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接触中东呼吸综合征患者后居家隔离与医院隔离医护人员精神症状的差异

Differences Between the Psychiatric Symptoms of Healthcare Workers Quarantined at Home and in the Hospital After Contact With a Patient With Middle East Respiratory Syndrome.

作者信息

Seong Su Jeong, Kim Hyung Joon, Yim Kyung Mi, Park Ji Won, Son Kyung Hoon, Jeon Yeong Ju, Hwang Jae Yeon

机构信息

Department of Psychiatry, Hallym University Kangdong Sacred Heart Hospital, Seoul, South Korea.

出版信息

Front Psychiatry. 2021 Jul 16;12:659202. doi: 10.3389/fpsyt.2021.659202. eCollection 2021.

Abstract

Although quarantine is an effective measure for the prevention of the spread of infectious diseases, it may have negative effects on the mental health of the isolated individual. During the 2015 outbreak of the Middle East Respiratory Syndrome (MERS) in Korea, healthcare workers came in contact with patients with MERS were quarantined either at home or in a hospital ward. In this study, we aimed to compare the psychiatric symptoms of these employees according to the method of quarantine. All 146 quarantined staff completed self-report questionnaires. Depressive symptoms were measured using the Patient Health Questionnaire-9, anxiety symptoms were assessed using Spielberger's State-Trait Anxiety Inventory, and acute stress disorder (ASD) symptoms were evaluated using the Stanford Acute Stress Reaction Questionnaire. The in-hospital quarantine group had a higher rate of symptoms of depression ( < 0.001) and ASD ( = 0.014) than the group quarantined at home. Logistic regression analysis showed that respondents quarantined in the hospital (OR = 6.342; 95% CI 1.853-21.708) and those quarantined for longer periods (OR = 1.153, 95% CI = 1.036-1.285) had a higher risk of depressive symptoms. In-hospital quarantine and quarantine for longer periods increase the risk of depressive symptoms. When quarantine measures are taken, certain measures are needed to minimize the risk of psychiatric problems. Appropriate interventions should be implemented if psychiatric problems occur.

摘要

虽然隔离是预防传染病传播的有效措施,但它可能会对被隔离者的心理健康产生负面影响。在2015年韩国中东呼吸综合征(MERS)疫情爆发期间,接触过MERS患者的医护人员被居家或在医院病房进行隔离。在本研究中,我们旨在根据隔离方式比较这些员工的精神症状。所有146名被隔离的工作人员均完成了自我报告问卷。使用患者健康问卷-9测量抑郁症状,使用斯皮尔伯格状态-特质焦虑量表评估焦虑症状,并使用斯坦福急性应激反应问卷评估急性应激障碍(ASD)症状。住院隔离组的抑郁症状发生率(<0.001)和ASD症状发生率(=0.014)高于居家隔离组。逻辑回归分析显示,在医院隔离的受访者(OR=6.342;95%CI 1.853-21.708)和隔离时间较长的受访者(OR=1.153,95%CI=1.036-1.285)出现抑郁症状的风险更高。住院隔离和较长时间的隔离会增加抑郁症状的风险。采取隔离措施时,需要采取某些措施将精神问题的风险降至最低。如果出现精神问题,应实施适当的干预措施。

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