摘要
目的:调查分析住院治疗的新型冠状病毒肺炎(COVID-19)患者的焦虑问题,为制定相关的心理健康管理策略提供依据。方法:采用《武汉市新冠状病毒肺炎住院患者心理调查问卷》对北京大学人民医院援助武汉华中科技大学同济医院中法新城院区2020年2~3月收治的COVID-19患者住院期间的焦虑状态进行调查。根据《新型冠状病毒诊疗方案(试行第七版)》将患者分为轻型和非轻型2类,统计分析两组患者人群特点、焦虑状态、恢复情况等数据。根据评分结果,总分在0~7分设为无焦虑,≥8分为焦虑。结果:本研究共纳入46例患者,男28例,女18例;年龄23~78岁,平均60.9岁。轻型13例,非轻型33例。轻型和非轻型患者在年龄、性别方面差异均无统计学意义(P>0.05)。出现家人、亲属、朋友确诊为COVID-19的患者占52.2%(24例)。设置问题"目前是否有所顾虑及担忧?"中,73.9%患者表示担忧(34例)。轻型患者焦虑评分为(7.3±2.0)分,为轻度焦虑;非轻型患者焦虑评分为(8.7±1.2)分,也为轻度焦虑。轻型和非轻型患者各项焦虑评分比较差异均无统计学意义(P>0.05)。对两组患者的一般资料进行单因素分析,结果显示,学历、家人及亲友已患COVID-19、目前防疫的总体局势、未来生活等方面与焦虑无相关性(P>0.05);对自己的治疗效果及对家人目前情况的担心与焦虑有相关性(P<0.05)。结论:住院治疗的COVID-19患者普遍存在焦虑问题,对预后的担心及对家人的担心是影响其心理状态的主要因素,政府及医务人员应重视COVID-19患者的心理健康。
Objective To investigate and analyze the anxiety problems in hospitalized COVID-19 patients so as to provide evidence for formulation of relevant mental health management strategies.Methods A Psychological Questionnaire for Hospitalized COVID-19 Patients in Wuhan was used to investigate the anxiety status of the COVID-19 patients who had been hospitalized to Wuhan Tong Ji Hospital which had been assisted by Peking University People's Hospital.The patients were categorized into a mild group and a non-mild group according to The Diagnosis and Management Protocols for COVID-19(Trial version 7).The population characteristics,anxiety status and disease recovery were analyzed in the 2 groups.Scores from 0 to 7 indicated no anxiety and≥8 anxiety.Results A total of 46 patients were included in this study,including 28 men and 18 women aged from 23 to 78 years(average,60.9 years).There were 13 mild cases and 33 non-mild ones.There were no significant differences between the 2 groups in age or gender(P>0.05).Of all the patients,52.2%(24 cases)had a close relative or family member definitely diagnosed of COVID-19.To the question"Do you have any worry?",73.9%of the patients(34 cases)answered yes.The mild cases scored 7.3 points±2.0 points,showing mild anxiety;the non-mild cases scored 8.7 points±1.2 points,showing mild anxiety too.There were no significant differences between the mild and non-mild cases in any anxiety scoring item(P>0.05).The single factor analysis of the general data showed no significant correlation between anxiety and education,COVID-19 diagnosis of a close relative or family member,current situation of anti-COVID-19 or future life(P>0.05),but a significant correlation between anxiety and therapeutic outcomes and the current situation of family members(P<0.05).Conclusions Anxiety is a common problem in hospitalized COVID-19 patients.Anxiety about prognosis and family members is the main factor affecting their psychological status.Attention should be paid to the mental health of COVID-19 patients by governments and medical staff.
作者
李立
李冰冰
张博禹
王泠
Li Li;Li Bingbing;Zhang Boyu;Wang Ling(Department of Traumatology and Orthopedics,Peking University People's Hospital,Beijing 100044,China;Department of Nursing,Peking University People's Hospital,Beijing 100044,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2020年第7期577-580,共4页
Chinese Journal of Orthopaedic Trauma
