Jin Guohui, Li Lei, Liu Jing, Wang Baoyan, Zhan Bo
Guohui Jin, Department of Infectious Disease, Baoding No.1 Hospital, Baoding 071000, Hebei, China.
Lei Li, Department of Infectious Disease, Baoding No.1 Hospital, Baoding 071000, Hebei, China.
Pak J Med Sci. 2023 Mar-Apr;39(2):474-478. doi: 10.12669/pjms.39.2.6902.
To compare and analyze the incidence of anxiety and depression of infectious disease fever patients in hospitalized isolation and home isolation during the COVID-19 pandemic, as well as the risk factors for the negative emotions of hospitalized isolation patients.
Forty isolated infectious disease fever patients in Baoding No.1 Hospital were randomly selected as the study group, and the other 40 isolated infectious disease fever patients at home were randomly selected as the control group from March 2020 to August 2020. The scores and prevalence of depression and anxiety between the two groups were compared and analyzed. The logistic regression analysis was used to judge and analyze the negative psychological factors of hospitalized isolation patients such as depression and anxiety.
The HAMA and HAMD-17 scores of study group are significantly higher than those of control group (HAMA, p=0.00; HAMD-17, p=0.01). The prevalence of anxiety and depression in the study group was significantly higher than that in the control group (p=0.03, p=0.04). The gender (p=0.002), economic status (p=0.004) and isolation attitude (p=0.023) are the related factors of anxiety, among which economic status is the protective factor, while women and resistant attitude are the risk factors. Economic status (p=0.003) and isolation attitude (p=0.001) are the related factors of depression, among which economic status is the protective factor, and resistant attitude is the risk factor.
The prevalence and severity of anxiety and depression in hospitalized isolation patients due to infectious disease fever are significantly higher than those of home isolation patients. The focus groups are women, with bad economic status and poor isolation attitude. Necessary psychological counseling and social support should be provided to these groups to reduce negative emotions and increase the experience of isolated patients.
比较和分析新冠疫情期间住院隔离和居家隔离的传染病发热患者焦虑和抑郁的发生率，以及住院隔离患者负面情绪的危险因素。
选取2020年3月至2020年8月在保定市第一医院隔离的40例传染病发热患者作为研究组，另随机选取40例居家隔离的传染病发热患者作为对照组。比较分析两组抑郁和焦虑的得分及患病率。采用logistic回归分析判断并分析住院隔离患者抑郁、焦虑等负面心理因素。
研究组汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表17项版（HAMD-17）得分显著高于对照组（HAMA，p = 0.00；HAMD-17，p = 0.01）。研究组焦虑和抑郁的患病率显著高于对照组（p = 0.03，p = 0.04）。性别（p = 0.002）、经济状况（p = 0.004）和隔离态度（p = 0.023）是焦虑的相关因素，其中经济状况是保护因素，而女性和抵触态度是危险因素。经济状况（p = 0.003）和隔离态度（p = 0.001）是抑郁的相关因素，其中经济状况是保护因素，抵触态度是危险因素。
传染病发热住院隔离患者焦虑和抑郁的患病率及严重程度显著高于居家隔离患者。重点人群为女性、经济状况差和隔离态度差的患者。应给予这些人群必要的心理咨询和社会支持，以减少负面情绪，提升隔离患者的体验。
