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新冠疫情下某省灾害救援工作者的心理健康与生活质量

Mental Health and Quality of Life for Disaster Service Workers in a Province under COVID-19.

作者信息

Na Ji-Won, Yang Chan-Mo, Lee Sang-Yeol, Jang Seung-Ho

机构信息

Department of Psychiatry, School of Medicine, Wonkwang University, Iksan 54538, Korea.

出版信息

J Clin Med. 2022 Mar 14;11(6):1600. doi: 10.3390/jcm11061600.

Abstract

Objective: Healthcare workers and disaster service workers have been reported to be vulnerable to mental health problems during outbreaks of infectious diseases such as the COVID-19 pandemic. This study aimed to investigate the psychosocial characteristics of disaster service workers in charge of COVID-19-related work and also identify the factors affecting their quality of life. Methods: From June 2020 to June 2021, a survey was conducted of 526 disaster service workers in charge of COVID-19-related work. This included those working in public health care centers (PHC), 119 rescue and emergency medical services (119 REMS), public servants of city hall (PS), and police officers. The Korean version of the Fear of COVID-19 Scale, Patient Health Questionnaire-15, Hospital Anxiety and Depression Scale, Insomnia Severity Index, Connor−Davidson Resilience Scale, and World Health Organization quality of life assessment instrument brief form were used. A one-way ANOVA was conducted, and a stepwise regression analysis was carried out to determine the factors affecting quality of life. Results: Regarding quality of life, 119 REMS (180.64 ± 26.20) scored significantly higher than PHC (165.76 ± 23.73) and PS (163.90 ± 23.60), while police officers (176.87 ± 23.17) scored significantly higher than PS (163.90 ± 23.60) (F = 12.373, p < 0.001). Resilience (β = 0.897, p < 0.01) was the most significant explanatory variable, and together with insomnia (β = 0.154, p < 0.01), depression (β = −0.152, p < 0.01), and COVID-19 anxiety (β = −0.057, p < 0.01) accounted for 91.8% of the explanatory variance with regard to quality of life. Discussion: Quality of life was found to be negatively correlated with insomnia, depression, and COVID-19 anxiety while being positively correlated with resilience. Therefore, active interventions are needed to improve the resilience of disaster service workers.

摘要

目的

据报道,医护人员和灾害救援人员在诸如新冠疫情等传染病爆发期间易出现心理健康问题。本研究旨在调查负责新冠相关工作的灾害救援人员的心理社会特征,并确定影响其生活质量的因素。方法:2020年6月至2021年6月,对526名负责新冠相关工作的灾害救援人员进行了调查。其中包括在公共卫生保健中心(PHC)工作的人员、119救援及紧急医疗服务人员(119 REMS)、市政府公务员(PS)以及警察。使用了韩语版的新冠恐惧量表、患者健康问卷-15、医院焦虑抑郁量表、失眠严重程度指数、康纳-戴维森心理韧性量表以及世界卫生组织生活质量评估简表。进行了单因素方差分析,并开展逐步回归分析以确定影响生活质量的因素。结果:在生活质量方面,119 REMS(180.64 ± 26.20)得分显著高于PHC(165.76 ± 23.73)和PS(163.90 ± 23.60),而警察(176.87 ± 23.17)得分显著高于PS(163.90 ± 23.60)(F = 12.373,p < 0.001)。心理韧性(β = 0.897,p < 0.01)是最显著的解释变量,与失眠(β = 0.154,p < 0.01)、抑郁(β = -0.152,p < 0.01)和新冠焦虑(β = -0.057,p < 0.01)共同解释了生活质量方面91.8%的方差。讨论:发现生活质量与失眠、抑郁和新冠焦虑呈负相关,与心理韧性呈正相关。因此,需要采取积极干预措施来提高灾害救援人员的心理韧性。

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