摘要
背景自新型冠状病毒感染(简称新冠感染)疫情发生以来,身处防控一线的社区医务人员面临着直接接触病毒的风险,存在工作强度大、工作时间长、心理压力大等问题,因此探究社区医务人员的心理健康状况及其内在联系对精准实施心理干预具有重要意义。目的了解新冠感染疫情常态化防控期间社区医务人员心理健康状况并探讨其影响因素。方法于2021年12月,采用多阶段随机抽样法,选取296名中山市社区医务人员作为调查对象,采用一般资料调查表、自行编制的社区医务人员新型冠状病毒感染疫情防控工作压力调查问卷、广泛性焦虑量表(GAD-7)和患者健康问卷抑郁症状群量表(PHQ-9)对其进行网络问卷调查,采用多因素Logistic回归分析探讨社区医务人员新冠感染疫情防控工作感知压力水平及焦虑、抑郁情绪状态存在情况的影响因素。结果中山市社区医务人员新冠感染疫情防控工作高感知压力的检出率为10.1%(30/296);中度及以上焦虑和抑郁的检出率分别为7.1%(21/296)和9.5%(28/296);性别、抑郁情绪状态存在情况和新冠感染疫情防控工作感知压力水平是社区医务人员焦虑情绪状态存在情况的影响因素(P<0.05);疫情期间从事日常诊疗工作情况、疫情期间从事“三人小组”上门排查工作情况、焦虑情绪状态存在情况和新冠感染疫情防控工作感知压力水平是社区医务人员抑郁情绪状态存在情况的影响因素(P<0.05);焦虑、抑郁情绪状态存在情况是社区医务人员新冠感染疫情防控工作感知压力水平的影响因素(P<0.05)。结论社区医务人员新冠感染疫情防控工作压力与焦虑和抑郁负性情绪之间彼此关联、相互影响、相互作用,且疫情防控工作任务与人力资源的相对不足等因素加剧了社区医务人员负性情绪的叠加效应,卫生健康行政部门应结合疫情常态化防控阶段社区卫生服务机构的发展特点及暴露出的突出问题,着力构建新形势下社区卫生服务机构的长效投入和发展机制,加强对医务人员的心理干预指导。
Background Since the outbreak of COVID-19 infection,community medical personnel on the front lines of prevention and control of COVID-19 face the risk of direct contact with the virus,as well as problems such as high-intensity work,long working hours and high psychological pressure.Therefore,it is of great significance to explore the mental health status of community medical personnel and its internal relationship for the tailored implementation of mental health interventions.Objective To understand the mental health status of community medical personnel during the normalized prevention and control of COVID-19 and explore its influencing factors.Methods A total of 296 cases of community medical personnel in Zhongshan City were selected as the study subjects on December 2021 using a multi-stage random sampling method.The general information questionnaire,self-designed questionnaire of working pressure on COVID-19 prevention and control among community medical personnel,Generalized Anxiety Disorder 7(GAD-7)and Patient Health Questionnaire 9(PHQ-9)were administered for online investigation,and multivariate Logistic regression analysis was performed to explore the influencing factors of the perceived stress level on COVID-19 prevention and control,the presence of anxiety and depression of community medical personnel.Results Among the community medical personnel in Zhongshan City,the detection rate of high perceived working pressure on COVID-19 prevention and control was 10.1%(30/296).The prevalence of anxiety and depression at moderate level was 7.1%(21/296)and 9.5%(28/296),respectively.Gender,the existence of depression and the level of perceived working pressure on COVID-19 prevention and control were influencing factors of the presence of anxiety among community medical personnel(P<0.05).Performing daily diagnosis and treatment during the epidemic,engaging in three-member team for door-to-door screening,the presence of anxiety and level of perceived working pressure on COVID-19 prevention and control were factors associated with the presence of depression among community medical personnel(P<0.05).The presence of anxiety and depression were factors associated with the level of perceived working pressure on COVID-19 prevention and control among community medical personnel(P<0.05).Conclusion The perceived working pressure on COVID-19 prevention and control and negative emotions of anxiety and depression are related and interacted with each other,and the relative shortage of epidemic prevention and control tasks and human resources,as well as the imbalance between labor effort and labor income,have exacerbated the synergistic effect of negative emotions among community medical personnel.And health administration department should be dedicated to build up long-term investment and development mechanism for community health service institutions in the new situation and strengthen health administration department according to the development characteristics and problems exposed at community health service institutions during the normalized prevention and control of COVID-19.
作者
杨华杰
王皓翔
陈运聪
梁旭东
王家骥
黄翔
YANG Huajie;WANG Haoxiang;CHEN Yuncong;LIANG Xudong;WANG Jiaji;HUANG Xiang(School of Health Industry,Guangdong Open University(Guangdong Polytechnic Institute),Guangzhou 528400,China;School of Public Health,Sun Yat-Sen University,Guangzhou 510080,China;Department of Public Health,Sanxiang Community Health Centre of Zhongshan,Zhongshan 528463,China;Banfu Community Health Centre of Zhongshan,Zhongshan 528459,China;Guangdong Primary Healthcare Association,Guangzhou 510000,China;School of Medicine,Macao University of Science and Technology,Macao Special Administrative Region 999078,China)
出处
《中国全科医学》
北大核心
2024年第7期834-842,共9页
Chinese General Practice
基金
国家自然科学基金组织间国际合作研究项目(72061137002)
广东省哲学社会科学规划项目(GD19CGL12)
中山市医学科研项目(2021J447)
中山市社科规划课题(自筹202307)。
