【摘要】 目的:评估医护人员在2019冠状病毒病(coronavirus disease 2019,COVID-19)疫情期间的心理健康状况,并分析其影响因素。方法:选取中南大学湘雅医院和湘雅二医院373名医护人员作为研究对象。分别采用一般社会学资料量表、症状自评量表(Symptom Check-List 90,SCL-90)及自制舆情应对问卷收集医护人员一般社会学资料、心理健康得分情况和应对COVID-19相关舆情信息能力情况;并进一步比较不同一般社会学特征及舆情信息应对能力的医护人员心理健康得分,分析医护人员心理健康状况的影响因素。结果:373名医护人员SCL-90中10个因子的平均分均<2,14.21%的医护人员存在1个及以上的因子得分≥2,其中恐怖(11.26%)、强迫症状(7.77%)、焦虑(5.63%)。医护人员获取COVID-19相关信息的主要来源包括微信、微博和今日头条、电视和广播;66.22%的医护人员会经常通过官方网站或正规渠道来证实有关COVID-19信息的真实性;微信里大量COVID-19相关信息会让医护人员感到紧张(34.05%)、焦虑(30.29%)、没有安全感(29.22%);68.63%的医护人员有时会因为看到COVID-19相关信息而担心自己被感染。医护人员工作的科室,近期是否出现咳嗽、发热等症状,担心被感染的程度等对医护人员的SCL-90得分有影响,差异具有统计学意义(均P<0.05)。逐步回归分析发现微信中转发的大量COVID-19相关信息对生活的影响程度,近期有无咳嗽、发热等相关症状,微信中转发的大量COVID-19相关信息是否让自己难以入睡,工作的科室及担心被感染的程度是医护人员心理健康的影响因素(均P<0.05)。结论:COVID-19疫情期间医护人员会出现不同程度的心理问题,建议建立心理援助平台,并正确引导舆情方向,以促进医护人员心理健康。更多还原

【Abstract】 Objective: To explore the psychological status of medical staff in the epidemic period of coronavirus disease 2019(COVID-19), and to analyze its influential factors.Methods: A total of 373 medical staff from Xiangya Hospital and the Second Xiangya Hospital of Central South University were enrolled for this study. The General Sociological Data Questionnaire, Symptom Check-List 90(SCL-90), and self-designed public opinion response questionnaire were used to assess general sociological data, mental health scores,and ability to respond to COVID-19 related public opinion information of medical staff.The mental health scores of medical staff with different general sociological data and public opinion information coping abilities were compared. Influential factors of mental health were analyzed.Results: The average score of 10 factors in SCL-90 of 373 medical staff was less than 2 points. 14.21% medical staff had one or more factor scores more than two points, including11.26% with terror symptoms, 7.77% with compulsive symptoms, and 5.63% with anxiety.The main sources of COVID-19 information for medical staff included We Chat, microblog,Jinri toutiao, TV and radio. 66.22% medical staff regularly verified information about COVID-19 through official websites or formal channels. A great deal of COVID-19 information in We Chat could make medical staff nervous(34.05%), anxious(30.29%), and insecure(29.22%). 68.63% medical staff sometimes were worried about getting infected because they knew information about COVID-19. Different departments of medical staff,getting cough or having a fever recently, and the degree of fear of infection had an impact on the SCL-90 score of medical staff, the differences were all statistically significant(all P<0.05). Stepwise regression analysis showed that the impact of COVID-19 information on their life in We Chat, getting cough or having a fever recently, insomnia-early caused by COVID-19 information in We Chat, different departments, and the degree of fear of infection COVID-19 were the influential factors for the mental health of medical staff(all P<0.05).Conclusion: During the epidemic of COVID-19, medical staff suffered from psychological problems to various degrees. It is necessary to establish a psychological assistance platform and guide the direction of public opinion correctly to promote the mental health of medical staff.更多还原