Characteristics of depression and anxiety of non-first-line medical staff in epidemic situation of acute respiratory infectious diseases

doi:10.3877/cma.j.issn.1674-6902.2020.04.015

Abstract

Abstract:

Objective

To explore the characteristics of depression and anxiety phenomena of the non-front-line medical staff in epidemic situation of acute respiratory infections.

Methods

Online anonymous surveys were conducted with the Self-rating Depression Scale (SDS) and the Self-rating Anxiety Scale (SAS) through various ways including web page, WeChat, QQ and working groups to recruit volunteers. The data were managed and analyzed by Excel and SPSS 23.0.

Results

A total 646 medical staff were analyzed. The average scores of SDS and SAS were 51.18±15.05 and 46.54±12.55, respectively, the incidence of moderate/severe anxiety was 20.85% (67/307) of the medical staff in the departments related to the epidemic situation of acute respiratory infectious diseases, which was significantly higher than that of the medical staff from other departments (44.21±11.22 and 39.95±9.36 and 3.24%, respectively, P=0.000). There was no significant difference in the average scores of SDS and SAS among the medical staff with different ages, occupations (doctors or nurses) or education levels (P>0.05).

Conclusion

The negative psychological scores of the medical staff in high-risk departments are significantly higher than those of the general departments, but there is no significant difference among the different characteristic medical staff. It is necessary to carry out systematical healthy and psychological education for the medical staff from high-risk departments and conduct interventions for the crowds with negative psychology.

Key words: Acute respiratory infectious diseases, Depression, Anxiety, Healthcare workers

Yu Song, Juan Du, Jinli Zhang, Chen Chen, Zhiwei Li, Dan Qian. Characteristics of depression and anxiety of non-first-line medical staff in epidemic situation of acute respiratory infectious diseases[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2020, 13(04): 501-506.

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https://zhfbjbzz.cma-cmc.com.cn/EN/Y2020/V13/I04/501

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References 33

1	Rothan Hussin A, Byrareddy Siddappa N. The epidemiology and pathogenesis of coronavirus disease (COVID-19) outbreak.[J]. J Autoimm, 2020, 109: 102433-102438.
2	Memish Ziad A, Perlman Stanley, Van Kerkhove Maria D, et al. Middle East respiratory syndrome[J]. Lancet, 2020, 395(10229): 1063-1077.
3	Weston S, Frieman MB. COVID-19: Knowns, unknowns, and questions[J]. mSphere, 2020, 5(2): e00203-002020.
4	Nader Salari, Amin Hosseinian-Far, Rostam Jalali, et al. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis[J]. Globalizat Health, 2020, 16(1): 1-11.
5	Shigemura J, Ursano RJ, Morganstein JC, et al. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: Mental health consequences and target populations[J]. Psychiatry Clin Neurosci, 2020, 74(4): 281-282.
6	Wu P, Fang Y, Guan Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk[J]. Can J Psychiatry, 2009, 54(5): 302-311.
7	Shultz JM, Baingana F, Neria Y. The 2014 Ebola outbreak and mental health: current status and recommended response[J]. JAMA, 2015, 313(6): 567-568.
8	Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak[J]. Lancet Psychiatry, 2020, 20: 30077-30078.
9	程　辉，周　琼，刘小莉，等. 新型冠状病毒肺炎疫情期间医护人员应激状况及对策[J]. 中国医院管理，2020, (3): 81-83.
10	申　微，秦月兰，陶美伊，等. 湖南省新型冠状病毒肺炎疫情防控一线医护人员心理健康水平调查[J]. 全科护理，2020, 18(8): 957-962.
11	Fiona Cocker, Nerida Joss. Compassion Fatigue among Healthcare, Emergency and Community Service Workers: A Systematic Review.[J]. International Journal of Environmental Research & Public Health, 2016, 13(6): 618-623.
12	陈　洁，张　东，王宇锋，等. 某三甲医院外科临床医生焦虑、抑郁现状研究[J]. 临床医学研究与实践，2016, (15): 103-105.
13	Steinmair D, Richter F, Löffler-Stastka AH. Relationship between Mentalizing and Working Conditions in Health Care[J]. Int J Environ Res Public Health, 2020, 17(7): 2420.
14	Wang C, Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern[J]. Lancet, 2020, 395(10223): 470-473.
15	Kang Lijun, Ma Simeng, Chen Min, et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study[J]. Brain Behav Immun, 2020, 87: 11-17.
16	Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak[J]. Lancet Psychiatry, 2020, 7(4): e17-e18.
17	Kang L, Li Y, Hu S, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus[J]. Lancet Psychiatry, 2020, 7(3): e14.
18	Caruana Edward J, Patel Akshay, Kendall Simon, et al. Impact of Covid-19 on training and wellbeing in subspecialty surgery: a national survey of cardiothoracic trainees in the United Kingdom[J]. J Thorac Cardiovasc Surg, 2020, S0022-5223(20): 31275-31277.
19	朱红强，周　茜，杨玉东，等. 医生工作压力源、应对方式与焦虑的关系[J]. 中国伤残医学，2014, 22(6): 47-48.
20	林海燕，蒋海仙，潘疆疆，等. 医护人员心理压力的现状调查分析及干预措施[J]. 浙江临床医学，2019, 21(6): 875-876.
21	陆斯琦. 临床医生焦虑、抑郁与其防御方式的关系[J]. 中国健康心理学杂志，2018, (2): 244-247.
22	Koh Y, Hegney DG, Drury V. Comprehensive systematic review of healthcare workers′perceptions of risk and use of coping strategies towards emerging respiratory infectious diseases[J]. Int J Evid Healthc, 2011, 9(4): 403-419.
23	Bohlken J, Schömig F, Lemke MR, et al. COVID-19 pandemic: stress experience of healthcare workers-a short current review[J]. Psychiatr Prax, 2020, 47(4): 190-197.
24	Nichell LA, Crighton EJ, Tracy CS, et al. Psychosocial effects of SARS on hospital staff：survey of a large tertiary care institution[J]. CMAJ, 2004, 170(5): 793-798.
25	谢幸尔，钱湘云，韩建平，等. 甲型H1N1流感病房医护人员负性心理调查分析[J]. 护理研究，2012, (11): 985-987.
26	李淑贞. 甲型H1N1流感患者住院期间对我院医护人员心理状况调查分析[J]. 中国当代医药，2011, (27): 145-146.
27	Robert Maunder, Jonathan Hunter, Leslie Vincentet, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital.[J]. Canadian Medical Association Journal, 2003, 168(10): 1245-1251.
28	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[J]. 中国护理管理，2019, 19(1): 83-86.
29	国家卫生健康委疾病预防控制局. 关于印发新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则的通知[EB/OL]．(2020-01-26)[2020-02-24]. URL
30	Zhou Chenyu, Shi Lei, Gao Lei, et al. Determinate factors of mental health status in Chinese medical staff: A cross-sectional study[J]. Medicine, 2018, 97(10): 1-9.
31	吴喜强，邱大宏，叶百维，等. 临床医生人格特征、焦虑抑郁情绪及应对方式关系[J]. 四川精神卫生，2015, 28(3): 260-262.
32	肖　聪，王　蕾，刘建蓉，等. 新型冠状病毒肺炎疫情下非一线医护人员的焦虑抑郁情绪[J]. 四川精神卫生，2020, 33(1): 15-18.
33	周小东. 抗击新型冠状病毒肺炎疫情心理防线要点[J]. 解放军医药杂志，2020, 32(2): 1-2.

临床资料	变　量	合　计	高危科室(n＝307)		其他科室(n＝339)		χ²值	P值
临床资料	变　量	合　计	n	构成比(%)	n	构成比(%)	χ²值	P值
性别	女	461	214	69.71	247	72.86	0.784	0.376
	男	185	93	30.29	92	27.14
年龄(岁)	～30岁	258	124	40.39	134	39.53	2.202	0.532
	30～40	216	100	32.57	116	34.22
	40～50	111	58	18.89	53	15.63
	50～	61	25	8.14	36	10.62
学历	高中或中专	21	3	0.98	18	5.31	9.701	0.008
	大专或本科	509	249	81.11	260	76.70
	硕士及以上	116	55	17.92	61	17.99
婚姻	未婚或离异	171	83	27.04	88	25.96	0.096	0.757
	在婚	475	224	72.96	251	74.04
职业	医生	344	162	52.77	182	53.69	0.055	0.815
	护士	302	145	47.23	157	46.31

临床资料	变　量	合　计	高危科室(n＝307)		其他科室(n＝339)		χ²值	P值
临床资料	变　量	合　计	n	构成比(%)	n	构成比(%)	χ²值	P值
性别	女	461	214	69.71	247	72.86	0.784	0.376
	男	185	93	30.29	92	27.14
年龄(岁)	～30岁	258	124	40.39	134	39.53	2.202	0.532
	30～40	216	100	32.57	116	34.22
	40～50	111	58	18.89	53	15.63
	50～	61	25	8.14	36	10.62
学历	高中或中专	21	3	0.98	18	5.31	9.701	0.008
	大专或本科	509	249	81.11	260	76.70
	硕士及以上	116	55	17.92	61	17.99
婚姻	未婚或离异	171	83	27.04	88	25.96	0.096	0.757
	在婚	475	224	72.96	251	74.04
职业	医生	344	162	52.77	182	53.69	0.055	0.815
	护士	302	145	47.23	157	46.31

科　室	例数	SDS				SAS
科　室	例数	平均得分	正常	轻度	中度及以上	平均得分	正常	轻度	中度及以上
高危科室	307	51.18±15.05	161(52.44)	47(15.31)	99(26.06)	46.54±12.55	180(58.63)	60(19.54)	67(20.85)
其他科室	339	44.21±11.22	263(77.58)	53(15.63)	23(5.60)	39.95±9.36	291(85.84)	36(10.62)	12(3.24)
t/χ²值		6.614		70.831		7.503		69.035
P值		0.000		0.000		0.000		0.000

科　室	例数	SDS				SAS
科　室	例数	平均得分	正常	轻度	中度及以上	平均得分	正常	轻度	中度及以上
高危科室	307	51.18±15.05	161(52.44)	47(15.31)	99(26.06)	46.54±12.55	180(58.63)	60(19.54)	67(20.85)
其他科室	339	44.21±11.22	263(77.58)	53(15.63)	23(5.60)	39.95±9.36	291(85.84)	36(10.62)	12(3.24)
t/χ²值		6.614		70.831		7.503		69.035
P值		0.000		0.000		0.000		0.000

临床资料	变　量	SDS						SAS
		高危科室(n＝307)			其他科室(n＝339)			高危科室(n＝307)			其他科室(n＝339)
		n	Mean±SD	P值	n	Mean±SD	P值	n	Mean±SD	P值	n	Mean±SD	P值
性别	女	214	50.43±14.53	0.186	247	44.98±10.78	0.038	214	45.56±12.13	0.038	247	39.89±8.82	0.859
	男	93	52.9±16.13		92	42.14±12.14		93	48.8±13.27		92	40.1±10.71
年龄(岁)	～30	124	51.85±15.19	0.784	134	46.16±12.4	0.055	124	46.15±12.43	0.920	134	41.27±9.67	0.179
	30～40	100	50.59±14.53		116	43.02±9.3		100	46.7±12.12		116	38.79±8.4
	40～50	58	50.02±15.35		53	43.74±12.49		58	46.47±13.24		53	39.87±10.94
	50～	25	52.92±16.33		36	41.5±9.41		25	48.04±13.87		36	38.89±8.25
学历	高中或中专	3	53.67±17.79	0.910	18	47.17±9.51	0.490	3	49.33±20.01	0.917	18	42.22±9.22	0.488
	大专或本科	249	51.15±15.1		260	44.15±11.51		249	46.57±12.53		260	39.97±9.36
	硕士及以上	55	51.18±14.97		61	43.61±10.42		55	46.27±12.51		61	39.21±9.45
婚姻状况	独身	83	53.48±15.18	0.103	88	45.27±11.59	0.304	83	46.94±12.71	0.735	88	40.32±9.49	0.668
	在婚	224	50.33±14.95		251	43.84±11.09		224	46.39±12.52		251	39.82±9.32
职业	医生	162	52.09±14.96	0.265	182	42.53±11.06	0.003	162	47.36±12.54	0.225	182	39.23±9.57	0.125
	护士	145	50.17±15.14		157	46.17±11.12		145	45.62±12.55		157	40.79±9.06

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