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| 奥密克戎变异株流行期间上海方舱医院军队医务人员心理健康状况及其影响因素分析 |
| 柏涌海1△,潘霄1△,徐正梅2,王一浩1,李冠雄1,陆莉1,黄海3,徐纪平2,纪合森4* |
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(1. 海军军医大学(第二军医大学)第二附属医院医学心理科, 上海 200003;
2. 海军军医大学(第二军医大学)第二附属医院, 上海 200003;
3. 海军军医大学(第二军医大学)第二附属医院全科医学科, 上海 200003;
4. 海军军医大学(第二军医大学)海军特色医学中心, 上海 200052
△共同第一作者
*通信作者) |
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| 摘要: |
| 目的 调查严重急性呼吸综合征冠状病毒2（SARS-CoV-2）奥密克戎变异株流行期间上海方舱医院军队医务人员的心理健康状况及其影响因素。方法 采用9项患者健康问卷抑郁自评量表（PHQ-9）、7项广泛性焦虑障碍（GAD-7）量表、阿森斯失眠量表（AIS）对上海方舱医院的540名军队医务人员进行问卷调查，了解军队医务人员的心理健康状况，并采用logistic回归分析探讨其影响因素。结果 共回收有效问卷536份，回收有效率为99.3%（536/540）。上海方舱医院军队医务人员的抑郁、焦虑及失眠症状发生率分别为45.5%（244/536）、26.1%（140/536）和59.5%（319/536）。logistic回归分析结果显示，是否常驻上海、每日浏览信息中负面信息占比、进入方舱后饮食状况是抑郁、焦虑、失眠的影响因素（P均<0.05），年龄、对未来上海的信心是抑郁和失眠的影响因素（P均<0.05），每日花费在疫情相关信息上的时间是失眠的影响因素（P=0.021）。结论 SARS-CoV-2奥密克戎变异株流行期间上海方舱医院军队医务人员的抑郁、焦虑及失眠发生率较高，应定期持续监测新型冠状病毒肺炎疫情造成的心理后果，以促进军队医务人员的心理健康。 |
| 关键词: 严重急性呼吸综合征冠状病毒2 奥密克戎变异株 方舱医院 军事人员 心理健康 医务工作者 |
| DOI：10.16781/j.CN31-2187/R.20220417 |
| 投稿时间：2022-05-16修订日期：2022-11-14 |
| 基金项目:海军军医大学（第二军医大学）第二附属医院金字塔人才工程项目（2020XL），海军特色医学中心科学战“疫”快速响应专项（22MY01）. |
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| Mental health status of military healthcare workers in shelter hospitals in Shanghai during the epidemic caused by severe acute respiratory syndrome coronavirus 2 omicron variant and its influencing factors |
| BAI Yong-hai1△,PAN Xiao1△,XU Zheng-mei2,WANG Yi-hao1,LI Guan-xiong1,LU Li1,HUANG Hai3,XU Ji-ping2,JI He-sen4* |
(1. Department of Medical Psychology, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China;
2. The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China;
3. Department of General Practice, The Second Affiliated Hospital of Naval Medical University (Second Military Medical University), Shanghai 200003, China;
4. Naval Medical Center, Naval Medical University (Second Military Medical University), Shanghai 200052, China
△Co-first authors.
* Corresponding author) |
| Abstract: |
| Objective To investigate the mental health status of military healthcare workers in shelter hospitals in Shanghai during the epidemic caused by severe acute respiratory syndrome coronavirus 2 omicron variant and its influencing factors. Methods A total of 540 military healthcare workers in shelter hospitals in Shanghai were investigated with patient health questionnaire-9 (PHQ-9), generalized anxiety disorder-7 (GAD-7) and Athens insomnia scale (AIS) to explore their mental health status, and logistic regression was used to analyze the influencing factors. Results A total of 536 valid questionnaires were collected, with an effective rate of 99.3% (536/540). The incidence of depression, anxiety and insomnia among military healthcare workers in shelter hospitals in Shanghai was 45.5% (244/536), 26.1% (140/536) and 59.5% (319/536), respectively. Logistic regression analysis showed that whether people resided in Shanghai, the proportion of negative information in daily browsing information and diet status in shelter hospitals were the influencing factors of depression, anxiety and insomnia (all P<0.05); age and confidence in the future of Shanghai were the influencing factors of depression and insomnia (all P<0.05); and the time spent daily on epidemic-related information was an influencing factor of insomnia (P=0.021). Conclusion The incidence of depressive, anxiety and insomnia among military healthcare workers in shelter hospitals in Shanghai is high during the epidemic caused by severe acute respiratory syndrome coronavirus 2 omicron variant. Psychological consequences of the epidemic should be monitored regularly and continuously to promote the mental health of military healthcare workers. |
| Key words: severe acute respiratory syndrome coronavirus 2 omicron variant shelter hospital military personnel mental health healthcare workers |
