Beijing Huilongguan Hospital, Peking University Huilongguan Clinical Medical School, Beijing, China.
Peking University Third Hospital, Beijing, China.
Front Public Health. 2024 Aug 26;12:1308573. doi: 10.3389/fpubh.2024.1308573. eCollection 2024.
Medical security work for the 2022 Beijing Winter Olympic and Paralympics faced enormous challenges under COVID-19. This study aimed to investigate the mental status of those medical team members to provide a reference for scientifically implementing medical security services for large-scale events.
In this prospective cohort study, the Patient Health Questionnaire-9, Self-rating Anxiety Scale, General Self-Efficacy Scale, and Psychological Questionnaire for Emergent Events of Public Health (PQEEPH) were administered to 145 members of the medical team. A generalized mixed linear model was used to analyze the impact of work duration, position, on/off rotation, and gender on psychological status.
Work duration significantly impacted depression, anxiety, self-efficacy, and all dimensions of PQEEPH. Women scored higher than men in the PQEEPH dimensions of depression, neurasthenia, fear, and total score. Working status affected the dimensions of depression, neurasthenia, and total score. Deterioration in emotional state became apparent in the fourth week and recovered 1 week after the task concluded, while self-efficacy decreased from beginning to end.
All the medical team members experienced emotional deterioration and decreased self-efficacy in medical security tasks. To maintain a medical team's psychological wellbeing during large-scale activities, rotation times should be set reasonably, and adequate mental health services should be provided.
在 COVID-19 背景下，2022 年北京冬奥会和冬残奥会的医疗保障工作面临巨大挑战。本研究旨在调查医疗团队成员的心理状况，为大型活动的医疗保障服务提供科学依据。
采用前瞻性队列研究，对 145 名医疗团队成员进行了患者健康问卷-9、自评焦虑量表、一般自我效能感量表和突发公共卫生事件心理问卷（PQEEPH）的评估。采用广义混合线性模型分析工作时间、岗位、轮班和性别对心理状态的影响。
工作时间对抑郁、焦虑、自我效能感和 PQEEPH 的所有维度都有显著影响。女性在 PQEEPH 的抑郁、神经衰弱、恐惧和总分维度的得分高于男性。工作状态影响抑郁、神经衰弱和总分维度。情绪状态在第四周明显恶化，任务结束后 1 周恢复，而自我效能感从开始到结束逐渐下降。
所有医疗团队成员在医疗保障任务中都经历了情绪恶化和自我效能感下降。为了在大型活动中保持医疗团队的心理健康，应合理设置轮班次数，并提供充足的心理健康服务。
