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隔离对尼帕病毒爆发疑似感染者的心理社会影响。

Psychosocial Effects of Isolation on Nipah Virus Infection Suspects during an Outbreak.

机构信息

Junior Resident, Department of Pulmonary Medicine, Vallabh Bhai Patel Chest Institute, Delhi University, Delhi.

Junior Resident, Department of Psychiatry, Government Medical College Kozhikode, Kerala.

出版信息

J Assoc Physicians India. 2021 Jan;69(1):41-45.

PMID:34227775
Abstract

BACKGROUND AND METHODOLOGY

Nipah Virus (NiV) belonging to the genus Henipavirus is a biosafety level 4 pathogen with high human to human transmission. Nipah Virus outbreak of 2018 in Kozhikode, Kerala has evoked immense panic and fear in the system. Other viral infections with similar transmission pattern (Ebola, SARS, MERS or COVID 19) also identified with the negative impacts of isolation. This retrospective observational study was planned during November -December 2018 to understand the psychosocial effects among the subjects in Nipah isolation facility. The symptoms of Post-traumatic stress disorder (PTSD) were assessed using the Impact of Events Scale-Revised version (IES-R).

RESULTS AND CONCLUSIONS

Of the 81 subjects, 73 could be contacted with a response rate of 90.12%. The mean age was 38 years (SD = 15.43) and 13.7% were health care workers. 63% of the subjects experienced fear of death during isolation stay and 12.3% of the subjects had lost their relatives or friends to Nipah infection. The mean IES score obtained was 10.78 (SD: 9.679, range 0-49) and 5 subjects had above the cut off 22. Nipah outbreak had evoked significant psychological disturbances in subjects who remained in isolation with its negative impacts.

摘要

背景与方法

属于亨尼帕病毒属的尼帕病毒(NiV)是一种生物安全 4 级病原体,具有很高的人际传播能力。2018 年喀拉拉邦科泽科德的尼帕病毒爆发在系统中引起了极大的恐慌和恐惧。其他具有类似传播模式的病毒感染(埃博拉、非典、中东呼吸综合征或 COVID-19)也被确定具有隔离的负面影响。本回顾性观察研究计划于 2018 年 11 月至 12 月进行,以了解尼帕病毒隔离设施中受试者的心理社会影响。使用修订后的事件影响量表(IES-R)评估创伤后应激障碍(PTSD)的症状。

结果与结论

在 81 名受试者中,有 73 名可以联系到,回应率为 90.12%。平均年龄为 38 岁(SD=15.43),13.7%为医护人员。63%的受试者在隔离期间感到害怕死亡,12.3%的受试者因感染尼帕病毒而失去了亲戚或朋友。获得的平均 IES 得分为 10.78(SD:9.679,范围 0-49),5 名受试者的得分超过 22 分。尼帕病毒爆发在隔离的受试者中引起了显著的心理障碍,对其产生了负面影响。

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