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一项横断面研究:突发公共卫生事件下中国医疗援助队员心理弹性的现状及相关因素

Status and associated factors of psychological resilience of Chinese medical aid team members under public health emergencies in a cross-sectional study.

作者信息

Wei Xueyi, Liang Yinhua, Huang Jun

机构信息

Xiangya School of Nursing, Central South University, Changsha, China.

Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.

出版信息

PLoS One. 2025 Jun 17;20(6):e0324952. doi: 10.1371/journal.pone.0324952. eCollection 2025.

Abstract

BACKGROUND

Chinese medical aid team members (CMATMs) play an important role in the implementation of China's foreign health aid strategy. However, there is no research on the status and influencing factors of their psychological resilience.

OBJECTIVE

This study aims to investigate the current status and influencing factors of psychological resilience of CMATMs.

METHODS

From 3rd December, 2024-25th December, 2024, a convenience sampling method was used. Demographic information questionnaire, Connor Davidson Resilience Scale, General Self-Efficacy Scale, Self-Rating Anxiety Scale and Self-Rating Depression Scale were used to measure the psychological status of aid members. The influencing factors of psychological resilience were investigated through T-test, ANOVA, pearson correlation analysis, Kruskal-Wallis test and multiple linear regression.

RESULTS

A total of 89 questionnaires were analysed. The total score of psychological resilience was 72.53 ± 13.48, which was generally at a good level. Pearson correlation analysis showed that self-efficacy was positively correlated with psychological resilience, while anxiety and depression were negatively correlated with psychological resilience. Multiple linear regression analysis revealed that factors related to psychological resilience included professional title(B = 4.679, P = 0.001), loneliness(B = 4.973, P = 0.000), classification of hardship areas in recipient countries(B = 1.864, P = 0.004), family support(B = 3.110, P = 0.001), cultural and entertainment(B = 3.537, P = 0.001), and direct participation in public health emergency response missions in recipient countries(B = -3.775, P = 0.006).

CONCLUSIONS

In the context of public health emergencies, CMATMs are prone to great pressure, which has a negative impact on their psychological resilience. This study provides a theoretical basis for formulating psychological intervention measures for CMATMs. Policymakers or healthcare administrators should regular assess CMATMs ' mental health status, strengthen mental health training, mobilize family and social support networks, improve infrastructure and welfare security policies to help them establish a more adaptive defense mechanism and maintain good psychological resilience during foreign aid.

摘要

背景

中国医疗援助团队成员在中国对外卫生援助战略实施中发挥着重要作用。然而,目前尚无关于其心理弹性现状及影响因素的研究。

目的

本研究旨在调查中国医疗援助团队成员心理弹性的现状及影响因素。

方法

于2024年12月3日至2024年12月25日采用便利抽样法。使用人口学信息问卷、康纳-戴维森心理弹性量表、一般自我效能感量表、自评焦虑量表和自评抑郁量表对援助成员的心理状况进行测量。通过T检验、方差分析、Pearson相关分析、Kruskal-Wallis检验和多元线性回归分析心理弹性的影响因素。

结果

共分析89份问卷。心理弹性总分72.53±13.48,总体处于良好水平。Pearson相关分析显示,自我效能感与心理弹性呈正相关,焦虑和抑郁与心理弹性呈负相关。多元线性回归分析显示,与心理弹性相关的因素包括职称(B = 4.679,P = 0.001)、孤独感(B = 4.973,P = 0.000)、受援国艰苦地区分类(B = 1.864,P = 0.004)、家庭支持(B = 3.110,P = 0.001)、文化娱乐(B = 3.537,P = 0.001)以及直接参与受援国突发公共卫生应急任务(B = -3.775,P = 0.006)。

结论

在突发公共卫生事件背景下,中国医疗援助团队成员易承受较大压力,这对其心理弹性产生负面影响。本研究为制定针对中国医疗援助团队成员的心理干预措施提供了理论依据。政策制定者或卫生管理人员应定期评估中国医疗援助团队成员的心理健康状况,加强心理健康培训,调动家庭和社会支持网络,完善基础设施和福利保障政策,帮助他们建立更具适应性的防御机制,在对外援助期间保持良好的心理弹性。

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