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囊性纤维化患者的心理健康和波兰的 COVID-19 大流行:一项单中心比较研究。

Mental Health of Cystic Fibrosis Patients and the COVID-19 Pandemic in Poland: A Single-Center Comparative Study.

机构信息

Laboratory of Fundamentals in Midwifery Care, Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, 31-501 Cracow, Poland.

Institue of Medical Sciences, Medical College of Rzeszow University, 35-310 Rzeszow, Poland.

出版信息

Int J Environ Res Public Health. 2022 Nov 30;19(23):16056. doi: 10.3390/ijerph192316056.

Abstract

Research shows that people with cystic fibrosis are more prone to suffer from psychological problems than healthy people; thus, the outbreak of the COVID-19 pandemic in Poland could have had an impact on their mental health. To assess this impact, we examined the mental health of patients before and during the pandemic. Survey participants were asked to fill in questionnaires that consisted of Beck Depression Inventory (BDI), 12-Item General Health Questionnaire (GHQ-12) and Cystic Fibrosis Questionnaire-Revised (CFQ-R; for the purpose of the study, an emotional functioning domain was used) during their hospital visits. A total of 81 patients took part in the study: 39 before the COVID-19 pandemic (BP) and 42 during the COVID-19 pandemic (DP). Patients' medians were lower for the BDI, GHQ-12 and higher for the emotional domain of CFQ-R during the pandemic (3, 6, 75 vs. 4, 10, 73.33). Fewer patients felt that their mental health had deteriorated during the pandemic (Δχ = 7.723; = 0.005), and GHQ-12 scores were lower in the DP group (Z = -3.044; = 0.002). No significant differences were found between groups in terms of experiencing depressive symptoms (Δχ = 1.036; = 0.309). It was found that patients with cystic fibrosis from our study group not only maintained but also improved their mental health state during the COVID-19 pandemic.

摘要

研究表明,囊性纤维化患者比健康人群更容易出现心理问题;因此,波兰 COVID-19 大流行的爆发可能对他们的心理健康产生了影响。为了评估这种影响,我们检查了大流行前后患者的心理健康状况。调查参与者被要求在就诊时填写问卷,问卷包括贝克抑郁量表(BDI)、12 项一般健康问卷(GHQ-12)和修订后的囊性纤维化问卷(CFQ-R;出于研究目的,使用了情感功能域)。共有 81 名患者参与了这项研究:39 名在 COVID-19 大流行前(BP),42 名在 COVID-19 大流行期间(DP)。与 COVID-19 大流行前相比,患者的 BDI、GHQ-12 和 CFQ-R 的情感域中位数更低(3、6、75 与 4、10、73.33)。在大流行期间,感觉自己的心理健康状况恶化的患者较少(Δχ=7.723; =0.005),DP 组的 GHQ-12 评分也较低(Z=-3.044; =0.002)。两组在出现抑郁症状方面无显著差异(Δχ=1.036; =0.309)。我们发现,来自研究组的囊性纤维化患者不仅在 COVID-19 大流行期间保持了,而且还改善了他们的心理健康状态。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/179a/9736216/c17edfb8de94/ijerph-19-16056-g001.jpg

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