Analysis of the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019_West China Medical Journal

Authors：

TAN Qin ¹ , TAN Jingyu ¹ , DENG Chanjuan ² , DENG Wenqiu ² ,  DU Tao ² ,  DU Liang ³

1. Department of Endocrine, Mianzhu People’s Hospital, Mianzhu, Sichuan 618200, P. R. China;
2. Department of Medical Administration, Mianzhu People’s Hospital, Mianzhu, Sichuan 618200, P. R. China;
3. Chinese Evidence-based Medicine Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

DU Tao, Email: 1306367589@qq.com; DU Liang, Email: duliang0606@vip.sina.com

Keywords：

Coronavirus disease 2019; Hospital staff; Mental health; Influencing factor; Cross-sectional study

DOI：

10.7507/1002-0179.202006029

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Objective To investigate the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019 (COVID-19), and provide a reference for psychological intervention strategies for hospital staff in public health emergencies.Methods In this cross-sectional study, we investigated the staff of Mianzhu People’s Hospital through an anonymous questionnaire survey sent through WeChat group from February 13th to 18th, 2020, to analyze the psychological situation and influencing factors of the on-the-job staff. SPSS 22.0 software was used for statistical analysis.Results Among the 1 115 staff members who met the inclusion criteria, 951 completed the questionnaire, with a response rate of 85.3%. There were 945 valid questionnaires, with an effective response rate of 84.8%. A total of 224 staff members (23.7%) had mental health problems. Multivariate logistic regression analysis showed that the total scores of social support [odds ratio (OR)=0.869, 95% confidence interval (CI) (0.805, 0.938), P<0.001] and the total scores of stress coping strategies [OR=0.685, 95%CI (0.607, 0.772), P<0.001] were protective factors of psychological status, while having kids [OR=1.607, 95%CI (1.084, 2.382), P=0.018] and the position being logistic worker [OR=2.229, 95%CI (1.326, 3.746), P=0.002] were risk factors of psychological status.Conclusions During the outbreak of COVID-19, mental health problems emerged among the staff of designated medical treatment hospital. When a public health emergency occurs, hospitals and relevant departments should take psychological intervention measures as soon as possible to ensure the work of epidemic prevention and control.

Citation： TAN Qin, TAN Jingyu, DENG Chanjuan, DENG Wenqiu, DU Tao, DU Liang. Analysis of the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019. West China Medical Journal, 2021, 36(1): 35-39. doi: 10.7507/1002-0179.202006029 Copy

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20.	聞吾森, 王義強, 趙國秋, 等. 社會支持、心理控制感和心理健康的關系研究. 中國心理衛生雜志, 2000, 14(4): 258.
21.	許嵩濤. 社會支持、人格在生活事件心理健康關系中的作用. 中國臨床心理學雜志, 1997, 5(2): 91.
22.	陸斯琦. 不同年齡臨床醫生防御方式與應對方式的相關性研究. 現代預防醫學, 2017, 44(6): 176-178.
23.	呂揚, 賈燕瑞, 高鳳莉. 參與救治新發急性呼吸道傳染病醫護人員心理健康影響因素及應對策略. 中國護理管理, 2019, 19(1): 83-86.

1. 國家衛健委. 關于印發新型冠狀病毒肺炎診療方案(試行第五版修正版)的通知. (2020-02-08)[2020-06-01]. http://www.nhc.gov.cn/xcs/zhengcwj/202002/d4b895337e19445f8d728fcaf1e3e13a/files/ab6bec7f93e64e7f998d802991203cd6.pdf.
2. 徐明川, 張悅. 首批抗擊新型冠狀病毒感染肺炎的臨床一線支援護士的心理狀況調査. 護理研究, 2020, 34(3): 368-370.
3. 徐松, 吳娟娟, 許辰, 等. 武漢地區新型冠狀病毒肺炎定點醫院一線醫護人員心理健康調查及分析. 第三軍醫大學學報, 2020, 42(18): 1830-1835.
4. 張春宇, 鄒香妮, 劉亞, 等. 新冠肺炎疫情不同時期護理人員的心理狀況調查及影響因素分析. 寧夏醫科大學學報, 2020, 42(9): 901-905.
5. 馬瑞欣, 徐文迪, 吳澤華, 等. 新型冠狀病毒肺炎疫情期間某三甲醫院住院醫師心理健康影響因素研究. 中華醫學教育雜志, 2020, 40(11): 888-892.
6. Ao C, Huak CY. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup Med (Lond), 2004, 54(3): 190-196.
7. Goulia P, Mantas C, Dimitroula D, et al. General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic. BMC Infect Dis, 2010, 10(1): 322.
8. Wong TY, Koh GC, Cheong SK, et al. Concerns, perceived impact and preparedness in an avian influenza pandemic--a comparative study between healthcare workers in primary and tertiary care. Ann Acad Med Singap, 2008, 37(2): 96-102.
9. Tam CW, Pang EP, Lam LC, et al. Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychol Med, 2004, 34(7): 1197-1204.
10. Wong TW, Yau JK, Chan CL, et al. The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope. Eur J Emerg Med, 2005, 12(1): 13-18.
11. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med, 1979, 9(1): 139-145.
12. Garyfallos G, Karastergiou A, Adamopoulou A, et al. Greek version of the General Health Questionnaire: accuracy of translation and validity. Acta Psychiatr Scand, 1991, 84(4): 371-378.
13. Fones CS, Kua EH, Ng TP, et al. Studying the mental health of a nation: a preliminary report on a population survey in Singapore. Singapore Med J, 1998, 39(6): 251-255.
14. 吳世超. 中國 136 家三級公立醫院醫護人員心理健康自評現狀及影響因素研究. 北京: 中國醫學科學院北京協和醫學院, 2019.
15. 國家衛生健康委員會. 截至 2 月 18 日 24 時新型冠狀病毒肺炎疫情最新情況. (2020-02-19)[2020-06-01]. http://www.nhc.gov.cnxcs/yqtb/202002/8f2cfd17f4c040d89c69a4b29e99748c.shtml.
16. World Health Organization. Cumulative number of reported cases of severe acute respiratory syndrome (SARS). From: 1 Nov 2002 To: 23 Apr 2003, 16: 00 GMT+2. (2003-04-25)(2021-01-05). https://www.who.int/csr/sarscountry/2003_04_23/en/.
17. Suwantarat N, Apisarnthanarak A. Risks to healthcare workers with emerging diseases: lessons from MERS-CoV, Ebola, SARS, and avian flu. Curr Opin Infect Dis, 2015, 28(4): 349-361.
18. 王玲玲, 田雨同. 新型冠狀病毒肺炎疫情防控期間兒科護士心理彈性水平與社會支持的相關性研究. 全科護理, 2020, 18(9): 1069-1073.
19. 汪萍. SARS治療一線醫護人員心理健康狀況調查及危機干預模式構建的研究. 西安: 第四軍醫大學, 2005.
20. 聞吾森, 王義強, 趙國秋, 等. 社會支持、心理控制感和心理健康的關系研究. 中國心理衛生雜志, 2000, 14(4): 258.
21. 許嵩濤. 社會支持、人格在生活事件心理健康關系中的作用. 中國臨床心理學雜志, 1997, 5(2): 91.
22. 陸斯琦. 不同年齡臨床醫生防御方式與應對方式的相關性研究. 現代預防醫學, 2017, 44(6): 176-178.
23. 呂揚, 賈燕瑞, 高鳳莉. 參與救治新發急性呼吸道傳染病醫護人員心理健康影響因素及應對策略. 中國護理管理, 2019, 19(1): 83-86.

West China Medical Journal

Analysis of the psychological status and its influencing factors of hospital staff during the outbreak of coronavirus disease 2019

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