摘要
目的探讨新型冠状病毒肺炎(COVID-19)病人康复早期心理应激状态及其影响因素。方法以2020年3月1日至2020年3月14日由专科医院治愈出院并转入我院隔离观察病房的COVID-19康复者126例为研究对象,通过网络问卷调查采集心理学信息,问卷包含创伤后应激障碍自评量表(PTSD-SS)、抑郁自评量表和焦虑自评量表。采用多元线性回归分析检验影响因素。结果 126例PTSD-SS评分平均(45.5±18.9)分,39例(31.0%)存在应激障碍;创伤性再体验评分平均(15.4±6.8)分,52例(41.3%)有反复重现体验症状;回避症状评分平均(11.9±5.7)分,35例(27.8%)存在回避症状;警觉性增高评分平均(11.3±5.0)分,51例(40.5%)警觉性增高。28例(22.2%)有焦虑情绪,48例(38.1%)有抑郁情绪。多因素线性回归分析发现,退休、心理支持与PTSD-SS评分及其三个症状评分呈显著负相关(P<0.05),女性、焦虑情绪与PTSD-SS评分及其三个症状评分呈显著正相关(P<0.05),抑郁情绪与警觉性增高评分呈显著正相关(P<0.05)。结论近1/3的COVID-19病人康复早期存在应激障碍,女性、未退休、缺乏心理支持、存在焦虑抑郁情绪这四大类人群应激障碍症状尤为严重,建议所有康复病人定期接受心理评估。
Objective To explore the psychological stress state during early convalescence of the patients with coronavirus disease 2019(COVID-19)and to analyze its influencing factors.Methods A questionnaire was performed in 126 patients with COVID-19 who were cured and discharged from the specialist hospital from March 1,2020 to March 14,2020 and transferred to the isolation and observation ward of our hospital.Psychological variables were collected by network questionnaire consisting of post-traumatic stress disorder scale(PTSD-SS),self-rating depression scale(SDS)and self-rating anxiety scale(SAS).Multiple linear regression analysis was used to test the influencing factors.Results The mean scores of PTSD-SS,traumatic re-experience,avoidance symptom and increased alertness were(45.5±18.9)points,(15.4±6.8)points,(11.9±5.7)points,and(11.3±5.0)points,respectively.Thirty-nine patients(31.0%)had acute stress disorder,52 patients(41.3%)had repeated recurring symptoms,35 patients(27.8%)had avoidance symptoms and 51 patients(40.5%)had increased alertness.Twenty-eight patients(22.2%)had anxiety,and 48 patients(38.1%)had depression.Multivariate linear regression analysis showed that retirement and psychological support were significantly negatively correlated with the PTSD-SS score(P<0.05);female and anxiety were significantly positive correlated with and PTSD-SS score(P<0.05);depression was significantly positively correlated with increased alertness score(P<0.05).Conclusions The state of stress disorder is common during early convalescence of patients with COVID-19.The symptoms of stress disorder are particularly serious in female survivors,nonretired population,and patients with lack of psychological support and anxiety and depression.Attention should be paid to the mental state of patients with COVID-19 and regular psychological screening is recommended.
作者
袁波
蔡新
王建春
胡小鹏
李志文
卢婷
安亚文
YUAN Bo;CAI Xin;WANG Jian-chun;HU Xiao-peng;LI Zhi-wen;LU Ting;AN Ya-wen(Department of Neurology,Shenzhen Samii Medical Center,Shenzhen 518118,China;Department of Clinical Laboratory,Shenzhen Samii Medical Center,Shenzhen 518118,China;Scientific Research and Education Section,Shenzhen Samii Medical Center,Shenzhen 518118,China;Department of Nursing,Shenzhen Samii Medical Center,Shenzhen 518118,China)
出处
《中国临床神经外科杂志》
2020年第8期531-534,共4页
Chinese Journal of Clinical Neurosurgery
