闭环管理下陕西省713名核酸采集人员心理状况及影响因素分析

职业与健康 ›› 2023, Vol. 39 ›› Issue (18): 2499-2505.

闭环管理下陕西省713名核酸采集人员心理状况及影响因素分析

孙明珠¹, 段筱妍^2a, 康玉娟^2b, 邹修梅¹, 李子璇¹, 黄茜¹

1.陕西省中医药大学护理学院,陕西咸阳 712046;
2.陕西中医药大学附属医院 a名医馆,b 护理部,陕西咸阳 712099

收稿日期:2022-12-19 修回日期:2023-02-06 出版日期:2023-09-15 发布日期:2026-03-25
通信作者: 段筱妍,主任护师,E-mail：duanxiaoyan0622@163.com
作者简介:孙明珠,女,在读硕士研究生,研究方向为中医护理技能训练与研究。
基金资助:
陕西中医药大学附属医院2020年度院级科研项目（2020LCJ004）

Analysis on psychological status and influencing factors of 713 nucleic acid collection medical workers in Shaanxi Province under closed-loop management

SUN Mingzhu¹, DUAN Xiaoyan^2a, KANG Yujuan^2b, ZOU Xiumei¹, LI Zixuan¹, HUANG Xi¹

1. School of Nursing,Shaanxi University of Chinese Medicine,Xianyang Shaanxi 712046,China;
2. a Famous Medical Department,b Nursing Department,Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang Shaanxi 712099,China

Received:2022-12-19 Revised:2023-02-06 Online:2023-09-15 Published:2026-03-25
Contact: DUAN Xiaoyan,Chief nurse,E-mail：duanxiaoyan0622@163.com

摘要/Abstract

摘要： 目的了解重大公共卫生事件期间闭环管理下核酸采集医务人员抑郁、焦虑情绪和睡眠障碍发生现况,并分析相关因素的影响。方法 2022年3—5月,便利抽样法抽取陕西省7所三级甲等医院713名闭环管理下核酸采集医务人员,采用自编问卷、患者健康问卷抑郁量表、广泛性焦虑障碍量表和匹兹堡睡眠质量指数量表进行调查,并对数据进行分析。结果 713名闭环管理下核酸采集医务人员抑郁、焦虑情绪和睡眠障碍阳性率分别为41.9%、34.8%和45.9%。人员年龄、采集频率、采集时间和对发生感染的担心程度与抑郁量表评分均呈正相关（r=0.119、0.187、0.227、0.171,均P<0.05）;人员年龄、采集频率、采集时间和对发生感染的担心程度与焦虑量表评分均呈正相关（r=0.137、0.198、0.210、0.177,均P<0.05）,发生感染的担心程度与睡眠量表评分呈正相关（r=0.195,P<0.05）;教育程度与抑郁、焦虑和睡眠障碍量表呈负相关（r=-0.238、-0.244、-0.074,均P<0.05）。二元logistic回归分析显示,医务人员教育程度、年龄、采集时间、采集地点、对感染的担心程度和外在环境是抑郁、焦虑情绪和睡眠障碍的影响因素。结论核酸采集医务人员抑郁、焦虑情绪和睡眠障碍等情况处于轻度水平。在开展核酸采集工作时管理者应当优化采集地点,控制每场采集时间,及时替换采集人员,密切关注采集人员的心理状态。

关键词: 闭环管理, 横断面调查, 核酸采集, 心理状况, 影响因素

Abstract: Objective To investigate the status of depression,anxiety and sleep disorder among nucleic acid collection medical staff under closed-loop management during the major public health emergencies,analyze the impact of relevant factors. Methods By the convenient sampling method,713 nucleic acid collection medical workers under closed-loop management were collected from seven grade-A tertiary hospitals in Shaanxi Province from March 2022 to May 2022. They were investigated by the self-made questionnaire,patients health questionnaire depression scale（PHQ-9）,generalized anxiety disorder scale（GAD-7） and Pittsburgh sleep quality index（PSQI）,and the data were analyzed. Results The positive rate of depression,anxiety and sleep disorder of 713 nucleic acid collection medical workers under closed-loop management was 41.9%,34.8% and 45.9%,respectively.The scores of depression scale were positively correlated with the age of medical staff,collection frequency,collection time and the fear of infection（r=0.119,0.187,0.227,0.171,all P<0.05）. The scores of anxiety scale were positively correlated with the age of medical staff,collection frequency,collection time and the fear of infection（r=0.137,0.198,0.210,0.177,all P<0.05）. The score of sleep scale was positively correlated with the fear of infection（r=0.195,P<0.05）. The education level was negatively correlated with the scores of depression,anxiety and sleep disorder scales（r=-0.238,-0.244,-0.074,all P<0.05）. The binary logistic regression analysis showed that the educational level of medical staff,age,collection time,collection location,the fear of infection and external environment were the influencing factors of depression,anxiety and sleep disorders. Conclusions The depression,anxiety and sleep disorders of nucleic acid collection medical workers are in mild level. When carrying out nucleic acid collection,the managers should optimize the collection location,control the time of each collection,replace the collection personnel in a timely manner,and pay close attention to the psychological state of the collection staff.

Key words: Closed-loop management, Cross sectional survey, Nucleic acid collection, Psychological status, Influencing factors

中图分类号:

R395.6

孙明珠, 段筱妍, 康玉娟, 邹修梅, 李子璇, 黄茜. 闭环管理下陕西省713名核酸采集人员心理状况及影响因素分析. [J]职业与健康, 2023, 39(18): 2499-2505.

SUN Mingzhu, DUAN Xiaoyan, KANG Yujuan, ZOU Xiumei, LI Zixuan, HUANG Xi. Analysis on psychological status and influencing factors of 713 nucleic acid collection medical workers in Shaanxi Province under closed-loop management. [J]OCCUPATION AND HEALTH, 2023, 39(18): 2499-2505.

参考文献

[1] 杨小玺. 公共危机话语中的翻译生态—以《抗击新冠肺炎疫情的中国行动》白皮书英译为例[J].山西大同大学学报(社会科学版),2021, 35(6):81-84.
[2] 国家卫生健康委办公厅.关于印发新型冠状病毒肺炎诊疗方案(试行第九版)[EB/OL].(2022-03-14)[2022-05-22].http://www.gov.cn/zhengce/zhengceku/2022-03/15/content_5679257.htm.
[3] 黄咏磊,周洁,周仁龙,等.在新型冠状病毒肺炎疫情医院闭环管理中的麻醉科架构重塑和运作分析[J].上海医学,2021,44(9):687-691.
[4] 倪平,陈京立,刘娜.护理研究中量性研究的样本量估计[J].中华护理杂志,2010,45(4):378-380.
[5] KOCALEVENT R D,HINZ A,BRÄHLER E.Standardization of the depression screener patient health questionnaire(PHQ-9)in the general population[J].Gen Hospital Psychiat,2013,35(5):551-555.
[6] 周春兰,刘颖,罗祥蓉.病人健康问卷抑郁自评量表在住院糖尿病足溃疡患者中应用的信效度研究[J].中国全科医学,2016,19(28):3461-3466.
[7] PLUMMER F,MANEA L,TREPEL D,et al.Screening for anxiety disorders with the GAD-7 and GAD-2:a systematic review and diagnostic metaanalysis[J].Gen Hosp Psychiatry,2016,39:24-31.
[8] 王瑜,陈然,张岚.广泛性焦虑量表-7在中国综合医院住院患者中的信效度研究[J].临床精神医学杂志,2018,28(3):168-171.
[9] 刘贤臣,唐茂芹,胡蕾,等.匹兹堡睡眠质量指数量表的信度和效度研究[J].中华精神科杂志,1996,29(2):103-107.
[10] 刘志喜,石倩萍,杨洪霞,等.匹兹堡睡眠质量指数量表在护理人群中的信效度评价[J].汕头大学医学院学报,2020,33(3):173-176.
[11] 潘宁,王艳娜,张晋昕,等.新冠肺炎疫情期间医务人员抑郁焦虑情绪和睡眠现况及其影响因素[J].环境与职业医学,2021,38(6):624-630.
[12] HUANG C L,WENG S F,WANG J J,et al.Risks of Treated Insomnia,Anxiety,and Depression in Health Care-Seeking Physicians:A Nationwide Population-Based Study[J].Medicine,2015,94(35):e1323.
[13] QIU D,YU Y,LI R Q,et al.Prevalence of sleep disturbances in Chinese healthcare professionals:a systematic review and metaanalysis[J].Sleep Med,2020,67:258-266.
[14] 徐静,李博志,祁婧,等.新型冠状病毒肺炎时期湖北一线医务人员睡眠质量及影响因素分析[J].中华保健医学杂志,2021,23(2):117-119.
[15] ChANG Q,XIA Y,BAI S,et al.Association Between Pittsburgh Sleep Quality Index and Depressive Symptoms in Chinese Resident Physicians[J].Front Psychiatry.2021,2(12):564-815.
[16] 姚海霞,赵卿,俞娇,等.新型冠状肺炎流行期儿科医护人员身心感受调查[J].新疆医学,2020,50(6):593-596,600.
[17] 董平,倪照军,赵康卿,等.新型冠状病毒肺炎疫情期间民众抑郁状况调查[J].中国心理卫生杂志,2020,34(8):710-714.
[18] DI NOVI C,LEPORATTI L,MONTEFIORI M.The role of education in psychological response to adverse health shocks[J].Health Policy.2021,125(5):643-650.
[19] MATSUISHI K,KAWAZOE A,IMAI H,et al.Psychological impact of the pandemic(H1N1) 2009 on general hospital workers in Kobe[J].Psychiatry Clin Neurosci,2012,66(4):353-360.
[20] 董树婉,张红,卡丽毕努尔·力提甫.新疆某三甲医院新型冠状病毒性肺炎核酸采集医护人员心理健康状况调查[J].新疆医学,2022, 52(2):191-195.
[21] 王琰,陈浩.人以天地之气生:气象对人类心理与行为的影响[J].心理科学进展,2017,25(6):1077-1092.
[22] TURNER A I,SMYTHN,HALL S J,et al.Psychological stress reactivity and future health and disease outcomes:A systematic review of prospective evidence[J].Psychoneuroendocrino,2020,114:104599.
[23] ALLSOPP K,BREWIN C R,BARRETT A,et al.Responding to mental health needs after terror attacks[J].BMJ,2019,366:14828.