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基于新冠肺炎疫情防控常态化的中国新疆地区医务人员心理健康状况

Mental health status of medical staff in Xinjiang Province of China based on the normalisation of COVID-19 epidemic prevention and control.

作者信息

Wu Qiong, Li Dao, Yan Min, Li Yihua

机构信息

Faculty of Medicine, Wuhan City College, Wuhan, China.

Health Bureau of Shuanghe City in Xinjiang Province, Shuanghe, China.

出版信息

Int J Disaster Risk Reduct. 2022 May;74:102928. doi: 10.1016/j.ijdrr.2022.102928. Epub 2022 Mar 28.

Abstract

INTRODUCTION

The 2019 coronavirus disease (COVID-19) pandemic has burdened and threatened the psychological health of people around the world, especially those of front-line medical staff. This study aimed to explore the mental-health status and its associated factors amongst the medical workforce of Xinjiang province under the normalisation of the COVID-19 epidemic prevention and control.

METHODS

A total of 408 medical staff were recruited from February 20 to March 10, 2021. Symptom Checklist 90 (SCL-90) scale, Social support Scale, and Simplified Coping-Style Questionnaire were applied to assess their mental-health status and stress-coping tendency. Descriptive analyses, welch's T-test, chi-square test, and binary logistic regression were used to analyse the data.

RESULTS

The prevalence of mental-health problems was 20.25% (80/395) amongst the surveyed medical staff, and their total symptom mean score (1.31 ± 0.40) was lower than that of the general population (1.44 ± 0.43). Logistic regression analysis revealed that nurse, individual with poor health condition, those who lived with their elderly parents at home, those receiving less social support, and those with a negative stress-coping style were more likely to show psychological problems.

CONCLUSION

More attention should be paid to the mental state of the medical workforce during the COVID-19 pandemic. The government and professional institutes should facilitate social supportive activities and essential counselling services to help strengthen the psychological resilience of medical staff. Additionally, it is necessary for health administration committee and hospitals to make COVID-19 prevention practice guides and risk communication principles for improving the mental health of the front-line medical staff.

摘要

引言

2019冠状病毒病(COVID-19)大流行给世界各地人们的心理健康带来了负担并构成威胁,尤其是一线医护人员。本研究旨在探讨在COVID-19疫情防控常态化情况下新疆医护人员的心理健康状况及其相关因素。

方法

2021年2月20日至3月10日共招募了408名医护人员。应用症状自评量表90(SCL-90)、社会支持量表和简易应对方式问卷来评估他们的心理健康状况和应激应对倾向。采用描述性分析、韦尔奇t检验、卡方检验和二元逻辑回归对数据进行分析。

结果

在接受调查的医护人员中,心理健康问题的患病率为20.25%(80/395),其总症状平均分(1.31±0.40)低于普通人群(1.44±0.43)。逻辑回归分析显示,护士、健康状况不佳者、与年迈父母同住者、获得社会支持较少者以及具有消极应激应对方式者更容易出现心理问题。

结论

在COVID-19大流行期间,应更加关注医护人员的心理状态。政府和专业机构应推动社会支持活动和必要的咨询服务,以帮助增强医护人员的心理韧性。此外,卫生管理委员会和医院有必要制定COVID-19预防实践指南和风险沟通原则,以改善一线医护人员的心理健康。

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