新冠肺炎疫情下某部队三甲医院官兵员工心理健康状况调查分析

段力萨, 郭宇明, 孙江男, 江雨桐, 姜荣环, 苏彬

武警医学 ›› 2020, Vol. 31 ›› Issue (3) : 191-194.

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武警医学 ›› 2020, Vol. 31 ›› Issue (3) : 191-194.
论 著

新冠肺炎疫情下某部队三甲医院官兵员工心理健康状况调查分析

  • 段力萨1, 郭宇明2, 孙江男1, 江雨桐1, 姜荣环3, 苏彬4
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Mental health status of officers and soldiers in a military hospital amid the epidemic of COVID-19

  • DUAN Lisa1, GUO Yuming2, SUN Jiangnan1, JIANG Yutong1, JIANG Ronghuan3, SU Bin4
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摘要

目的 探索新冠肺炎(COVID-19)疫情下官兵员工心理健康状况,为进一步开展官兵员工心理干预提供理论依据。方法 抽取某部队三甲医院642名官兵员工完成一般情况调查表、焦虑自评问卷(GAD-7)、抑郁症自评问卷(PHQ-9)。采用Logistic回归模型分析焦虑、抑郁的影响因素。结果 (1)焦虑、抑郁状态检出率分别为29.44%、36.45%;(2)Logistic回归分析显示,对自己或家人感染COVID-19的担忧[OR=1.86,95%CI(1.59,2.17),P<0.05]、自身健康状况欠佳[OR=2.84,95%CI(1.85,4.36),P<0.05]是焦虑的危险因素;对自己或家人感染COVID-19的担忧[OR=0.50,95%CI(1.38,1.85),P<0.05]、自身健康状况欠佳[OR=3.16,95%CI(2.03,4.91),P<0.05]是抑郁的危险因素。相比普通工作人员,一线医护人员和普通医护人员的职业背景是焦虑[OR=0.37,95%CI(0.21,0.64),P<0.05][OR=0.59,95%CI(0.36,0.95),P<0.05]、抑郁[OR=0.37,95%CI(0.25,0.70),P<0.05][OR=0.42,95%CI(0.31,0.79),P<0.05]的保护性因素。受教育程度与焦虑、抑郁无显著关联。结论 COVID-19疫情下官兵员工心理问题发生率较高,与负性认知及身体健康相关。

Abstract

ObjectiveTo explore the mental health status of officers and soldiers during the outbreak of the COVID-19, and to provide data for future psychological intervention.Methods Six hundred and forty-two officers and soldiers working at a military tertiary hospital were surveyed by means of self-made general questionnaires, (generalized anxiety scale-7 GAD-7), (patient health questionnaire,PHQ-9) through cluster sampling. A Logistic regression model was used to analyze the influencing factors of anxiety and depression.Results (1)The detection rates of anxiety and depression were 29.44% and 36.45% respectively. (2)Logistic regression analysis showed that personal concerns or the family’s concerns about COVID-19 infection[OR=1.86,95%CI(1.59,2.17),P<0.05] and poor health status[OR=2.84,95%CI(1.85,4.36),P<0.05] were risk factors for anxiety. Personal concerns or the family’s concerns about COVID-19 infection[OR=0.50,95%CI(1.38,1.85),P<0.05] and poor health status[OR=3.16,95%CI(2.03,4.91),P<0.05] were risk factors for depression. Compared with the ordinary staff,jobs as frontline health care providers[OR=0.37,95%CI(0.21,0.64),P<0.05][OR=0.59,95%CI(0.36,0.95),P<0.05] or as ordinary health care providers[OR=0.37,95%CI(0.25,0.70),P<0.05][OR=0.42,95%CI(0.31,0.79),P<0.05] were both protective factors for anxiety and depression. There was no significant correlation between education levels and mental health (P> 0.05).Conclusions The incidence of psychological problems among officers and soldiers is high during the COVID-19 epidemic, which is related to negative cognition and physical health.

关键词

官兵员工 / 心理健康 / 新型冠状病毒肺炎

Key words

offices / mental health / COVID-19

引用本文

导出引用
段力萨, 郭宇明, 孙江男, 江雨桐, 姜荣环, 苏彬. 新冠肺炎疫情下某部队三甲医院官兵员工心理健康状况调查分析[J]. 武警医学. 2020, 31(3): 191-194
DUAN Lisa, GUO Yuming, SUN Jiangnan, JIANG Yutong, JIANG Ronghuan, SU Bin. Mental health status of officers and soldiers in a military hospital amid the epidemic of COVID-19[J]. Medical Journal of the Chinese People Armed Police Forces. 2020, 31(3): 191-194
中图分类号: R395    R749   

参考文献

[1] 王 瑜,陈 然,张 岚.广泛性焦虑量表-7在中国综合医院住院患者中的信效度研究[J].临床精神医学杂志,2018,28(3):168-171.
[2] 孙晓艳,李怡雪,余灿清, 等.中文版抑郁量表信效度研究的系统综述[J].中华流行病学杂志,2017,38(1):110-116.
[3] 高 延,杨玉凤,马延生,等. SARS流行期间大学生情绪反应状况研究[J].中国行为医学科学,2004,13(6):658-660.
[4] Chan A O, Huak C Y. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general-hospital in Singapore[J].Occup Med(Lond),2004,54(3):190-196.
[5] 徐 勇,张克让,薛云珍,等.SARS一线医务人员创伤后应激反应研究[J].护理研究,2004,18(2):179-181.
[6] 张伟红,甘景梨,李晓琼,等.SARS医务人员心理健康状况调查[J].实用医药杂志,2003,20(12):919-921.
[7] 李权超,陈星伟,杨 阳,等.震灾救援官兵心理应激变化规律及启示[J].华南国防医学杂志,2009,23(5):62-63, 67.
[8] 李丹丹. 突发公共危机事件下群体心理应激及其仿真研究[D].秦皇岛:燕山大学,2018.
[9] 陈秋燕.压力概念的内涵阐释[J].福建师范大学学报(哲学社会科学版),2016(2):177-183,197,228.
[10] 缪 毅,李 敏,兰 勇,等. 集训期野战部队新兵心理弹性、心理健康与心理应激关系的交叉滞后分析[J].中华行为医学与脑科学杂志,2012,21(1):59-62.
[11] 王 平,杨耀东. 心理免疫系统与心理健康[J]. 徐州师范大学学报(哲学社会科学版), 2012, 38(2): 133-137.
[12] 许明星,李 纾. 疫情中的“心理台风眼效应”要妥善应对[J/OL].中国科学院院刊,[2020-02-29].http://www.bulletin.cas.cn/zgkxyyk/ch/reader/view_news.aspx?id=20200302123536434.
[13] 赵旭东, 刘钟民. 抗疫·安心——大疫心理自助救援全民读本[M].上海:上海科学技术出版社,2020:30.
[14] 李占江.面对新冠肺炎心理问题的干预策略[N].光明日报, 2020-02-29(010).
[15] 魏 华,李廷玉. 新型冠状病毒肺炎疫情对不同人群心理的影响及心理干预的建议[J/OL].儿科药学杂志:1-4[2020-02-29].http://kns.cnki.net/kcms/detail/50.1156.r.20200218.1651.001.html.

基金

武警海警部队卫勤保障体系优化与医学保障能力提升研究(BWJI9J004)

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