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新冠疫情期间医护人员的心理反应及简短正念冥想的调节作用

Psychological responses of medical staff during COVID-19 and the adjustment effect of brief mindfulness meditation.

作者信息

Li Jia-Mei, Wu Ran, Zhang Ting, Zhong Shi-Yang, Hu Ting, Wang Dong, Jiang Chun-Lei, Liu Yun-Zi

机构信息

Department of Stress Medicine, Faculty of Psychology and Mental Health, Naval Medical University, Shanghai, 200433, China.

Counseling and Psychological Services Center, East China Normal University, Shanghai, 200433, China.

出版信息

Complement Ther Clin Pract. 2022 Aug;48:101600. doi: 10.1016/j.ctcp.2022.101600. Epub 2022 May 6.

Abstract

BACKGROUND

COVID-19 has posed an unprecedented threat to public health and remains a critical challenge for medical staff, especially those who have been fighting against the virus in Wuhan, China. Limited data have been reported regarding the psychological status of these medical staff members. Therefore, we conducted this study to explore the mental health status of medical staff and the efficacy of brief mindfulness meditation (BMM) in improving their mental health.

METHODS

A survey was conducted between April 18 and May 3, 2020. Upon completing the pre-test, participants in the treatment group received a 15-min BMM intervention every day at 8 p.m. Post-test questionnaires were completed after 16 days of therapy. The questionnaire comprised demographic data and psychological measurement scales. The levels of pre and post-test depression, anxiety, stress, and insomnia were assessed using the 9-item Patient Health Questionnaire, 7-item Generalized Anxiety Disorder Scale, Perceived Stress Scale, and Athens Insomnia Scale, respectively.

RESULTS

A total of 134 completed questionnaires were received. Of the medical staff, 6.7%, 1.5%, and 26.7% reported symptoms of depression, anxiety, and insomnia, respectively. Public officials from military hospitals reported experiencing greater pressure than private officials (t = 2.39, p = 0.018, d = 0.50). Additionally, BMM treatment appeared to effectively alleviate insomnia (t = 2.27, p = 0.027, d = 0.28).

CONCLUSIONS

The medical staff suffered negative psychological effects during the COVID-19 pandemic. BMM interventions are advantageous in supporting the mental health of medical staff.

摘要

背景

新型冠状病毒肺炎(COVID-19)对公众健康构成了前所未有的威胁,对医护人员来说仍然是一项严峻挑战,尤其是那些在中国武汉抗击该病毒的医护人员。关于这些医护人员心理状况的报道数据有限。因此,我们开展了这项研究,以探讨医护人员的心理健康状况以及简短正念冥想(BMM)对改善其心理健康的效果。

方法

于2020年4月18日至5月3日进行了一项调查。在完成预测试后,治疗组的参与者每天晚上8点接受15分钟的BMM干预。治疗16天后完成后测试问卷。该问卷包括人口统计学数据和心理测量量表。分别使用9项患者健康问卷、7项广泛性焦虑障碍量表、感知压力量表和雅典失眠量表评估测试前和测试后的抑郁、焦虑、压力和失眠水平。

结果

共收到134份完整问卷。在医护人员中,分别有6.7%、1.5%和26.7%的人报告有抑郁、焦虑和失眠症状。军队医院的公职人员报告称比私立医院的公职人员压力更大(t = 2.39,p = 0.018,d = 0.50)。此外,BMM治疗似乎有效缓解了失眠(t = 2.27,p = 0.027,d = 0.28)。

结论

在COVID-19大流行期间,医护人员受到了负面心理影响。BMM干预对支持医护人员的心理健康具有优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/58de/9074297/efea65b5179b/gr1_lrg.jpg

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