摘要
目的评估新型冠状病毒肺炎疫情暴发期间四川省疾病预防控制中心(CDC)人员的心理状况并探索其影响因素。方法通过方便抽样选取四川省省级、市级、县(区)级CDC工作人员为研究对象,通过网络自填问卷收集其基本特征、工作状况、培训情况、工作困难及工作单位的支持等,并采用广泛性焦虑障碍量表和抑郁症筛查量表分别测量CDC工作人员的焦虑、抑郁情况。运用逐步Logistic回归分析CDC工作人员焦虑和抑郁的影响因素。结果653名CDC工作人员中,焦虑、抑郁的检出率分别为58.35%、50.06%。回归分析结果显示,年龄(OR=0.95,95%CI=0.92~0.97)和工作单位提供精神支持(OR=0.61,95%CI=0.45~0.82)是CDC工作人员抑郁的保护因素;身体疲劳(OR=1.82,95%CI=1.20~2.74)、工作压力(OR=1.61,95%CI=1.21~2.12)、防护用品不足(OR=1.92,95%CI=1.06~3.49)是CDC工作人员抑郁的危险因素。年龄(OR=0.97,95%CI=0.94~0.99)、每天睡眠时长(OR=0.74,95%CI=0.56~0.96)和参与技术培训工作(OR=0.33,95%CI=0.12~0.95)是CDC工作人员焦虑的保护因素;精神疲劳(OR=1.68,95%CI=1.18~2.41)、工作压力(OR=2.94,95%CI=2.08~4.17)、加班激励制度不清(OR=1.99,95%CI=1.23~3.23)是CDC工作人员焦虑的危险因素。结论新型冠状病毒肺炎疫情下CDC工作人员焦虑与抑郁状况堪忧,主要受年龄、睡眠、防护用品供应、激励制度、疲劳和工作压力等多方面因素的影响。
Objective To assess the psychological status of staff at the centers for disease control and prevention(CDC)in Sichuan during the outbreak of coronavirus disease 2019(COVID-19)and explore the influencing factors.Methods The staff at Sichuan provincial,municipal,and county(district)-level CDC were selected by convenience sampling.Their basic information,work status,training status,work difficulties,and support from the work group were collected from the self-filled questionnaires online.The Generalized Anxiety Disorder Scale and the 9-question Patient Health Questionnaire were respectively employed to measure the anxiety and depression of the staff.The stepwise Logistic regression was carried out to analyze the influencing factors of anxiety and depression in CDC staff.Results Among the 653 staff,58.35%and 50.06%presented anxiety and depression,respectively.The regression results showed that age(OR=0.95,95%CI=0.92-0.97)and mental support from the work group(OR=0.61,95%CI=0.45-0.82)were the protective factors while physical fatigue(OR=1.82,95%CI=1.20-2.74),work pressure(OR=1.61,95%CI=1.21-2.12),and insufficient protective equipment(OR=1.92,95%CI=1.06-3.49)were the risk factors for depression of CDC staff.Age(OR=0.97,95%CI=0.94-0.99),length of sleep per day(OR=0.74,95%CI=0.56-0.96),and participation in technical training(OR=0.33,95%CI=0.12-0.95)were the protective factors while mental fatigue(OR=1.68,95%CI=1.18-2.41),work pressure(OR=2.94,95%CI=2.08-4.17),and unclear incentive system for overtime(OR=1.99,95%CI=1.23-3.23)were the risk factors for the anxiety of CDC staff.Conclusion The anxiety and depression status of CDC staff during the COVID-19 outbreak were worrying,which were mainly affected by age,sleep,supply of protective equipment,incentive system,fatigue,and work pressure.
作者
杜艳
王庆志
叶睿雪
毛丹梅
蒋小勇
郑庆梅
甘霖
顾菁
周欢
DU Yan;WANG Qingzhi;YE Ruixue;MAO Danmei;JIANG Xiaoyong;ZHENG Qingmei;GAN Lin;GU Jing;ZHOU Huan(Department of Health Behavior and Social Medicine,West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;Chengdu Jinniu District Center for Disease Control and Prevention,Chengdu 610000,China;Health Education Center,Zigong Center for Disease Control and Prevention,Zigong,Sichuan 643000,China;Chronic Disease Center,Zigong Center for Disease Control and Prevention,Zigong,Sichuan 643000,China;Business and Quality Management Section,Nanchong Center for Disease Control and Prevention,Nanchong,Sichuan 637000,China;Department of Medical Statistics,School of Public Health,Sun Yat-sen University,Guangzhou 510080,China)
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
2022年第2期199-207,共9页
Acta Academiae Medicinae Sinicae
基金
四川省医学科研课题计划(S18009)。
