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

Video：

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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.	闻吾森, 王义强, 赵国秋, 等. 社会支持、心理控制感和心理健康的关系研究. 中国心理卫生杂志, 2000, 14(4): 258.
21.	许嵩涛. 社会支持、人格在生活事件心理健康关系中的作用. 中国临床心理学杂志, 1997, 5(2): 91.
22.	陆斯琦. 不同年龄临床医生防御方式与应对方式的相关性研究. 现代预防医学, 2017, 44(6): 176-178.
23.	吕扬, 贾燕瑞, 高凤莉. 参与救治新发急性呼吸道传染病医护人员心理健康影响因素及应对策略. 中国护理管理, 2019, 19(1): 83-86.

1. 国家卫健委. 关于印发新型冠状病毒肺炎诊疗方案(试行第五版修正版)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, 张悦. 首批抗击新型冠状病毒感染肺炎的临床一线支援护士的心理状况调査. 护理研究, 2020, 34(3): 368-370.
3. 徐松, 吴娟娟, 许辰, 等. 武汉地区新型冠状病毒肺炎定点医院一线医护人员心理健康调查及分析. 第三军医大学学报, 2020, 42(18): 1830-1835.
4. 张春宇, 邹香妮, 刘亚, 等. 新冠肺炎疫情不同时期护理人员的心理状况调查及影响因素分析. 宁夏医科大学学报, 2020, 42(9): 901-905.
5. 马瑞欣, 徐文迪, 吴泽华, 等. 新型冠状病毒肺炎疫情期间某三甲医院住院医师心理健康影响因素研究. 中华医学教育杂志, 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. 吴世超. 中国 136 家三级公立医院医护人员心理健康自评现状及影响因素研究. 北京: 中国医学科学院北京协和医学院, 2019.
15. 国家卫生健康委员会. 截至 2 月 18 日 24 时新型冠状病毒肺炎疫情最新情况. (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. 新型冠状病毒肺炎疫情防控期间儿科护士心理弹性水平与社会支持的相关性研究. 全科护理, 2020, 18(9): 1069-1073.
19. 汪萍. SARS治疗一线医护人员心理健康状况调查及危机干预模式构建的研究. 西安: 第四军医大学, 2005.
20. 闻吾森, 王义强, 赵国秋, 等. 社会支持、心理控制感和心理健康的关系研究. 中国心理卫生杂志, 2000, 14(4): 258.
21. 许嵩涛. 社会支持、人格在生活事件心理健康关系中的作用. 中国临床心理学杂志, 1997, 5(2): 91.
22. 陆斯琦. 不同年龄临床医生防御方式与应对方式的相关性研究. 现代预防医学, 2017, 44(6): 176-178.
23. 吕扬, 贾燕瑞, 高凤莉. 参与救治新发急性呼吸道传染病医护人员心理健康影响因素及应对策略. 中国护理管理, 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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