新冠病毒疫情高风险地区人员在定点酒店隔离期间的心理状态变化趋势：来自中国广州的一项纵向调查研究
The Trends of Psychological Status of People Entering from High-Risk Areas of COVID-19 Coronavirus During the Quarantine in Dedicated Hotels: A Longitudinal Survey Study from Guangzhou, China.
作者信息
Deng Yanhong, Shi Lishuo, Li Jianxia, Jiang Zhipeng, Xie Chaojun, Luo Shuangling, Ling Li, Lin Hualiang, Chen Zongqiu, Zhao Yunlong, Kang Liang, Yuan Jun, Wen Weiping
机构信息
Department of Medical Oncology, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease, Guangzhou, 510655, People's Republic of China.
Clinical Research Center, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Disease, Guangzhou, 510655, People's Republic of China.
出版信息
Risk Manag Healthc Policy. 2021 Dec 14;14:5005-5014. doi: 10.2147/RMHP.S331735. eCollection 2021.
BACKGROUND
The quarantine in dedicated hotels has become an inevitable safety measure due to the frequent cross-border travel since the outbreak of COVID-19. The aim of the present study was to explore the trends in the psychological status of individuals entering from high-risk areas of COVID-19 coronavirus while quarantining in dedicated hotels.
METHODS
A total of 591 individuals who isolated in dedicated hotels were recruited between March and June 2020. Participants self-reported mental symptoms [Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS)] every three days during the quarantine. A mixed-effects linear regression model was used to assess the trends.
RESULTS
Participants reporting anxiety and depression symptoms at least one time during quarantine accounted for 4.5% and 18.4%, respectively. Their psychological status was alleviated during some first 9 days, and then it slightly deteriorated, which was suggested by SAS and SDS scores that were negatively correlated with the days of quarantine (T) (adjusted coefficient [β] -0.81, 95% CI -1.00 to -0.62; and β -0.75, 95% CI -0.97 to -0.53, respectively), and were positively correlated with the square of T (β 0.04, 95% CI 0.02 to 0.06; and β 0.04, 95% CI 0.02 to 0.06, respectively). The unemployed and 18~30-year-old participants were prone to greater levels of psychological distress. No significant difference in the trend of mental health was found among different subgroups.
CONCLUSION
The mental health of the people entering Guangzhou from high-risk areas of COVID-19 coronavirus resulted positive during the early period of quarantine in dedicated hotels, after which it deteriorated. The psychological status of individuals should be closely monitored at the beginning and after more than 9 days of quarantine, especially for individuals who are unemployed and 18~30-year-old ones.
背景
自新冠疫情爆发以来，由于跨境旅行频繁，专用酒店隔离已成为一项不可避免的安全措施。本研究的目的是探讨新冠病毒高风险地区入境人员在专用酒店隔离期间的心理状态变化趋势。
方法
2020年3月至6月，共招募了591名在专用酒店隔离的人员。参与者在隔离期间每三天自行报告一次心理症状[自评焦虑量表（SAS）和自评抑郁量表（SDS）]。采用混合效应线性回归模型评估变化趋势。
结果
在隔离期间至少有一次报告焦虑和抑郁症状的参与者分别占4.5%和18.4%。他们的心理状态在最初的9天内有所缓解，然后略有恶化，SAS和SDS评分与隔离天数（T）呈负相关（调整系数[β]分别为-0.81，95%可信区间-1.00至-0.62；以及β -0.75，95%可信区间-0.97至-0.53），与T的平方呈正相关（β分别为0.04，95%可信区间0.02至0.06；以及β 0.04，95%可信区间0.02至0.06）。失业者和18至30岁的参与者更容易出现较高程度的心理困扰。不同亚组之间心理健康趋势无显著差异。
结论
新冠病毒高风险地区进入广州的人员在专用酒店隔离初期心理健康状况良好，之后有所恶化。在隔离开始时和超过9天后应密切监测个人的心理状态，尤其是失业者和18至30岁的人员。
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