DU Yan, Wang Qing-Zhi, Ye Rui-Xue, Mao Dan-Mei, Jiang Xiao-Yong, Zheng Qing-Mei, Gan Lin, Gu Jing, Zhou Huan
Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital, Sichuan University,Chengdu 610041,China.
Chengdu Jinniu District Center for Disease Control and Prevention,Chengdu 610000,China.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2022 Apr;44(2):199-207. doi: 10.3881/j.issn.1000-503X.14151.
Objective To assess the psychological status of staff at the centers for disease control and prevention(CDC) in Sichuan during the outbreak of coronavirus disease 2019(COVID-19) and explore the influencing factors. Methods The staff at Sichuan provincial,municipal,and county(district)-level CDC were selected by convenience sampling.Their basic information,work status,training status,work difficulties,and support from the work group were collected from the self-filled questionnaires online.The Generalized Anxiety Disorder Scale and the 9-question Patient Health Questionnaire were respectively employed to measure the anxiety and depression of the staff.The stepwise Logistic regression was carried out to analyze the influencing factors of anxiety and depression in CDC staff. Results Among the 653 staff,58.35% and 50.06% presented anxiety and depression,respectively.The regression results showed that age(=0.95,95%=0.92-0.97) and mental support from the work group(=0.61,95%=0.45-0.82) were the protective factors while physical fatigue(=1.82,95%=1.20-2.74),work pressure(=1.61,95%=1.21-2.12),and insufficient protective equipment(=1.92,95%=1.06-3.49) were the risk factors for depression of CDC staff.Age(=0.97,95%=0.94-0.99),length of sleep per day(=0.74,95%=0.56-0.96),and participation in technical training(=0.33,95%=0.12-0.95) were the protective factors while mental fatigue(=1.68,95%=1.18-2.41),work pressure(=2.94,95%=2.08-4.17),and unclear incentive system for overtime(=1.99,95%=1.23-3.23) were the risk factors for the anxiety of CDC staff. Conclusion The anxiety and depression status of CDC staff during the COVID-19 outbreak were worrying,which were mainly affected by age,sleep,supply of protective equipment,incentive system,fatigue,and work pressure.
目的 评估新型冠状病毒肺炎(COVID-19)疫情期间四川省疾病预防控制中心(CDC)工作人员的心理状况,并探讨其影响因素。方法 采用方便抽样法选取四川省省、市、县(区)级CDC工作人员。通过在线自填问卷收集其基本信息、工作状况、培训情况、工作困难及工作团队支持等信息。分别采用广泛性焦虑障碍量表和患者健康问卷9项版评估工作人员的焦虑和抑郁情况。采用逐步Logistic回归分析CDC工作人员焦虑和抑郁的影响因素。结果 在653名工作人员中,焦虑和抑郁的发生率分别为58.35%和50.06%。回归结果显示,年龄(β=0.95,95%CI=0.92-0.97)和工作团队的精神支持(β=0.61,95%CI=0.45-0.82)是抑郁的保护因素,而身体疲劳(β=1.82,95%CI=1.20-2.74)、工作压力(β=1.61,95%CI=1.21-2.12)和防护设备不足(β=1.92,95%CI=1.06-3.49)是CDC工作人员抑郁的危险因素。年龄(β=0.97,95%CI=0.94-0.99)、每日睡眠时间(β=0.74,95%CI=0.56-0.96)和参加技术培训(β=0.33,95%CI=0.12-0.95)是焦虑的保护因素,而精神疲劳(β=1.68,95%CI=1.18-2.41)、工作压力(β=2.94,95%CI=2.08-4.17)和加班激励制度不明确(β=1.99,95%CI=1.23-3.23)是CDC工作人员焦虑的危险因素。结论 COVID-19疫情期间CDC工作人员的焦虑和抑郁状况令人担忧,主要受年龄、睡眠、防护设备供应、激励制度以及疲劳和工作压力的影响。