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2019年冠状病毒病隔离患者焦虑、抑郁及护理需求的性别差异

Gender Differences in Anxiety, Depression, and Nursing Needs Among Isolated Coronavirus Disease 2019 Patients.

作者信息

Li Yifei, Li Juan, Yang Zhen, Zhang Jie, Dong Lili, Wang Fusheng, Zhang Jingping

机构信息

Nursing Psychology Research Center, Xiangya School of Nursing, Central South University, Changsha, China.

The Second Affiliated Hospital of Shantou University Medical College, Shantou, China.

出版信息

Front Psychol. 2021 Jun 7;12:615909. doi: 10.3389/fpsyg.2021.615909. eCollection 2021.

Abstract

OBJECTIVE

This study explored gender differences in anxiety, depression, and nursing needs among isolated Coronavirus Disease 2019 (COVID-19) patients, with a particular focus on the influencing factors. The main goal was to elucidate breakthrough points and intervention targets for psychological counseling aimed at the promotion of overall health during isolation treatment.

METHODS

A survey was conducted to obtain information about the nursing needs of COVID-19 patients, with mental health assessed via the Hospital Anxiety and Depression Scale (HADS). Participants included 219 isolated COVID-19 patients at a Wuhan module hospital in Hubei province, China.

RESULTS

A total of 216 valid questionnaires were collected (98.63% retrieval rate). Of these participants, 21.76% had anxiety symptoms, while 17.59% had depression symptoms. Colleagues infected with COVID-19 (OR = 3.896, 95%CI: 1.555-9.764, = 0.004) were the main influencing factors for anxiety symptoms, while marital status (OR = 2.700, 95% CI: 1.033-7.055, = 0.043) and family members infected with COVID-19 (OR = 2.969, 95% CI: 1.243-7.095, = 0.014) were the main influencing factors for depression symptoms. As for gender, male patients were generally more prone to depression and anxiety than female patients, especially those who were infected with colleagues. On the other hand, female patients reported greater concerns about safe treatment environments and communication with medical staff.

CONCLUSION

This study found gender-based differences regarding the factors influencing anxiety and depression in isolated COVID-19 patients, with males reporting a greater general tendency for symptoms. On the other hand, female patients reported greater overall psychological nursing needs than males. Targeted nursing should thus be implemented to address specific psychological characteristics and nursing needs.

摘要

目的

本研究探讨了2019冠状病毒病(COVID-19)隔离患者在焦虑、抑郁及护理需求方面的性别差异,并特别关注影响因素。主要目标是阐明针对隔离治疗期间促进整体健康的心理咨询的突破点和干预目标。

方法

进行了一项调查以获取COVID-19患者护理需求的信息,并通过医院焦虑抑郁量表(HADS)评估心理健康状况。参与者包括中国湖北省武汉市一家方舱医院的219名COVID-19隔离患者。

结果

共收集到216份有效问卷(回收率98.63%)。在这些参与者中,21.76%有焦虑症状,17.59%有抑郁症状。感染COVID-19的同事(OR = 3.896,95%CI:1.555 - 9.764,P = 0.004)是焦虑症状的主要影响因素,而婚姻状况(OR = 2.700,95%CI:1.033 - 7.055,P = 0.043)和感染COVID-19的家庭成员(OR = 2.969,95%CI:1.243 - 7.095,P = 0.014)是抑郁症状的主要影响因素。在性别方面,男性患者总体上比女性患者更容易出现抑郁和焦虑,尤其是那些感染了同事的男性。另一方面,女性患者对安全治疗环境以及与医护人员沟通更为关注。

结论

本研究发现,在影响COVID-19隔离患者焦虑和抑郁的因素方面存在基于性别的差异,男性报告的症状总体倾向更大。另一方面,女性患者报告的总体心理护理需求比男性更大。因此,应实施针对性护理以满足特定的心理特征和护理需求。

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