四川援鄂医务人员心理韧性、社会支持评定及相关因素调查分析

目的 评估在抗击新型冠状病毒肺炎COVID - 19疫情中，四川省援鄂一线医务工作者的心理韧性、社会支持，分析其相关因素。方法 收集四川省援鄂一线医务人员的基本资料、包括婚姻状况、职业、是否有小孩、学历、工作年限、职称、是否有过灾害或疫情救援经历或培训演练、认为自己感染风险的高低等，使用Connor - Davidson 心理韧性量表（Connor - Davidson resilience scale，CD - RISC)和社会支持评定量表( social support rating scale，SSRS)评估医务人员的心理韧性和在社会生活中得到心理支持的程度，以及对支持的利用情况。运用t检验或单因素方差分析，采用SPSS 19.0软件进行分析，检验水准α = 0.05。结果 共纳入253位医务人员，心理韧性量表得分总分（68.25±15.25）分，心理韧性量表得分总分（F = 3.979，P = 0.020）、力量维度得分（F = 3.781，P = 0.024）、坚韧维度得分（F = 4.130，P = 0.017）与职称相关，心理韧性量表得分总分（F = 2.791，P = 0.041）、力量维度得分（F = 2.693，P = 0.047）、坚韧维度得分（F = 2.824，P = 0.039）与认为自己感染风险的高低程度相关，力量维度得分与工作年限相关（F = 3.419，P = 0.034），有过灾害或疫情救援经历或培训演练的医护人员坚韧维度得分高于未接受过的医护人员（t = 1.969，P = 0.050），其差异具有统计学意义（P＜0.05）。社会支持评定量表得分总分（41.25±8.55）分，社会支持评定量表总分（F = 3.392，P = 0.019）、客观支持得分（F = 2.921，P = 0.035）、主观支持得分（F = 3.341，P = 0.020）与年龄相关，社会支持评定量表总分（F = 9.045，P＜0.001）、客观支持得分（F = 10.996，P＜0.001）、主观支持得分（F = 7.227，P = 0.001）与婚姻状况相关，社会支持总分（F = 3.544，P = 0.030）、主观支持分（F = 4.193，P = 0.016）与工作年限相关，其差异具有统计学意义（P＜0.05）。结论 本次抗击新型冠状病毒肺炎COVID - 19疫情中，四川省援鄂一线医务工作者的心理韧性与职称、认为自己感染风险程度有关；社会支持度与年龄、工作年限、婚姻状况有关。受研究设计限制，上述结论还有待更多高质量研究验证。

Analysis of the psychological resilience and social support of front-line medical workers in Sichuan province during the fight against COVID-19 outbreak in Hubei

To assess the psychological resilience and social support of front -line medical workers in Sichuanprovince during the fight against COVID-19 outbreak in Hubei, and to analyze the relevant factors. Methods Basic information of front-line medical personnel was collected, including marital status, occupation, whether they have children, education, working years, professional title, whether they have experience in disaster or epidemic relief, training and drills, andtheir own risk of infection. The Connor-Davidson resilience scale (CD-RISC) and the social support rating scale (SSRS) wereused to assess the resilience of medical staff and the degree of psychological support they received in social life, as well asthe utilization of support. T test or one-way ANOVA were performed, SPSS19.0 software was used for analysis, and the testlevel α=0.05. Results A total of 253 medical staff were included, and the total score of CD-RICS was (68.25±15.25). Totalresilience scale score (F=3.979, P=0.020), strength dimension score (F=3.781， P=0.024) and tenacity dimension score (F=4.130, P=0.017) are associated with professional title, total resilience scale score (F=2.791, P=0.041), strength dimension score (F=2.693, P=0.047) and tenacity dimension score (F=2.824, P=0.039) are associated with the risk of infection, thestrength dimension score (F=3.419, P=0.034) was significantly correlated with years of work, the scores of medical workerswho had disaster or epidemic relief experience or training drills were higher than those who had not received them (t=1.969,P=0.050), and the difference was statistically significant (P<0.05). The total score of the SSRS was (41.25±8.55), the totalscore of social support rating scale (F=3.932, P=0.019), objective support score (F=2.921, P=0.035) and subjective supportscore (F=3.341，P=0.020) were significantly associated with age, the total score of social support rating scale (F=9.045, P<0.001), objective support score (F=10.996，P<0.001) and subjective support score (F=7.227, P=0.001) were significantly associated with marital status, the total scores of social support (F=3.544, P=0.030) and subjective support (F=4.193, P=0.016)were significantly associated with years of work, and the differences were statistically significant (P<0.05). Conclusion In thefight against COVID-19 epidemic in Hubei, the mental resilience of frontline medical workers in Sichuan province was related to their professional titles and the degree of their own risk of infection. Social support was related to age, working yearsand marital status. Limited by the study design, the above conclusions need to be verified by more high-quality studies.