【作者】 张致琴； 张全英； 张朝辉； 何淑娴； 常红娟； 赵成钢； 李爱辉； 关晶贤；

【Author】 Zhiqin Zhang;Quanying Zhang;Chaohui Zhang;Shuxian He;Hongjuan Chang;Chenggang Zhao;Aihui Li;Jingxian Guan;The First Affiliated Hospital of Xinxiang Medical University;School of Nursing, Xinxiang Medical University.;

【机构】 新乡医学院第一附属医院； 新乡医学院护理学院；

【摘要】 目的探讨湖北省新型冠状病毒患者隔离期间的孤独焦虑抑郁现状,以便为患者提供相应的护理措施。方法选择2020年1月至3月的117例由感染科负责隔离诊治的例疑似及确诊病人为研究对象,运用孤独量表、焦虑自评量表和抑郁自评量表对其进行调查。结果 117名隔离病房患者中,98名(83.8%)出现孤独情况,72名(61.5%)出现焦虑情况,97名(82.9%)出现抑郁情况。单因素及独立样本t检验分析结果表面,性别、年龄、婚姻状况和慢性病患病情况是影响患者孤独感的主要因素;性别、年龄、可支配收入和慢性病患病情况是影响患者焦虑症状发生的主要因素;可支配收入、家庭关系和确诊情况是影响患者抑郁症状发生的主要因素。结论新型冠状病毒隔离病房患者的孤独、焦虑、抑郁情况发生率较高,影响患者心理健康,从而对患者病情恢复产生消极作用。医护人员应当高度重视隔离病房患者的心理状况,尤其加强对其中女性患者,老年患者及低收入群体患者的关注,制定相应的心理干预体系和措施,通过减轻患者孤独焦虑抑郁水平来加速患者病情恢复。更多还原

【Abstract】 Objective To explore the status of loneliness, anxiety and depression during isolation of patients with COVID-19 in order to provide patients with corresponding nursing measures. Methods A total of 117 suspected and diagnosed patients from January to March 2020 were selected as the research subjects, who were isolated and treated by the department of infectious diseases. The loneliness scale, anxiety self-rating scale and depression self-rating scale were performed to investigate the psychological status of patients. Results Among the 117 patients in isolation wards, 98(83.8%) developed loneliness, 72(61.5%) developed anxiety, and 97(82.9%) developed depression. The further statistical analysis showed that gender, age, marital status and chronic disease prevalence were the main factors affecting the loneliness of patient; gender, age, disposable income and chronic disease prevalence were the main factors affecting the anxiety symptomsof patient; disposable income, family relationship, and confirmeddiagnosis were the main factors affecting the occurrence of depressive symptoms in patient. Conclusion The patients in isolation wards with COVID-19 exhibit high incidence of loneliness, anxiety, and depression, which significantly affect their psychological health. Therefore, the medical staff should attach great importance to the psychological status of patients in isolation wards, especially pay more attention to the female, elderly, and low-income patients; simultaneously,the medical staff should set up corresponding intervention measures to reduce the level of loneliness, anxiety and depression of patients.更多还原