Qiu Yinggui, Wu Qian, Chen Rui, Guan Cuiling
School of Management, Hubei University of Chinese Medicine, Wuhan, 430065, Hubei, China.
Int J Disaster Risk Reduct. 2021 Nov;65:102524. doi: 10.1016/j.ijdrr.2021.102524. Epub 2021 Aug 21.
The characteristics of COVID-19, such as the long incubation period, the fast transmission speed, the high demand for treatment, and the lack of prior treatment experience, have brought tremendous psychological stress to the medical staff involved in the epidemic prevention and control, seriously affecting the mental health of medical staff. Therefore, this paper conducts a discussion on the psychological stress and mental health of medical staff.
(1)Interview 28 medical staff fighting against COVID-19 from Wuhan Central Hospital and Hubei Provincial Hospital of Traditional Chinese medicine. They have worked as doctors in mental health departments, surgery departments and emergency departments, nurses and management staffs; (2)Based on interviews and literature, the questionnaire survey is conducted among 528 medical personnel from all over the country who have participated in the fight against COVID-19 in Wuhan; (3)Use the structural equation modeling to explore the influence mechanism of medical staff's psychological stress and mental health in the prevention and control of COVID-19. : The epidemic severity in hospital and the work intensity are the important psychological stressors for the front-line medical staff. Self-risk perception has a mediating effect on the severity of epidemic in hospitals and mental health of medical staff. Social identification has no moderating effect between the self-risk perception and the mental health.
新型冠状病毒肺炎(COVID-19)具有潜伏期长、传播速度快、治疗需求高以及缺乏既往治疗经验等特点,给参与疫情防控的医护人员带来了巨大的心理压力,严重影响了医护人员的心理健康。因此,本文对医护人员的心理压力和心理健康进行探讨。
(1)访谈来自武汉中心医院和湖北省中医院的28名抗击COVID-19的医护人员。他们曾在精神卫生科、外科和急诊科担任医生、护士及管理人员;(2)基于访谈和文献,对全国528名参与武汉抗击COVID-19的医护人员进行问卷调查;(3)采用结构方程模型探讨医护人员在COVID-19防控中的心理压力与心理健康的影响机制。结果:医院内疫情严重程度和工作强度是一线医护人员重要的心理压力源。自我风险感知在医院疫情严重程度与医护人员心理健康之间起中介作用。社会认同在自我风险感知与心理健康之间不存在调节作用。