School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China.
Department of Nursing, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China.
Front Public Health. 2023 Mar 10;11:1131971. doi: 10.3389/fpubh.2023.1131971. eCollection 2023.
To investigate the depression, anxiety and somnipathy situation occurred in the nucleic acid collection staff during the closed-loop management period of COVID-19. And try to understand the influencing factors of related psychological status.
A cross-sectional study of 1,014 nucleic acid collection staff from seven Chinese hospitals was conducted. Various investigation methods were involved in the questionnaires to collect data, including 12-items self-made questionnaire survey of basic demographic information, 9-items patient health questionnaire depression scale (PHQ-9), 7-items generalized anxiety disorder scale (GAD-7) and Pittsburgh sleep quality index (PSQI). Data analysis was performed using SPSS version 26.0 and Excel software. Mann-Whitney U-test, Chi-square test, correlation analysis, mono-factor analysis and binary logistic regression were applied accordingly for further analysis.
The positive rate of depression, anxiety and sleep disorder of 1,014 nucleic acid collectors under closed-loop management were 33.5, 27.2, and 50.1%, respectively. Depression was significantly positively correlated with anxiety and sleep ( < 0.05). The scores of depression scale were positively correlated with the age and the fear for infection ( = 0.106, 0.218, both < 0.05); The scores of anxiety scale were also positively correlated with the age and the fear for infection ( = 0.124, 0.225, both < 0.05); The length of service, collection time and the degree of worry about infection and was positively correlated with the score of sleep scale ( = 0.077, 0.074, 0.195, both < 0.05); Education level had a significant negative association with PHQ-9, GAD-7 and PSQI ( = -0.167,-0.172, both < 0.05). Binary logistic regression analysis showed that age, technical title, education level, collection time, collection frequency, collection location, fear for infection and external environment were important influencing factors of depression, anxiety and sleep disorders.
The results of this study suggested that when carrying out nucleic acid collection mission, managers should intervene to optimize the collection location, control the duration of each collection mission, replace the collection staff in time and pay close attention to the psychological state of the collection staff.
调查新冠闭环管理期间核酸采集人员的抑郁、焦虑和睡眠障碍情况，并试图了解相关心理状况的影响因素。
采用横断面研究方法，对来自 7 家医院的 1014 名核酸采集人员进行问卷调查，包括自制的基本人口学信息 12 项问卷、9 项患者健康问卷抑郁量表（PHQ-9）、7 项广泛性焦虑障碍量表（GAD-7）和匹兹堡睡眠质量指数（PSQI）。采用 SPSS 26.0 版和 Excel 软件进行数据分析。采用 Mann-Whitney U 检验、卡方检验、相关性分析、单因素分析和二项逻辑回归进行进一步分析。
1014 名闭环管理下的核酸采集人员抑郁、焦虑和睡眠障碍的阳性率分别为 33.5%、27.2%和 50.1%。抑郁与焦虑和睡眠显著正相关（<0.05）。抑郁量表评分与年龄和对感染的恐惧呈正相关（=0.106，0.218，均<0.05）；焦虑量表评分也与年龄和对感染的恐惧呈正相关（=0.124，0.225，均<0.05）；工龄、采集时间、对感染的担忧程度与睡眠量表评分呈正相关（=0.077，0.074，0.195，均<0.05）；文化程度与 PHQ-9、GAD-7 和 PSQI 呈显著负相关（=−0.167，−0.172，均<0.05）。二项逻辑回归分析显示，年龄、技术职称、文化程度、采集时间、采集频率、采集地点、对感染的恐惧和外部环境是抑郁、焦虑和睡眠障碍的重要影响因素。
本研究结果表明，在开展核酸采集任务时，管理者应介入优化采集地点，控制每次采集任务的持续时间，及时更换采集人员，并密切关注采集人员的心理状态。
