新型冠状病毒肺炎疫情期间一线医务人员认知行为及心理卫生调查

目的了解新型冠状病毒肺炎(简称新冠肺炎)疫情期间一线医务人员对该病的认知行为及心理卫生状况,为开展医务人员教育培训和制定心理危机干预方案提供依据.方法采用随机整群抽样的方法,选取珠海市3家新冠肺炎定点收治医院的抗疫一线医务人员522名为调查对象,使用一般资料问卷、新冠肺炎认知行为量表、焦虑自评(SAS)量表进行线上匿名...

Survey on cognitive behavior and mental health of medical professionals at the front line during COVID-19 epidemic

Objective To investigate the cognition behavior and mental health of medical workers at the front line during COVID-19 epidemic, and to provide a basis for conducting education and training among medical workers and formulating psychological crisis intervention program. Methods A random cluster sampling method was used to select 522 front-line medical workers fighting against COVID-19 from three designated admission hospitals in Zhuhai City to serve as the research subjects. A general information questionnaire, COVID-19 cognitive behavior questionnaire and Self-Rating Anxiety Scale (SAS) were used to conduct an on-line anonymous self-filling questionnaire survey. Logistic regression model was applied to analyzing the factors influencing mental health status of medical workers at the front line. Results The average scores of COVID-19 related knowledge, attitude towards COVID-19 and COVID-19 patients and adopting prevention behavior in medical workers at the front line were (10.33±1.19), (13.26±1.63) and (24.69±2.32), respectively. The score of the SAS in the medical workers was (41.87±6.78), and the detection rate of anxiety was 11.10%. There were statistically significant differences in the prevalence rate of anxiety among the front-line medical workers with different ages, educational degree, marital status, years of working, attitude towards COVID-19 and COVID-19 patients (P<0.05). Multiple logistic regression analysis showed that educational degree, post, attitude towards COVID-19 and COVID-19 patients and adopting prevention behavior were independent influencing factors for anxiety. Holding a bachelor's degree (OR=0.320, 95%CI: 0.15-0.70) and having a high score of attitude towards COVID-19 and COVID-19 patients (OR=0.76, 95%CI:0.59-0.97) were protective factors for occurring anxiety in the front-line medical workers, while medical management (OR=4.73, 95%CI:1.13-16.88) and having a high score of adopting prevention behavior in COVID-19 prevention and control (OR=1.24, 95%CI:1.03-1.50) were risk factors for occurring anxiety in the front-line medical workers. Conclusions The front-line medical workers fighting against COVID-19 have a high level of cognition, a positive attitude towards the disease, a strong sense of self-prevention and a good mental health status. However, it is still necessary to strengthen the training of weaknesses about COVID-19 related knowledge, take targeted psychological counseling measures on factors related to anxiety, and improve the front-line medical workers' psychological response capacity.