摘要
目的了解新型冠状病毒肺炎(corona virus disease 2019,COVID-19)抗疫一线重症监护病房(intensive care unit,ICU)医护人员抗疫期间心理健康状况,探讨心理应激水平与失眠、压力感知、情绪调节和焦虑情绪的相关性,为进行针对性的心理干预提供科学依据。方法采用一般情况调查表、心理应激自评问卷(psychological stress selfevaluation test,PSET)、失眠严重指数量表(insomnia severity index,ISI)、中文压力感知量表(Chinese perceived stress scale,CPSS)、情绪调节量表(emotion regulation questionnaire,ERQ)、焦虑自评量表(self-rating anxiety scale,SAS)对COVID-19定点收治医院或专科医院125名ICU医护人员进行调查。结果(1)抗疫一线ICU医务人员心理应激高分组与低分组在失眠严重程度、压力感知、情绪调节、焦虑情绪上差异具有统计学意义(P<0.01)。(2)心理应激水平与失眠严重指数、压力感知、压力感知的紧张感维度、焦虑情绪呈显著正相关(r值分别为0.66、0.53、0.65、0.56,P<0.01),与压力感知的控制感维度、情绪调节的认知重评维度呈负相关(r值分别为-0.21、-0.18,P<0.05)。(3)失眠严重程度、压力感知的紧张感和控制感维度可有效预测心理应激水平,回归系数R=0.806,R2=0.649,总解释率为64.9%。结论抗疫一线ICU医务人员存在一定程度的心理应激反应,在进行心理应激干预时应充分考虑失眠、压力感知、情绪调节方式和焦虑情绪等影响因素。
Objective To investigate the psychological heath condition of first-line intensive care unit(ICU)medical staff during the treatment of corona virus disease 2019(COVID-19),to explore the correlations of psychological stress with insomnia,perceived stress,emotional regulation and anxiety,to provide scientific basis for targeted psychological intervention.Methods A total of 125 ICU medical staffs in designated hospitals or specialized hospitals for COVID-19 were surveyed by by questionnaires of psychological stress self-evaluation test(PSET),insomnia severity index(ISI),Chinese perceived stress scale(CPSS),emotion regulation questionnaire(ERQ)and self-rating anxiety scale(SAS).Results(1)The scores of insomnia severity,perceived stress,emotional regulation and anxiety of first-line ICU medical staffs were significant differences between the high psychological stress group and the low psychological stress group(all P<0.01).(2)The psychological stress was positive correlation with insomnia severity index,perceived stress,sense of tension and anxiety(r value were 0.66、0.53、0.65、0.56,respectively,all P<0.01).The psychological stress was negative correlation with sense of control and cognitive reappraisal(r value were-0.21、-0.18,respectively,all P<0.05).(3)The psychological stress level was predicted by the insomnia severity,sense of tension and control predicted,the regression coefficient R=0.806,R^2=0.649,and the total explanation rate was 64.9%.Conclusion Factors of insomnia severity,stress perception,sense of tension and anxiety should be considered and evaluated when developing interventions to relieve psychological stress among ICU medical staffs during the first-line.
作者
徐霞
吴美慧
梁泽平
刁小伟
王宗华
XU Xia;WU Meihui;LIANG Zeping;DIAO Xiaowei;WANG Zonghua(Department of Nursing,Army Specialty Medical Center,Chongqing400042,China)
出处
《华南国防医学杂志》
CAS
2020年第7期489-493,共5页
Military Medical Journal of South China
基金
陆军军医大学人文社科基金项目(2018XRW09)
关键词
新型冠状病毒肺炎
重症监护病房
医护人员
失眠
压力感知
情绪调节
焦虑
Corona virus disease 2019
Intensive care unit
Medical staffs
Insomnia
Stress perception
Emotion regulation
Anxiety
