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
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
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DOI：
10.1016/j.bbi.2020.03.028
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发表时间：
2020-07-01
影响因子：
15.1
通讯作者：
Liu, Zhongchun
中科院分区：
文献类型：
--
作者：
Kang, Lijun;Ma, Simeng;Liu, Zhongchun
2019年武汉首次报告的新型冠状病毒病（COVID-19）严重爆发，预计将影响当地医护人员的心理健康，从而导致他们寻求帮助。然而，这些结果还有待利用流行病学数据加以确定。为探讨医护人员的心理健康状况，以及将心理需求与接受心理护理紧密联系起来的有效性或缺乏性，我们进行了定量研究。这是第一篇关于武汉市医护人员心理健康状况的论文。值得注意的是，在武汉工作的994名医护人员中，36.9%的人存在阈下心理健康障碍（平均PHQ-9：2.4），34.4%有轻度障碍（平均PHQ-9：5.4），22.4%有中度障碍（平均PHQ-9：9.0），和6.2%有严重的障碍（平均PHQ-9：15.1），在病毒流行后立即。青年妇女的负担尤其沉重。在所有参与者中，36.3%的人访问过心理材料（如心理健康书籍），50.4%的人通过媒体访问过心理资源（如关于心理健康自助应对方法的在线推送信息），17.5%的人参加过咨询或心理治疗。确定了心理困扰程度的趋势以及接触感染者和心理援助等因素。虽然工作人员获得有限的精神保健服务，困扰的工作人员仍然认为这些服务是重要的资源，以减轻急性心理健康障碍，改善他们的身体健康的看法。这些发现强调了在危机蔓延时通过心理健康干预措施支持一线工作人员的重要性。
The severe 2019 outbreak of novel coronavirus disease (COVID-19), which was first reported in Wuhan, would be expected to impact the mental health of local medical and nursing staff and thus lead them to seek help. However, those outcomes have yet to be established using epidemiological data. To explore the mental health status of medical and nursing staff and the efficacy, or lack thereof, of critically connecting psychological needs to receiving psychological care, we conducted a quantitative study. This is the first paper on the mental health of medical and nursing staff in Wuhan. Notably, among 994 medical and nursing staff working in Wuhan, 36.9% had subthreshold mental health disturbances (mean PHQ-9: 2.4), 34.4% had mild disturbances (mean PHQ-9: 5.4), 22.4% had moderate disturbances (mean PHQ-9: 9.0), and 6.2% had severe disturbance (mean PHQ-9: 15.1) in the immediate wake of the viral epidemic. The noted burden fell particularly heavily on young women. Of all participants, 36.3% had accessed psychological materials (such as books on mental health), 50.4% had accessed psychological resources available through media (such as online push messages on mental health selfhelp coping methods), and 17.5% had participated in counseling or psychotherapy. Trends in levels of psychological distress and factors such as exposure to infected people and psychological assistance were identified. Although staff accessed limited mental healthcare services, distressed staff nonetheless saw these services as important resources to alleviate acute mental health disturbances and improve their physical health perceptions. These findings emphasize the importance of being prepared to support frontline workers through mental health interventions at times of widespread crisis.