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新型冠状病毒肺炎定点医院医务人员心理健康与社会支持、应对方式相关性分析

Correlation analysis between mental health, social support and coping styles of medical staffs in COVID-19 designated hospitals

  • 摘要:
    目的 了解新型冠状病毒肺炎定点医院医务人员应对突发公共卫生事件的心理健康、社会支持和应对方式现状,探讨心理健康与社会支持、应对方式的相关性。
    方法 采用一般情况调查表、突发性公共卫生事件心理问卷、社会支持评定量表和简易应对方式量表对四川省某市新型冠状病毒肺炎定点医院的1 326名医务人员进行调查。采用描述性分析、单因素分析、Spearman相关性分析等分析相关资料。
    结果 共回收有效问卷1 267份,回收率95.55%。定点医院医务人员突发公共卫生事件心理评估总分为0.407(0.481)分、社会支持总分为41.00(13.00)分、应对方式总分为26.00(14.00)分,医生、护士、医技人员组间比较差异有统计学意义(P < 0.05),心理评估总分与社会支持量表总分、客观支持、主观支持、社会支持利用度均负相关(P < 0.05),与应对方式总分、消极应对均正相关(P < 0.05)。
    结论 定点医院医务人员心理健康与社会支持、应对方式密切相关,在应对突发公共卫生事件时,医务人员容易出现恐惧、神经衰弱、抑郁等心理问题,需引起重视。社会支持对定点医院医务人员心理应激起保护作用,但部分医务人员应对方式消极,需要有效干预。

     

    Abstract:
    Objective To understand the status of mental health, social support, and coping styles of medical personnel in COVID-19 designated hospitals in response to public health emergencies, and to explore the correlation between mental health and social support and coping styles.
    Methods A general situation questionnaire, a psychological questionnaire for public health emergencies, a social support assessment scale, and a simple coping style scale were used to survey 1 326 medical staff in a novel coronavirus pneumonia designated hospital in a city in Sichuan Province, China. The relevant data were analyzed by descriptive analysis, single factor analysis, and correlation analysis.
    Results There were 1 267 valid questionnaires. The total score of the public health emergency psychological evaluation of medical staff in the designated hospitals was 0.407 (0.481) points, the total social support score was 41.00 (13.00) points, and the total response mode score was 26.00 (14.00) points. The differences between doctors, nurses, and medical technicians were statistically significant (P < 0.05). Spearman correlation analysis showed that medical staff's total public health emergency psychological score was negatively correlated with social support scale total score, objective support, subjective support, and social support utilization rates; whereas positively correlated with the total score of the coping style and the negative coping style.
    Conclusions The mental health of medical staff in designated hospitals was closely related to social support and coping styles. When responding to public health emergencies, medical staff was prone to psychological problems such as fear, neurasthenia, and depression, which should be paid attention to. Social support had a protective effect on the psychological stress of medical staff in designated hospitals, and 77.74% of medical staff adopted a negative coping style, which requires further in-depth study.

     

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