| 摘要: |
| 目的 研究新型冠状病毒肺炎（COVID-19）疫情初期一线医护人员负性情绪对其风险感知水平的影响。方法 于2020年2月3日至5日，对武汉火神山医院的派遣医护人员和海军军医大学（第二军医大学）长海医院的抗疫一线医护人员进行在线问卷调查，采用7种负性情绪组成的缩减版负性情绪自评量表测量医护人员的负性情绪，采用护理人员风险感知问卷改编的抗疫一线医护人员风险感知问卷测量医护人员的风险感知水平。结果 回收有效问卷220份，回收有效率为85.94%。COVID-19疫情初期一线医护人员的负性情绪总分为（11.18±4.58）分，7种负性情绪得分由高到低排序为紧张[（1.92±0.90）分]、心烦[（1.75±0.91）分]、恐惧[（1.61±0.84）分]、急躁[（1.58±0.84）分]、哀伤[（1.51±0.83）分]、战战兢兢[（1.50±0.83）分]、内疚[（1.31±0.64）分]；非护理人员的急躁、哀伤、心烦、内疚得分高于护理人员（P均<0.05）。医护人员风险感知总分为（17.68±4.60）分，其中以时间风险维度得分[（3.20±1.20）分]最高；非护理人员的组织风险得分[（3.39±1.01）分vs（2.88±1.01）分]和时间风险得分[（3.46±1.22）分vs（3.09±1.18）分]均高于护理人员（P<0.01或P<0.05）。负性情绪总分和风险感知总分呈正相关（r=0.499，P<0.01），负性情绪分类评分对不同的风险感知倾向有一定的指示作用，其中急躁对时间风险的指示作用最明显（β=0.227，P=0.033）。结论 负性情绪较高的医护人员风险感知水平也较高，疫情初期的负性情绪管理将有益于抗疫一线医护人员对风险的正确认识。 |
| 关键词: 新型冠状病毒肺炎 医护人员 负性情绪 风险感知 预测作用 |
| DOI：10.16781/j.0258-879x.2021.12.1449 |
| 投稿时间：2020-05-22 |
| 基金项目: |
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| Relationship between negative emotions and risk perception in frontline medical staff at the early stage of coronavirus disease 2019 outbreak |
| YIN Qian-lan,LIU Ying,SHAO Xiao-qin,SONG Xiang-rui,CAI Wen-peng,DENG Guang-hui,DONG Wei* |
(Department of Naval Aviation & Operational Psychology, Faculty of Psychology, Naval Medical University (Second Military Medical University), Shanghai 200433, China
*Corresponding author) |
| Abstract: |
| Objective To investigate the influence of negative emotions on risk perception in frontline medical staff at the early stage of coronavirus disease 2019 (COVID-19) outbreak.Methods An online questionnaire survey was conducted on the dispatched medical staff of Wuhan Huoshenshan Hospital and the frontline anti-epidemic medical staff of Changhai Hospital of Naval Medical University (Second Military Medical University) from Feb. 3 to 5, 2020. The negative emotions were measured by the reduced version of negative affection scale composed of 7 negative emotions. The risk perception level was evaluated by the risk perception questionnaire of frontline anti-epidemic medical staff adapted from nursing staff risk perception questionnaire.Results A total of 220 valid questionnaires were collected, with an effective rate of 85.94%. The total score of negative emotions of frontline medical staff at the early stage of COVID-19 outbreak was 11.18±4.58, and the scores of 7 negative emotions from high to low were tension (1.92±0.90), upset (1.75±0.92), fear (1.61±0.84), impatience (1.58±0.84), sadness (1.51±0.83), trembling (1.50±00.83) and guilt (1.31±0.64). The scores of impatience, sadness, upset and guilt of non-nursing staff were significantly higher than those of nursing staff (all P < 0.05). The total score of risk perception of medical staff was 17.68±4.60, and the score of time risk dimension was the highest (3.20±1.20). The organizational risk score (3.39±1.01 vs 2.88±1.01) and time risk score (3.46±1.22 vs 3.09±1.18) of the non-nursing staff were significantly higher than those of the nursing staff (P < 0.01 or P < 0.05). There was a positive correlation between the total score of negative emotions and the total score of risk perception (r=0.499, P < 0.01). The score of each negative emotion classification had an indicating effect on different risk perception tendencies, and impatience had the most obvious indicating effect on time risk (β=0.227, P=0.033).Conclusion Medical staff with high negative emotions have high risk perception. The negative emotion management at the early stage of the epidemic can help frontline anti-epidemic medical staff to correctly understand the risk. |
| Key words: coronavirus disease 2019 medical staff negative emotions risk perception predictive effect |
