新型冠状肺炎疫情对一线医务人员心理状态影响

目的：探究新冠疫情对驰援武汉一线的医务人员心理状态影响，探究各个心理状态间是否存在联系。 方法：受访者为复旦大学附属中山医院援助武汉医务人员，采用一般情况调查表、匹兹堡睡眠质量指数、广泛焦虑量表、病人健康问卷-9、创伤应激后障碍量表进行评估。数据分析采用Mann-Whitney U检验、Kruskal-Wallis H检验以及多重线性回归。结果采取双侧检验，p＜0.05认为具有统计学上显著差异。 结果：采用Mann-Whitney U检验，发现在睡眠质量上，性别间差异具有统计学意义（p＜0.05，U=1500）。采用Kruskal-Wallis H检验，发现不同教育程度对PCL-5得分存在影响（H=7.901，p=0.048）；对不同教育程度组采用Mann-Whitney U检验进行两两比较，创伤应激后障碍量表得分在专科组与学士组中存在差异。多重线性回归分析显示，睡眠质量、焦虑对抑郁存在影响，匹兹堡睡眠质量指数斜率为0.072，广泛焦虑量表斜率为0.778，截距为-0.016。回归模型具有统计学意义，F=65.467, p=0.000, 调整R2=0.481。 结论：本研究显示医务工作者心理状态总体处于良好水平，受疫情影响并不显著。可能与他们并未受到疫情爆发时的直接冲击，有较长准备时间；医务人员受到社 会各界广泛支持；临床工作繁重，医务人员无暇顾及心理状态以及党员在其中起到带头作用有关。

The impact of COVID-19 on the psychological state of frontline medical staff

Objective: To explore the impact of COVID-19 on the psychological state of medical workers who support Wuhan from other places, and the relationship among different psychological states. Methods: The respondents from Zhongshan Hospital Fudan University were evaluated by general questionnaire, Pittsburgh sleep quality index, generalized anxiety disorder-7, patient Health questionnaire-9, and PTSD Checklist-5. Mann-whitney U test, Kruskal-Wallis H test and multiple linear regression were used to data analysis. Two-sided test was used, p<0.05 was considered as statistically significant difference. Results: In the sleep quality, there was a statistically significant difference between the sexes (P < 0.05, U=1500). It was found that the PCL-5 scores showed differences in different education levels(H=7.901, P =0.048). The mann-Whitney U test was used to compare the scores of PTSD Checklist-5 in different education levels, and there were statistically significant differences between the specialist group and the bachelor group. Multiple linear regression analysis showed that sleep quality and anxiety had influence on depression. The slope of Pittsburgh sleep quality index was 0.072, the slope of the generalized anxiety disorder-7 was 0.778, and the intercept was -0.016.The regression model was statistically significant, F=65.467, P =0.000, and adjusted R2=0.481. Conclusion: This study showed that the mental state of medical staff was generally at a healthy level, and was not significantly affected by the epidemic. At first, the outbreak was not influenced them directly, and they had a longer time to prepare; the whole society supported medical staff; clinical work was heavy, so medical staff had no time to pay attention to their psychological state and communist played a leading role in the war against COVID-19.