新冠肺炎疫情期间封闭管理精神科医护人员焦虑抑郁症状及相关因素调查

目的探讨新冠肺炎疫情期间封闭管理精神科医护人员焦虑抑郁状况及相关因素,为改善其心理健康状况提供参考。方法采用随机数字表法抽取临沂市精神卫生中心接受封闭管理的精神科医护人员124名,应用一般情况调查表、广泛性焦虑量表(GAD-7)、患者健康问卷抑郁量表(PHQ-9)进行测查。结果封闭管理精神科医护人员轻度、中度、重度焦虑症状检出率分别为49.59%、4.96%、4.13%;轻度、中度、中重度、重度抑郁症状检出率分别为30.58%、7.44%、2.48%、2.48%。不同年龄的精神科医护人员GAD-7评分差异有统计学意义(F=3.207,P=0.044),有无子女及不同行为类型的精神科医护人员PHQ-9评分差异有统计学意义(F=3.993,P=0.048;F=6.523,P=0.002)。逐步回归分析显示,影响封闭管理精神科医护人员焦虑的因素为:年龄和存在A型行为(β=0.225、0.183,P均<0.05);影响其抑郁的因素为:A型行为和年龄(β=0.258、0.187,P<0.05或0.01)。结论新冠肺炎疫情期间,封闭管理精神科医护人员普遍出现不同程度的焦虑、抑郁症状,年龄大和存在A型行为类型者是出现焦虑、抑郁症状的高危人群。

Anxiety and depression symptoms and related factors of medical staff in closed-door psychiatric ward during COVID-19 outbreak

Objective To explore the anxiety and depression status and related factors of medical staff in closed-door psychiatric ward during the outbreak of COVID-19,so as to provide references for improving their mental health status.Methods A total of 124 medical staff in closed-door psychiatric ward of Linyi Mental Health Center were randomly selected,and assessed by general condition questionnaire,Generalized Anxiety Disorder-7(GAD-7)and Patient Health Questionnaire-9(PHQ-9).Results Among the selected staff,the detection rates of mild,moderate and severe anxiety were 49.59%,4.96%and 4.13%,respectively,and the detection rates of mild,moderate,moderate-to-severe and severe depression were 30.58%,7.44%,2.48%and 2.48%,respectively.GAD-7 scores showed significant difference among psychiatric staff of different ages(F=3.207,P=0.044),and the PHQ-9 scores had significant difference among psychiatric staff of different child bearing status and different behavior types(F=3.993,P=0.048;F=6.523,P=0.002).Stepwise regression analysis showed that age and type A behavior were the factors influencing the anxiety(β=0.225,0.183,P<0.05),and type A behavior and age were the main factors influencing the depression of medical staff in closed-door psychiatric ward(β=0.258,0.187,P<0.05 or 0.01).Conclusion During the outbreak of COVID-19,the medical staff in the closed-door psychiatric ward have various degrees of anxiety and depression,while age and type A behavior are high-risk factors of anxiety and depression.