新冠疫情期间中国医护人员寻求专业心理帮助的态度与意向
Attitudes and intentions toward seeking professional psychological help among Chinese healthcare workers during the COVID-19 pandemic.
作者信息
Huang Ruirui, Peng Xiaoyan, Yu Shuai, Tian Yumei, Gao Chuanying
机构信息
School of Nursing, Hunan University of Medicine, Huaihua, China.
Department of Nursing, The First Affiliated Hospital of Hunan University of Medicine, Huaihua, China.
出版信息
Front Psychiatry. 2023 Sep 14;14:1223895. doi: 10.3389/fpsyt.2023.1223895. eCollection 2023.
BACKGROUND
It has been suggested that healthcare workers (HCWs) are experiencing massive stressors that threaten their mental health during the COVID-19 pandemic, but little is known about their attitudes and intentions toward seeking professional psychological help. This study aimed to investigate the attitudes and intentions of Chinese HCWs toward seeking professional psychological help during the COVID-19 pandemic and the associated factors.
METHODS
A total of 1,224 Chinese HCWs working in hospitals were recruited online from 12 hospitals in Hunan province in China for a survey conducted in November 2022. The Chinese version of the attitudes toward seeking professional psychological help scale-short form (ATSPPH-SF) and the general help-seeking questionnaire (GHSQ) were separately used to assess the attitudes and intentions of the respondents toward seeking professional psychological help. Demographic and socio-psychological data were collected using a self-developed questionnaire, the perceived social support scale, the self-stigma of seeking help scale, and the patient health questionnaire-9 scale.
RESULTS
The 1,208 HCWs in the final analysis showed relatively negative attitudes and low intentions toward seeking professional psychological help during the COVID-19 pandemic. Results of the multiple linear regression analysis showed that female sex ( = 0.031), experience of psychological learning ( < 0.001), and social support ( < 0.001) had a positive predictive effect on the attitudes of these HCWs toward seeking professional psychological help, whereas self-stigma of seeking help ( < 0.001) and depressive symptoms ( < 0.001) exerted negative effects. Moreover, experience of psychological learning ( = 0.004) and social support ( < 0.001) had a positive predictive effect on the intentions of these HCWs toward seeking professional psychological help, whereas divorced marital status ( = 0.011) and self-stigma of seeking help ( < 0.001) exerted negative effects.
CONCLUSION
The overall attitudes and intentions of HCWs toward seeking professional psychological help were not optimistic. Effective interventions targeted at influencing factors should be formulated to promote the professional psychological help-seeking attitudes and intentions of HCWs who are at risk of developing mental health problems.
背景
有人认为，在新冠疫情期间，医护人员正经历着威胁其心理健康的巨大压力源，但对于他们寻求专业心理帮助的态度和意愿却知之甚少。本研究旨在调查中国医护人员在新冠疫情期间寻求专业心理帮助的态度和意愿以及相关因素。
方法
2022年11月，从中国湖南省12家医院在线招募了1224名在医院工作的中国医护人员进行调查。分别使用中文版的寻求专业心理帮助态度量表简版（ATSPPH-SF）和一般求助问卷（GHSQ）来评估受访者寻求专业心理帮助的态度和意愿。使用自编问卷、感知社会支持量表、求助自我污名量表和患者健康问卷-9量表收集人口统计学和社会心理数据。
结果
最终分析中的1208名医护人员在新冠疫情期间对寻求专业心理帮助表现出相对消极的态度和较低的意愿。多元线性回归分析结果显示，女性（β = 0.031）、心理学习经历（β < 0.001）和社会支持（β < 0.001）对这些医护人员寻求专业心理帮助的态度有正向预测作用，而求助自我污名（β < 0.001）和抑郁症状（β < 0.001）有负向影响。此外，心理学习经历（β = 0.004）和社会支持（β < 0.001）对这些医护人员寻求专业心理帮助的意愿有正向预测作用，而离婚婚姻状况（β = 0.011）和求助自我污名（β < 0.001）有负向影响。
结论
医护人员寻求专业心理帮助的总体态度和意愿不容乐观。应制定针对影响因素的有效干预措施以促进有心理健康问题风险的医护人员寻求专业心理帮助的态度和意愿。
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