed using SPSS version 21.0. The non-designated hospital staff differed significantly in anxiety and depression subscores of the GHQ-20 by their job roles, levels of social support, and history of mental disorders. Staff with medical job roles, good self-reported health status, no previous mental disorders, adequate social support, and positive coping styles scored lower in GHQ-20 total score, which indicated healthier psychological status. The results indicate that history of mental health disorders, non-medical job roles, and inadequate social support are associated with greater psychological distress. Personalized support should be provided to those who are vulnerable and in need of social and psychological support.
近期研究报告称,身处照顾新冠肺炎患者一线的医院工作人员心理压力有所增加。为有效应对新冠肺炎疫情,中国设立了新冠肺炎定点医院和非定点医院。迄今为止,很少有研究考察新冠肺炎对非定点医院工作人员心理健康的影响。本研究旨在探讨新冠疫情期间影响中国非定点医院工作人员心理健康的因素。2020年2月至3月期间通过在线问卷收集数据。问卷包括一般健康问卷(GHQ - 20)、社会支持评定量表(SSRS)、简易应对方式问卷(SCSQ)、社会人口学特征、工作经历、健康状况以及新冠肺炎接触史。问卷通过医院微信群和同事推荐进行发放。共有470名非定点医院工作人员完成了问卷。采用多元线性回归分析来解读社会支持、应对方式、社会人口学因素、工作角色和心理状态之间的关联。数据使用SPSS 21.0版本进行分析。非定点医院工作人员在GHQ - 20的焦虑和抑郁子量表得分上,因工作角色、社会支持水平和精神障碍病史存在显著差异。从事医疗工作、自我报告健康状况良好、既往无精神障碍、社会支持充足且应对方式积极的工作人员在GHQ - 20总分上得分较低,这表明其心理状态更健康。结果表明,精神健康障碍病史非医疗工作角色以及社会支持不足与更大的心理困扰相关。应向那些脆弱且需要社会和心理支持的人提供个性化支持。