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| 中文摘要: |
| 目的 了解新型冠状病毒肺炎疫情期间住院医师和专科医师的心理健康状况，为改善其心理健康提供参考和依据。方法 本研究采用在线问卷调查，使用广泛性焦虑障碍量表和病人健康问卷抑郁自评量表对某三级甲等综合医院的302名住院医师和专科医师心理健康状况进行评价。采用SPSS 23.0软件对相关数据进行t检验。结果 分别有32.5%（98/302）和49.7%（150/302）的医师存在不同程度的焦虑障碍和抑郁，其中6.3%（19/302）和18.6%（56/302）是中度及以上程度焦虑和抑郁。按照工作疲劳程度评分（以60分为界）、感染新型冠状病毒肺炎风险程度、值班频率、睡眠时间（以7 h为界）分组后，医师自评出现焦虑和抑郁的比例差异均存在统计学意义（P<0.05）。控制以上变量后，Logistic回归分析结果显示岗位风险高的医师出现焦虑（OR=2.142，95%CI=1.170~3.922）和抑郁（OR=2.038，95%CI=1.185~3.505）的概率均高于岗位风险低的医师。结论 在疫情背景下，住院医师和专科医师尤其是在感染风险高的岗位工作的医师存在比较严重的焦虑障碍、抑郁等心理健康问题，需要得到重点关注和心理支持。 |
| 英文摘要: |
| Objective To understand the mental health of residents and specialists during the COVID-19 outbreak and provide references for improving their mental health. Methods An online questionnaire survey was conducted, using the Generalized Anxiety Disorder Scale and the Patient Health Questionnaire Depression Rating Scale, to evaluate the mental health of 302 residents and specialists in a top general hospital. SPSS 23.0 was used to perform t-test on the relevant data. Results Among them, 32.5% (98/302) and 49.7% (150/302) of those physicians showed varying degrees of anxiety disorder and depression, of which 6.3% (19/302) and 18.6% (56/302) were moderate or higher anxiety and depression. After they were grouped according to work fatigue scores (boundary as 60 points), risk degree of infection with the COVID-19, frequency of duty, and sleep time (boundary as 7 h), there were statistically differences in the physician self-evaluation rates of anxiety and depression between the two groups (P<0.05). After controlling the above variables, Logistic regression results showed that the physicians with high risk of infection with the COVID-19 were more likely to show anxiety (OR=2.142, 95%CI=1.170-3.922) and depression (OR=2.038, 95%CI=1.185-3.505) than those with low-risk. Conclusion In the context of the COVID-19 outbreak, residents and specialists, especially those with high risk of infection with the COVID-19, show severe mental health problems such as anxiety disorders and depression, which requires special attention and support. |
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