SARS防治一线医护人员心理行为的研究

目的 研究医护人员在SARS防治工作一线期间的心理行为状况。方法 从3家SARS定点医院和7家发热门诊随机抽取545名医护人员进行问卷调查。结果 545名调查对象中62．75％的医护人员感觉紧张。61．47％的人感觉目前压力比平时大得多；另有5．87％的人感觉压力大到令人崩溃。压力主要来自工作强度大(33．9l％)。与病人零距离接触(27．43％)及防护服太笨重(22．46％)。许多医护人员出现疲劳(35．96％)。失眠(26．62％)。孤独(62．57％)。担心自己(32．84％)及家人(53．94％)感染SARS等心理行为问题。一半以上的医护人员基本上不和病人交谈(54．50％)。结论 在SARS防治一线从事治疗护理工作的医护人员存在广泛的负面心理和行为。这些同题的出现与担心本人被感染以及人际交流的减少有关。

The immediate psychological and behavioral response of health workers from SARS treatment specific hospitals

Objective To study the immediate psychological and behavioral response of the health workers who are responsible for SARS patient treatment and care. Methods 545 health workers were sampled at random from 3 SARS patient treatment specific hospitals and 7 general hospitals established fever clinics. All the sampled health workers were interviewed separately with researchers using a pre -constructed questionnaire. Results Out of the 545 health workers, 62. 75% person felt nervous, 61. 47% person reported that they were enduring a stress much heavier than before but manageable, 5. 87% person reported extremely heavy stress almost unmanageable. The health workers attributed the stress respectively to that their job was too heavy to carry (33. 91% ) , they had to frequently contact with the patients closely (27. 43% ) and the gowns they wore were too complex and clumsy (22. 46% ) . Many health workers experienced fatigue (35. 96% ) , insomnia (26. 62% ) , loneliness (62. 57% ) and worry about their families'(53. 94% ) and themselves' (32. 84% ) safety from SARS infection. More than half of the health workers (54. 50% ) only had simple language communication with the SARS patients. TV (64. 59% ) and radio (22. 57% ) program were the major channel through which the health workers got SARS epidemic information. Conclusion There were wide - spread negative psychological and behavioral problems in the health workers who are responsible for SARS patient treatment and care, and these problems related to worry about the risk of self infection and deprivation of interpersonal communication.