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新型冠状病毒肺炎疫情下一线医务人员风险感知特点及影响因素
刘瑛1,尹倩兰1,蔡文鹏1,邓文曦1,董薇1,2*
0
(1. 海军军医大学(第二军医大学)心理系海军航空及特种心理学教研室, 上海 200433;
2. 复旦大学社会发展与公共政策学院心理系, 上海 200433
*通信作者)
摘要:
目的 研究新型冠状病毒肺炎(COVID-19)疫情下一线医务人员风险感知特点及影响因素,为其在高风险、高强度抗疫医疗工作中正确感知风险、提升压力应对能力、维护心理健康提供有效参考。方法 采用抗击COVID-19疫情一线医务人员疫情风险感知问卷对181名抗疫一线医务人员进行风险感知问卷调查,采用非参数检验对人口学因素及风险感知维度进行差异比较,用logistic回归分析人口学因素对抗疫一线医务人员风险感知水平的预测作用。结果 COVID-19疫情下一线医务人员风险感知问卷总得分为(36.39±8.59)分,得分率为60.65%,得分率排前3位的维度为身体功能风险、组织风险及人身安全风险。湖北地区医务人员风险感知问卷总得分高于非湖北地区(Z=-2.180,P<0.05);医技人员(医师和技师)风险感知问卷总得分高于护士(Z=-3.039,P<0.01)。医务人员所在地对总体风险感知具有预测作用(P<0.05)。结论 在COVID-19疫情下,抗疫一线医务人员风险感知处于中等程度,湖北地区医务人员风险感知程度高于非湖北地区,医技人员风险感知程度高于护士,医务人员所在地区对风险感知具有预测作用。
关键词:  新型冠状病毒肺炎  风险感知  医务人员  影响因素
DOI:10.16781/j.0258-879x.2020.09.0953
投稿时间:2020-03-10修订日期:2020-05-11
基金项目:军事医学创新工程专项(17CXZ002).
Risk perception characteristics and influencing factors of frontline medical staff during the coronavirus disease 2019 epidemic
LIU Ying1,YIN Qian-lan1,CAI Wen-peng1,DENG Wen-xi1,DONG Wei1,2*
(1. Department of Naval Aviation&Operational Psychology, Faculty of Psychology, Naval Medical University(Second Military Medical University), Shanghai 200433, China;
2. Department of Psychology, School of Social Development and Public Policy, Fudan University, Shanghai 200433, China
*Corresponding author)
Abstract:
Objective To explore the risk perception characteristics and influencing factors of frontline medical staff during the coronavirus disease 2019 (COVID-19) epidemic, so as to provide effective reference for correctly perceiving the risk, improving stress-coping skills and maintaining mental health during the high-risk and high-intensity combat against the COVID-19 epidemic. Methods A risk perception questionnaire based on the context of COVID-19 epidemic was used to investigate the risk perception level of 181 frontline medical staff fighting against COVID-19 epidemic. Nonparametric test was used to compare the demographic factors and risk perception dimensions. Logistic regression analysis was used to predict the effect of demographic factors on the risk perception level of frontline medical staff. Results During the COVID-19 epidemic, the overall risk perception score of the frontline medical staff was 36.39±8.59, and the scoring rate was 60.65%. The top three dimensions with the highest scoring rate were physical function risk, organization risk and personal safety risk. The score of frontline medical staff in Hubei province was higher than that outside Hubei province (Z=-2.180, P<0.05) and the score of medical technicians (doctors and technicians) was higher than that of nurses (Z=-3.039, P<0.01). The location of frontline medical staff could significantly predict the overall risk perception (P<0.05). Conclusion During the COVID-19 epidemic, the risk perception of frontline medical staff has been found at the medium level, with the risk perception degree of frontline medical staff in Hubei province being higher than that outside Hubei province and the risk perception degree of medical technicians being higher than that of nurses. The location of frontline medical staff can predict their risk perception.
Key words:  coronavirus disease 2019  risk perception  medical staff  influencing factors