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新冠疫情期间武汉方舱医院一线医护人员焦虑和抑郁症状的流行状况及影响因素:一项横断面调查。

Prevalence and influencing factors of anxiety and depression symptoms among the first-line medical staff in Wuhan mobile cabin hospital during the COVID-19 epidemic: A cross-sectional survey.

机构信息

The First People's Hospital of Changde City, Changde, Hunan Province.

Renmin Hospital of Wuhan University, Wuhan, Hubei Province, China.

出版信息

Medicine (Baltimore). 2021 May 28;100(21):e25945. doi: 10.1097/MD.0000000000025945.

Abstract

To investigate the prevalence of anxiety and depressive symptoms and the associated risk factors among first-line medical staff in Wuhan during the coronavirus disease 2019 (COVID-19) epidemic.From March 5 to 15, 2020, the Hamilton Anxiety Scale and Hamilton Depression scale were used to investigate the anxiety and depression status of medical staff in Wuhan Cabin Hospital (a Hospital). Two hundred seventy-six questionnaires were received from 96 doctors and 180 nurses, including 79 males and 197 females.During the COVID-19 epidemic, the prevalence rate of anxiety and depression was 27.9% and 18.1%, respectively, among 276 front-line medical staff in Wuhan. The prevalence rate of anxiety and depression among doctors was 19.8% and 11.5%, respectively, and the prevalence rate of anxiety and depression among nurses was 32.2% and 21.7%, respectively. Females recorded higher total scores for anxiety and depression than males, and nurses recorded higher scores for anxiety and depression than doctors.During the COVID-19 epidemic, some first-line medical staff experienced mental health problems such as depression and anxiety. Nurses were more prone to anxiety and depression than doctors. Effective strategies toward to improving the mental health should be provided to first-line medical staff, especially female medical staff and nurses.

摘要

目的

调查 2019 冠状病毒病(COVID-19)流行期间武汉一线医务人员焦虑和抑郁症状的流行情况及其相关危险因素。

方法

2020 年 3 月 5 日至 15 日,采用汉密尔顿焦虑量表和汉密尔顿抑郁量表对武汉方舱医院(一家医院)的医务人员焦虑和抑郁状况进行调查。共收到 96 名医生和 180 名护士的 276 份问卷,其中男性 79 人,女性 197 人。

结果

COVID-19 流行期间,武汉 276 名一线医务人员中焦虑和抑郁的发生率分别为 27.9%和 18.1%。医生的焦虑和抑郁发生率分别为 19.8%和 11.5%,护士的焦虑和抑郁发生率分别为 32.2%和 21.7%。女性焦虑和抑郁总分均高于男性,护士的焦虑和抑郁评分均高于医生。

结论

COVID-19 流行期间,部分一线医务人员出现抑郁和焦虑等心理健康问题,护士比医生更容易出现焦虑和抑郁。应向一线医务人员,特别是女性医务人员和护士提供改善心理健康的有效策略。

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