Psychiatric Findings in Suspected and Confirmed Middle East Respiratory Syndrome Patients Quarantined in Hospital: A Retrospective Chart Analysis
Psychiatric Findings in Suspected and Confirmed Middle East Respiratory Syndrome Patients Quarantined in Hospital: A Retrospective Chart Analysis
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DOI：
10.30773/pi.2017.10.25.1
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发表时间：
2018-04-01
影响因子：
2.7
通讯作者：
Shin, Hyoung-Shik
中科院分区：
文献类型：
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作者：
Kim, Hyun-Chung;Yoo, So-Young;Shin, Hyoung-Shik
目的了解2015年中东呼吸综合征（MERS）疑似或确诊患者的精神并发症及抑郁症的危险因素，为MERS诊断和治疗提供依据。方法回顾性分析2015年国家医学委员会（NMC）MERS急性期住院患者的病历资料。在24名MERS幸存者中，17人（70.8%）表现出精神症状，10人（41.7%）在住院期间接受了精神病诊断和药物治疗。疑似MERS患者没有表现出精神病症状或接受精神病诊断。27名疑似或确诊的MERS患者（年龄41.15 ± 18.64，男性37.0%）完成了心理评估。多元线性回归分析显示，韩国国民健康与营养检查调查简表和事件影响量表修订版评分与患者健康问卷9 scores.Conclusion得分呈显著正相关，我们的研究结果表明，急性治疗MERS冠状病毒感染的隔离对患者的心理健康有显着影响。此外，对抑郁症风险因素的评估可以确定在医院隔离期间需要精神护理和关注的脆弱患者。
Objective Little is known about the psychiatric complications or risk factors for depression in suspected or confirmed Middle East Respiratory Syndrome (MERS) patients quarantined in hospital.Methods A retrospective chart review was performed of all the patients admitted to the acute MERS inpatient unit at the NMC during the 2015 outbreak.Results 30 (75%) were confirmed to be MERS-CoV positive among 40 admitted cases. Among the 24 MERS survivors, 17 (70.8%) exhibited psychiatric symptoms and 10 (41.7%) received a psychiatric diagnosis and medication during their hospital stay. Suspected MERS patients did not exhibit psychiatric symptoms or receive a psychiatric diagnosis. 27 suspected or confirmed MERS patients (age 41.15 +/- 18.64, male 37.0%) completed psychological assessments. A multiple linear regression analysis revealed that the Korean National Health and Nutrition Examination Survey-Short form and the Impact of Event Scale-Revised scores were significantly positively correlated with Patient Health Questionnaire-9 scores.Conclusion Our findings indicate that the acute treatment of MERS-CoV infections in quarantine had a significant impact on the patients' mental health. Furthermore, assessment of the risk factors for depression may identify vulnerable patients who require psychiatric care and attention during hospital quarantine.