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河北省 COVID-19 疫情期间全科医生心理健康的影响因素:一项横断面研究。

Influencing factors for mental health of general practitioners in Hebei Province under the outbreak of COVID-19: A cross-sectional study.

机构信息

Department of General Practice, Second Hospital of Hebei Medical University, Shijiazhuang, China.

出版信息

Int J Clin Pract. 2021 Nov;75(11):e14783. doi: 10.1111/ijcp.14783. Epub 2021 Sep 8.

Abstract

OBJECTIVE

This study aimed to understand the mental health status of general practitioners (GPs) in Hebei Province during the outbreak of coronavirus disease 2019, analyse influencing factors, and establish and evaluate the risk prediction model.

METHODS

During February 25-29, 2020, a self-designed questionnaire was used to conduct an online survey of GPs in Hebei Province. The survey included a questionnaire on GPs' basic information, a questionnaire on GPs' working hardware and software facilities, and a questionnaire on GPs' mental health condition. A total of 1040 participants returned the completely filled valid questionnaire, and the answers were analyzed using the χ test, Wilcoxon rank-sum test and logistic regression with SPSS 20.0 software. Based on the results of binary logistic regression analysis, a risk prediction model was established, and the receiver operating characteristic curve was used to evaluate the model.

RESULTS

The results showed that 44.2% (460/1040) of GPs expressed anxiety after the outbreak. Absence of prescreening clinics, fever clinics or isolated observation rooms in primary medical institutions; persons in the administrative area required to be isolated; low sleep quality of GPs and less than 6 hours of sleep per day of GPs were risk factors affecting the mental health status of GPs. Also, epidemic-related training and adequate protective equipment were the protective factors for the mental health status of GPs.

CONCLUSION

The government should strengthen the infrastructure construction of community institutions, equip them with sufficient epidemic protection equipment, ensure the rest time of GPs and strengthen mental health training to ensure the mental and physical health of GPs.

摘要

目的

本研究旨在了解 2019 年冠状病毒病爆发期间河北省全科医生的心理健康状况,分析影响因素,建立并评估风险预测模型。

方法

2020 年 2 月 25 日-29 日,采用自行设计的问卷对河北省全科医生进行线上调查。问卷内容包括全科医生基本情况问卷、全科医生工作软硬件设施问卷、全科医生心理健康状况问卷。共回收 1040 份完全填写的有效问卷,采用 χ²检验、Wilcoxon 秩和检验和 SPSS 20.0 软件进行二元 logistic 回归分析。

结果

结果显示,44.2%(460/1040)的全科医生在疫情爆发后表示焦虑。基层医疗机构无预检分诊门诊、发热门诊或隔离观察室;行政区域内要求隔离的人员;全科医生睡眠质量差、每天睡眠不足 6 小时是影响全科医生心理健康状况的危险因素。此外,与疫情相关的培训和充足的防护设备是全科医生心理健康状况的保护因素。

结论

政府应加强社区机构的基础设施建设,为其配备充足的疫情防护设备,保证全科医生的休息时间,加强心理健康培训,确保其身心健康。

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