【摘要】 目的 了解公共卫生医务人员在重大传染性疾病防控工作期间心理状况，探索出现不良心理状况的高风险人员特征，为更好地开展心理疏导提供依据。方法 采用自行编制公共卫生医务人员调查问卷及焦虑抑郁量表（HAD），以浦东新区2022年4月～2022年9月参加新型冠状病毒感染疫情应急处置工作的所有公共卫生医务人员作为研究对象，在2022年9月进行自填式问卷调查，分析影响因素。结果 共发放314份调查问卷，回收有效问卷304份，有效应答率96.82%。焦虑评分得分为9.79±2.74分；抑郁评分得分为9.62±2.61分。108人（35.53%）存在明显焦虑倾向，104人（34.21%）存在明显抑郁倾向；调查对象心理状况单因素分析结果显示：不同专业及来自不同单位的调查对象出现明显焦虑倾向比例差异有统计学意义（P<0.05）；不同专业、不同技术职称及来自不同单位的调查对象出现明显抑郁倾向比例差异有统计学意义（P<0.05）。多因素Logistic回归分析结果显示：助理医师职称是公共卫生人员出现明显抑郁倾向的保护因素（OR=0.225,95%CI=[0.067,0.760]）；来自区级疾控单位、预防医学专业分别是出现明显焦虑倾向、明显抑郁倾向的危险因素（OR=1.902,95%CI=[1.020,3.547];OR=2.941,95%CI=[1.064,8.130]）。结论 应关注公共卫生医务人员中非助理医师职称以及区级疾控单位、预防医学专业人员心理状况，有针对性地在有明显焦虑和抑郁倾向的医务人员群体开展心理健康干预。更多还原

【Abstract】 Objective To understand the psychological status of public health medical personnel during the prevention and control of major infectious diseases, and explore the characteristics of high-risk personnel with adverse psychological status, so as to provide a basis for better psychological counseling. Methods The questionnaire of public health medical staff and hospital anxiety and depression scale(HAD) prepared by ourselves were used. All public health medical staff in Pudong New Area who participated in the emergency response work of novel coronavirus infection from April to September 2022 were selected as the research objects. A self-filled questionnaire survey was conducted in September 2022to analyze the influencing factors. Results A total of 314 questionnaires were issued, and 304 valid questionnaires were recovered, with an effective response rate of 96.82%. The anxiety score was 9.79±2.74; the depression score was 9.62±2.61. 108 people(35.53%) had obvious anxiety tendency and 104 people(34.21%) had obvious depression tendency. The results of univariate analysis of psychological status of the survey subjects showed that the proportion of obvious anxiety tendency of the survey subjects in different majors and from different units had statistical significance(P<0.05);there were significant differences in the proportion of depression tendency among different majors, different technical titles and different units(P<0.05).Multi-factor logistic regression analysis showed that physician assistant post were protective factor for clear tendency towards depression(OR=0.225,95%CI= [0.067, 0.760]). The risk factor for clear tendency towards anxiety was CDC staffs(OR=1.902, 95%CI= [ 1.020, 3.547 ]), and the risk factor for clear tendency towards depression was preventive medicine background(OR=2.941, 95%CI= [ 1.064, 8.130 ]). Conclusion Attention should be paid to the psychological status of non-assistant doctors, district-level disease control units and preventive medicine professionals in public health medical personnel, and targeted mental health intervention should be carried out in medical personnel with obvious anxiety and depression tendencies.更多还原