摘要
目的了解疫情期间志愿者心理健康状况及其影响因素。方法2020年3月,通过网络平台,采用整群抽样法对上海市金山区辖区内384名参与疫情防控工作的志愿者进行问卷调查。分别采用压力知觉量表(PSS-10)、广泛性焦虑量表(GAD-7)、抑郁症状群量表(PHQ-9)对受试者的应激状况、焦虑症状、抑郁症状进行评估,对研究对象的心理服务需求开展调查。结果收到有效问卷361份,有效问卷回收率94.01%。检出应激症状阳性101人(占27.98%),焦虑症状阳性65人(占18.01%),抑郁症状阳性67人(占18.56%),同时具备两种及以上阳性症状的心理健康高危人群61人(占16.90%)。logistic回归分析结果显示:每周志愿服务时间12 h以上是应激发生的危险因素(OR=2.100,P<0.05),对新冠肺炎熟悉是发生焦虑(OR=2.507)、抑郁(OR=2.674)和高危心理状况(OR=2.742)的危险因素(P<0.05)。有应激、焦虑、抑郁症状和心理健康状况高危人群对心理健康服务需求更为强烈(P<0.05)。结论疫情发生初期,上海市金山区疫情防控志愿者心理健康尚好。在开展重大公共卫生事件志愿服务时,要关心志愿者的身心健康,建立合理的休息制度、个人防护保障和社会支持制度,同时需要重视心理健康的宣教,提供必要的心理保健服务,进一步完善志愿服务体系建设。
Objective To comprehend the mental health status and its influencing factors of volunteers during the epidemic.Methods In March 2020,through the network platform,384 volunteers who participated in the epidemic prevention and control work in Jinshan District of Shanghai were surveyed by cluster sampling.Perceived stress scale(PSS-10),generalized anxiety disorder(GAD-7)and patient health questionnaire(PHQ-9)were used to evaluate the stress status,anxiety symptoms and depression symptoms of the subjects,and the psychological service demands of the subjects were investigated.Results Totally 361 valid questionnaires were received with the recovery rate of 94.01%.It was found that101 people(27.98%)had stress symptoms,65 people(18.01%)had anxiety symptoms,and 67 people(18.56%)had depression symptoms.Among these,61 people(16.90%)had two or more types of positive symptoms at the same time.Logistic regression analysis showed that more than 12 hours of volunteer service per week was a risk factor for stress(OR=2.100,P<0.05),while the familiarity with COVID-19 epidemic was a risk factor for anxiety(OR=2.507),depression(OR=2.674)and high-risk psychological status(OR=2.742)(P<0.05).People with stress,anxiety,depression and high-risk mental health status had stronger demands for mental health services(P<0.05).Conclusions In the early stage of the epidemic,the mental health of volunteers participating in prevention and control of epidemic in Jinshan District of Shanghai was not bad.However,it is still suggested that we should improve the construction of volunteer service system and pay attention to the physical and mental health of volunteers,establish a reasonable rest system and personal protection and social support system,emphasize the publicity and education of mental health,and provide necessary mental health services for volunteers in serious public health events.
作者
沈芳
张宴萍
王亚倩
李俊
SHEN Fang;ZHANG Yanping;WANG Yaqian;LI Jun(Langxia Community Health Service Center of Jinshan District,Shanghai 201516,China;Shanghai Jinshan Mental Health Center,Shanghai 201515,China;Zhujing Community Health Service Center of Jinshan District,Shanghai 201599,China)
出处
《职业卫生与应急救援》
2022年第4期441-445,489,共6页
Occupational Health and Emergency Rescue
基金
上海市医务工会2020年理论研究重点课题(2020YGL02)。
关键词
疫情
志愿者
心理服务
应激
焦虑
抑郁
需求调查
epidemic
volunteer
psychological service
stress
anxiety
depression
demand survey
