新型冠状病毒肺炎疫情期间荆州地区居民心理健康状况及影响因素分析

目的了解新型冠状病毒肺炎(COVID-19)疫情期间荆州地区居民的心理健康状况,探讨相关影响因素。方法于2020年2月10—15日应用微信小程序“问卷星”对荆州地区16~65岁的常住居民收集社会人口学资料,采用12项一般健康问卷(GHQ-12)调查居民心理健康状况,采用二分类多因素Logistic回归模型分析心理健康状况的影响因素。结果共收集967份有效问卷,其中GHQ-12量表总分≥4分的问卷共285份,心理问题检出率为29.47%,排名前三位的依次是“由于过分担心而失眠”,占26.27%;“感觉到痛苦、忧虑”,占24.10%;“常常觉得很紧张”,占23.78%。多因素Logistic回归分析结果显示,疑似患者(OR=87.74)、隔离观察者(OR=11.81)、独居(OR=5.79)、有亲属感染(OR=2.93)、确定接触COVID-19患者(OR=2.95)、居家人数6人及以上(OR=2.87)、不确切接触COVID-19患者(OR=1.86)被纳入最后回归模型,为居民出现心理问题危险因素。结论COVID-19流行期间荆州地区居民出现较多心理健康问题,应重点关注疫情期间居家隔离居民的心身健康,普及防控知识,制定和完善心理危机干预政策和措施。

Analysis of Mental Health Status and Influencing Factors of Jingzhou Residents during COVID-19 Epidemic

Objective To investigate the mental health status of residents in Jingzhou during COVID-19 epidemic,and the relevant influencing factors are discussed.Methods From February 10 to 15,2020,the WeChat mini-program"questionnaire star"was used to collect social demographic data from the permanent residents aged 16 to 65 in Jingzhou area.12 general health questionnaires(GHQ-12)were used to investigate the mental health status of residents,among which the dichotomy multi-factor Logistic regression model was used to analyze the influencing factors of mental health status.Results A total of 967 valid questionnaires were collected,among which 285 questionnaires had a total score of GHQ-12 scale≥4,showing a psychological problems detection rate of 29.47%.At the same time,it can be seen that"insomnia due to excessive worry"accounted for 26.27%,"feel pain and worry"accounted for 24.10%,and"often feel very nervous"accounted for 23.78%.Multivariate Logistic regression analysis showed that suspected patients(OR=87.74),isolated observers(OR=11.81),solitary patients(OR=5.79),relatives with infection(OR=2.93),confirmed COVID-19 exposure(OR=2.95),more than 6 people at home(OR=2.87),and patients with inexact COVID-19 exposure(OR=1.86)were included in the final regression model as risk factors for psychological problems among residents.Conclusion During the COVID-19 epidemic,Jingzhou residents had more mental health problems.We should give prior attention to popularize prevention and control knowledge,and formulate and improve psychological crisis intervention policies and measures.