突發(fā)公共衛(wèi)生事件中某部一線醫(yī)務人員焦慮和抑郁狀態(tài)的調查分析

摘要： 目的探討突發(fā)性公共衛(wèi)生事件對一線醫(yī)務人員心理健康狀況的影響。方法采用Zung的焦慮自評量表(SAS)和抑郁自評量表(SDS),對SARS和禽流感流行期間某部隊醫(yī)院一線醫(yī)務人員,進行心理衛(wèi)生狀況評定,并將結果與全國常模進行對照分析(t-test),不同工作時間進行比較分析(ANOVA)。結果發(fā)現(xiàn)突發(fā)公共衛(wèi)生事件中一線醫(yī)務人員SAS在工作2周時高于全國常模(P<0.01),而SDS與全國常模比較無明顯差異。調查還發(fā)現(xiàn)醫(yī)務人員SAS在工作2周時高于4周(P<0.05),而SDS在工作2周和4周比較無明顯差異。人口學特征差異無統(tǒng)計學意義。結論在突發(fā)公共衛(wèi)生事件中,一線醫(yī)務人員易患心理問題,除應該關注這一群體個人防護、專業(yè)培訓外,尚需加強他們的心理衛(wèi)生教育,采取適當心理調試方法。
Objective To study the impact of unexpected public health incidents on mental state of medical workers.Methods Psychological measurements were conducted of medical workers who combatted in the front line against SARS and avian influenza and their results were compared with the national norm(Student's t-test) and at different time periods(ANOVA).Results The scores of self-rating anxiety scale(SAS) of the medical workers in the second week after epidemic outbreaks were higher than those of the national norm(P<0.01),but the scores of Self-rating depression scale after(SDS) were not significantly different from those of the national norm.The scores of SAS in the second week were higher than those in the fourth week after the outbreaks(P<0.05),but the scores of SDS were not significantly different from those in the fourth week after outbreaks.Conclusions The medical workers in the front line may have psychological problems during unexpected public health incidents.We should pay attention ont only to the individual protection and special training of the medical workers,but also to their psychological training and taking psychological intervention.