Mental distress among Liberian medical staff working at the China Ebola Treatment Unit: a cross sectional study.
Mental distress among Liberian medical staff working at the China Ebola Treatment Unit: a cross sectional study.
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DOI：
10.1186/s12955-015-0341-2
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发表时间：
2015-09-26
影响因子：
3.6
通讯作者：
Li C
中科院分区：
文献类型：
--
作者：
Li L;Wan C;Ding R;Liu Y;Chen J;Wu Z;Liang C;He Z;Li C
西非埃博拉病毒暴发不仅引发严重公共卫生危机，也给医务人员造成巨大精神困扰，进而给疫情控制和社会重建带来负面影响。我们选择了在中国埃博拉治疗中心（ETU）工作的当地医务人员来探讨潜在精神困扰的严重程度以及涉及的潜在原因。使用症状检查表 90 - 修订版 (SCL90-R) 调查问卷对 52 名利比里亚医务人员进行了一项描述性研究，以评估心理健康状况。全球指数，包括全球严重指数（GSI）、阳性症状总数（PST）和阳性症状困扰指数（PSDI），以及基于 90 个询问项目的 9 个子量表，在性别、工作职责和其他亚组之间进行了比较。使用Graphpad Prism和SPSS软件分析数据。参与者的精神困扰不是很严重；相对于其他类别的变化，只有 PSDI、偏执观念和人际敏感性在数值上有所增加。而男性医务人员和负责清洁和消毒的人员在心理维度上的得分显着增加，如强迫、焦虑、恐惧性焦虑、人际敏感性、偏执观念和阳性症状总数。本研究数据表明，埃博拉治疗单位特殊社会环境下医务人员的心理健康状况值得关注。
Ebola virus outbreak in West Africa not only triggered a grave public health crisis, but also exerted and induced huge mental distress on medical staff, which would negatively influence epidemic control and social rebuilt furthermore. We chose the local medical staff working at the China Ebola Treatment Unit (ETU) to explore the severity of potential mental distress and involved potential causes. A descriptive study using the Symptom Check List 90 - Revised (SCL90-R) questionnaire to assess psychological health status was conducted among 52 Liberian medical staff. Global indices, including Global Severity Index (GSI), Positive Symptom Total (PST) and Positive Symptom Distress Index (PSDI), and nine subscales based on 90 inquiry items were compared among gender, work duty and other subgroups. Data were analyzed using Graphpad Prism and SPSS software. Mental distress among participants was not very serious; only PSDI, paranoid ideation and interpersonal sensitivity numerically increased relative to changes in other categories. While male medics and those responsible for cleaning and disinfection showed significant increases in scores for psychological dimensions, such as obsessive-compulsive, anxiety, phobic anxiety, interpersonal sensitivity, paranoid ideation and positive symptom total. Data of this study implies that the psychological health status of medical staff within the special social environment of an Ebola treatment unit should warrant more attention.