Yang Xueping, Miao Junxiao, Fan Weizhong, Wang Lili, Sun Shuning, Li Hongshi, Wang Na, Wang Xuesong, Lin Muhui, He Ru
Department of Psychology, The People's Hospital of Liaoning Province, The People's Hospital of China Medical University, Shenyang, China.
Department of Public Places, The Health Supervision Center of Liaoning Province, Shenyang, China.
Front Psychol. 2021 Oct 20;12:747557. doi: 10.3389/fpsyg.2021.747557. eCollection 2021.
Since the 2019 coronavirus disease (COVID-19) outbreak, medical staff have faced greater psychological stress and are prone to psychological problems such as anxiety and depression, as confirmed by several studies. This study further clarifies the psychological status of Chinese medical staff during the stable phase of the pandemic through a cross-sectional investigation in a large population sample in northern China. Subjects: Clinical frontline medical staff from seven hospitals in Liaoning Province were recruited from November 2020 to February 2021. The research tools used were the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Simplified Coping Style Questionnaire (SCSQ), and General Status Questionnaire. SPSS 22.0, ANOVA variance analysis, and multiple logistics regression were used for statistical analysis. -values of <0.05 indicated significant statistical differences. A total of 3,144 medical staff completed the survey (599 men [19.1%] and 2,545 women [80.9%]; 1,020 doctors [32.4%] and 2,124 nurses [67.6%]). Among all subjects, the rates of anxiety and depression were 21.1% (663/3, 144) and 43.9% (1,381/3,144), respectively. Multiple logistic comparative analysis revealed that age (OR = 1.272, 95% CI = 1.036-1.561, = 0.022), the need for psychological counseling (OR = 1.566, 95% CI = 1.339-1.830, < 0.001), and the coexistence of depression (OR = 0.050, 95% CI = 0.038-0.066, < 0.001) were significantly associated with anxiety. Coexisting anxiety was also associated with the occurrence of depression (OR = 0.050, 95% CI = 0.038-0.065, < 0.001). In the later stages of the pandemic in China, the occurrence rates of anxiety and depression among medical staff remain high. In addition to age, there is little correlation between anxiety or depression and general factors such as gender and profession. As a special group, medical staff show different psychological changes at various times during a stressful event. Concerning for the psychological needs of medical staff and different psychologically oriented policy implementation are needed.
自2019冠状病毒病(COVID-19)疫情爆发以来,多项研究证实,医务人员面临着更大的心理压力,容易出现焦虑和抑郁等心理问题。本研究通过对中国北方大量人群样本进行横断面调查,进一步阐明了疫情稳定阶段中国医务人员的心理状况。研究对象:2020年11月至2021年2月,招募了辽宁省7家医院的临床一线医务人员。使用的研究工具包括焦虑自评量表(SAS)、抑郁自评量表(SDS)、简易应对方式问卷(SCSQ)和一般状况问卷。采用SPSS 22.0、方差分析和多元逻辑回归进行统计分析。P值<0.05表示差异有统计学意义。共有3144名医务人员完成了调查(男性599名[19.1%],女性2545名[80.9%];医生1020名[32.4%],护士2124名[67.6%])。在所有研究对象中,焦虑和抑郁的发生率分别为21.1%(663/3144)和43.9%(1381/3144)。多元逻辑比较分析显示,年龄(OR = 1.272,95%CI = 1.036 - 1.561,P = 0.022)、心理咨询需求(OR = 1.566,95%CI = 1.339 - 1.830,P < 0.001)以及抑郁共存(OR = 0.050,95%CI = 0.038 - 0.066,P < 0.001)与焦虑显著相关。焦虑共存也与抑郁的发生相关(OR = 0.050,95%CI = 0.038 - 0.065,P < 0.001)。在中国疫情后期,医务人员焦虑和抑郁的发生率仍然很高。除年龄外,焦虑或抑郁与性别、职业等一般因素之间几乎没有相关性。作为一个特殊群体,医务人员在应激事件的不同阶段表现出不同的心理变化。需要关注医务人员的心理需求并实施不同的心理导向政策。