Xie Jun, Liu Qi, Jiang Xiaobing, Manandhar Upasana, Zhu Zhen, Li Yuanyuan, Zhang Bo
Department of Dermatology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China.
Department of Maternal and Child Health, Ministry of Education (MOE) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Psychiatry. 2021 Apr 30;12:611223. doi: 10.3389/fpsyt.2021.611223. eCollection 2021.
The outbreak of novel coronavirus disease 2019 (COVID-19) has caused public panic and psychological health problems, especially in medical staff. We aimed to investigate the psychological effect of the COVID-19 outbreak on medical staff. A cross-sectional study was conducted to examine the psychological impact of medical staff working in COVID-19 designated hospitals from February to March 2020 in China. We assessed psychological health problems using the Symptom Check List 90 (SCL-90). Among 656 medical staff, 244 were frontline medical staff and 412 general medical staff. The prevalence of psychological health problems was 19.7%. The SCL-90 scores in frontline medical staff were significantly higher than that in general medical staff (mean: 141.22 vs. 129.54, < 0.05). Furthermore, gender [odds ratio (OR) = 1.53, 95% CI = (1.02, 2.30), = 0.042 for female vs. male] and the burden of current work [OR = 7.55, 95% CI = (3.75, 15.21), < 0.001 for high burden; OR = 2.76, 95% CI = (1.80, 4.24), < 0.001 for moderate burden vs. low burden] were associated with increased risk of poor psychological status. Medical staff experienced a high risk of psychological health problems during the outbreak of COVID-19, especially for frontline medical staff. Psychological health services are expected to arrange for medical staff in future unexpected infectious disease outbreaks.
2019年新型冠状病毒病（COVID-19）的爆发引发了公众恐慌和心理健康问题，尤其是医护人员。我们旨在调查COVID-19爆发对医护人员的心理影响。在中国开展了一项横断面研究，以考察2020年2月至3月在COVID-19定点医院工作的医护人员的心理影响。我们使用症状自评量表90（SCL-90）评估心理健康问题。656名医护人员中，244名是一线医护人员，412名是普通医护人员。心理健康问题的患病率为19.7%。一线医护人员的SCL-90得分显著高于普通医护人员（均值：141.22对129.54，<0.05）。此外，性别[比值比（OR）=1.53，95%置信区间=（1.02，2.30），女性对男性，=0.042]和当前工作负担[高负担时OR=7.55，95%置信区间=（3.75，15.21），<0.001；中等负担与低负担相比，OR=2.76，95%置信区间=（1.80，4.24），<0.001]与心理状态不佳风险增加相关。在COVID-19爆发期间，医护人员经历心理健康问题的风险很高，尤其是一线医护人员。预计未来在意外传染病爆发时将为医护人员安排心理健康服务。
