人文关怀缓解上海新冠疫情期间方舱医院住院患者的心理困扰：一项横断面观察性研究
Humanistic care relieves mental distress of inpatients in the shelter hospital during COVID-19 pandemic in Shanghai: a cross-sectional observational study.
作者信息
Xiao Dongdong, Huang Hua, Chen Min, Wang Jieying, Zhai Wei, Ye Jiaqi, Chen Minjie, Fang Weilin, Zhang Yeqian, Fu Zhiwei, Shen Yifei, Yan Ziji, Shen Chenlu, Qin Jun, Luo Yanli, Zheng Junhua
机构信息
Department of Urology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Department of Administration, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
出版信息
Front Psychiatry. 2023 Jul 27;14:1178834. doi: 10.3389/fpsyt.2023.1178834. eCollection 2023.
OBJECTIVE
The prevalence of mental distress has been noted in shelter hospitals set up for COVID-19. Potential risk demographic and hospitalization factors were screened. We also aimed to determine whether humanistic care established in the shelter hospital was effective in ameliorating mental distress.
METHODS
A cross-sectional observational survey-based single-centered study was conducted from 28th April to 5th May 2022 during the COVID-19 pandemic in Shanghai. Asymptomatic adult inpatients and those with mild symptoms were recruited for this study, and humanistic care measures were carried out by the administrative office according to the Work Program on Psychological Assistance and Social Work Services at the Shelter Hospital launched on 5th March 2020. Symptoms of mental distress, such as reported stress, anxiety, depression, and insomnia were measured using the Chinese Stress Response Questionnaire-28, the Chinese version of Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Insomnia Severity Index-7, respectively.
RESULTS
In total, 1,246 out of 9,519 inpatients, including 565 (45.35%) women and 681 (54.65%) men, with a median age of 36 years responded to the survey. The overall prevalence of stress, anxiety, depression, and insomnia in inpatients was 94 (7.54%), 109 (8.75%), 141 (11.32%), and 144 (11.56%), respectively. Mental distress was aggravated by COVID-19-related symptoms, comorbidities, and prolonged hospital stays. A stable internet connection was the most effective measure to reduce stress and depression. Offering inpatient with study or work facilitations, and mental health education help to ameliorate anxiety and depression. Organizing volunteering was a potential protective factor against stress.
CONCLUSION
Humanistic care is crucial and effective for protecting against mental distress, which should be emphasized in shelter hospitals.
目的
在为新型冠状病毒肺炎设立的方舱医院中，已注意到精神困扰的患病率。筛查了潜在的风险人群和住院因素。我们还旨在确定方舱医院建立的人文关怀是否能有效缓解精神困扰。
方法
2022年4月28日至5月5日在上海新型冠状病毒肺炎疫情期间进行了一项基于横断面观察调查的单中心研究。招募无症状成年住院患者和症状较轻的患者参与本研究，行政办公室根据2020年3月5日发布的《方舱医院心理援助与社会工作服务工作方案》实施人文关怀措施。分别使用中文版应激反应问卷-28、中文版广泛性焦虑障碍量表-7、患者健康问卷-9和失眠严重程度指数-7测量精神困扰症状，如报告的压力、焦虑、抑郁和失眠。
结果
共有9519名住院患者中的1246人回应了调查，其中女性565人（45.35%），男性681人（54.65%），中位年龄为36岁。住院患者中压力、焦虑、抑郁和失眠的总体患病率分别为94人（7.54%）、109人（8.75%）、141人（11.32%）和144人（11.56%）。新型冠状病毒肺炎相关症状、合并症和住院时间延长会加重精神困扰。稳定的网络连接是减轻压力和抑郁的最有效措施。为住院患者提供学习或工作便利以及心理健康教育有助于缓解焦虑和抑郁。组织志愿服务是预防压力的潜在保护因素。
结论
人文关怀对于预防精神困扰至关重要且有效，应在方舱医院中予以强调。
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