新型冠状病毒肺炎疫情下雅安市普通民众心理健康状况Mental health status of the general population during the COVID-19 epidemic in Ya' an City
高茹;张炳智;彭述蓉;白静珍;胥刘秀;王冬;蒲道深;冉茂盛;
摘要(Abstract):
目的:了解新型冠状病毒肺炎流行期雅安普通民众居家隔离期间的心理健康状况。方法:采用在线问卷调查,选取雅安市年龄≥15岁的居民537例,于2020年2月10-15日,采用12条目一般健康问卷(≥3分为心理健康状况不良)、自评焦虑量表(≥50分有焦虑症状)、匹兹堡睡眠质量指数量表(≥8分有睡眠障碍)评估。结果:537例居民中心理健康状况不良者79例(14.7%),有焦虑症状者50例(9.3%),有睡眠障碍者69例(12.8%)。Logistics回归分析显示,年龄≥65岁组更易出现心理健康状况不良、焦虑症状(OR=4.21、9.87,P<0.05),知道新冠肺炎疫情爆发后不太担心组更不易出现心理健康状况不良、焦虑症状、睡眠障碍(OR=0.08、0.06、0.24,P<0.05),居住地为乡村、对新冠肺炎传染性知道一点或不清楚组更易出现睡眠障碍(OR=2.99、2.97,P<0.05)。结论:新冠肺炎疫情下老年可能是雅安普通民众心理健康状况不良、焦虑症状的危险因素,居住地为乡村、对新冠肺炎传染性缺乏了解是睡眠障碍的危险因素。
关键词(KeyWords): 新型冠状病毒肺炎;心理健康;普通民众
基金项目(Foundation):
作者(Author): 高茹;张炳智;彭述蓉;白静珍;胥刘秀;王冬;蒲道深;冉茂盛;
Email:
DOI:
参考文献(References):
- [1] Qiu J,Shen B,Zhao M,et al.A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic:implications and policy recommendations[J/OL].GenPsychiatry,2020,33:e100213.https://doi:10.1136/gpsych-2020-100213
- [2] Huang C,Wang Y,Wang Y,et al.Clinical features of patients infected with 2019 novel coronavirusin Wuhan,China[J].Lancet,2020,395:497-506.
- [3] Wang C,Pan R,Wan X,et al.Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in china [J/OL].Int J Environ Res Pubic Health,2020,17(5):1729.
- [4] Wang D,Hu B,Hu C,et al.Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus-infected pneumonia in Wuhan,China[J].JAMA,2020,323(11):1061-1069.
- [5] 李杨,吴俊林,黄明金,等.新型冠状病毒肺炎疫情心理危机干预重点及工作方式的转变[J].四川精神卫生,2020,33(1):1-4.
- [6] 四川省人民政府.2019年四川GDP突破4.6万亿元,蓄势更快站上5万亿新台阶[ER/OL].(2020-1-21)[2020-4-10].http:∥www.sc.gov.cn/10462/10705/10708/2020/1/21/83848ba1cdcc45c7841cb9ce39986f68.shtml
- [7] 雅安市人大.雅安市新型冠状病毒肺炎防控工作有关情况[ER/OL].(2020-2-11)[2020-4-1].http:∥www.yasrdw.gov.cn/news/zt2020_01/2020211/202117205513637.html
- [8] 葛茂宏,高伟博,董兰,等.潍坊市18岁及以上人群精神障碍流行病学调查[J].中国神经精神疾病杂志,2018,44(10):589-593.
- [9] 田银娣,怡恺,李静,等.焦虑和抑郁量表在肝硬化患者临床应用中的信效度评价[J].实用肝脏病杂志,2019,22(1):105-108.
- [10]潘玲.匹兹堡睡眠质量指数在军人中应用的信效度研究[J].中国疗养医学,2017,26 (12):1235-1237.
- [11]Liu S,Yang LL,Zhang C,et al.Novel coronavirus:online mental health services[J].Lancet Psychiatry,2017,7(4):17-18.
- [12]Liao Y,Knoesen NP,Deng Y,et al.Body dysmorphic disorder,social anxiety and depressive symptoms in Chinese medical students[J].Soc Psychiat Epidemiol,2010,45(10):963-971.
- [13]Yu W,Singh SS,Calhoun S,et al.Generalized anxiety disorder in urban China:prevalence,awareness,and disease burden[J].J Affect Disord,2018,234:89-96.
- [14]Cao XL,Wang SB,Zhong BL,et al.The prevalence of insomnia in the general population in China:a metaanalysis[J/OL].PLoS One,2017,12(2):e0170772.doi:10.1371/journal.pone.0170772
- [15]蒲城城,王华丽.新冠肺炎流行期老年人的常见心理反应及应对策略[J].中国心理卫生杂志,2020,7(3):257-258.
- [16]张文慧,李儿,郑丽平,等.杭州某新型冠状病毒肺炎定点医院护士的焦虑现状调查及对策[J].健康研究,2020,40(2):130-133.
- [17]Xiang YT,Yang Y,Li W,et al.Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed[J].Lancet Psychiatry,2020,7(3):228-229.
- [18]黄韩宇,陈超,司天梅.新冠肺炎疑似患者的心理自助[J].中国心理卫志杂志,2020,34(3):251-253.
- [19]张佳,宁留强,李秧,等.驻陕某部新型冠状病毒肺炎(COVID-19)疫情期间官兵的心理健康状况[J/OL].中国健康心理学,2020,(2020-6-4)[2020-7].https://kns.cnki.net/kcms/detail/11.5257.R.20200604.1349.030.html