中国全科医学2024，Vol.27Issue(7)：834-842,9.DOI:10.12114/j.issn.1007-9572.2022.0673
新型冠状病毒感染疫情常态化防控背景下社区医务人员心理健康状况及影响因素分析
Status and Influencing Factors of Mental Health of Community Medical Personnel during the Normalized Prevention and Control of COVID-19
摘要
Abstract
Background Since the outbreak of COVID-19 infection,community medical personnel on the front lines of prevention and control of COVID-19 face the risk of direct contact with the virus,as well as problems such as high-intensity work,long working hours and high psychological pressure.Therefore,it is of great significance to explore the mental health status of community medical personnel and its internal relationship for the tailored implementation of mental health interventions.Objective To understand the mental health status of community medical personnel during the normalized prevention and control of COVID-19 and explore its influencing factors.Methods A total of 296 cases of community medical personnel in Zhongshan City were selected as the study subjects on December 2021 using a multi-stage random sampling method.The general information questionnaire,self-designed questionnaire of working pressure on COVID-19 prevention and control among community medical personnel,Generalized Anxiety Disorder 7(GAD-7)and Patient Health Questionnaire 9(PHQ-9)were administered for online investigation,and multivariate Logistic regression analysis was performed to explore the influencing factors of the perceived stress level on COVID-19 prevention and control,the presence of anxiety and depression of community medical personnel.Results Among the community medical personnel in Zhongshan City,the detection rate of high perceived working pressure on COVID-19 prevention and control was 10.1%(30/296).The prevalence of anxiety and depression at moderate level was 7.1%(21/296)and 9.5%(28/296),respectively.Gender,the existence of depression and the level of perceived working pressure on COVID-19 prevention and control were influencing factors of the presence of anxiety among community medical personnel(P<0.05).Performing daily diagnosis and treatment during the epidemic,engaging in three-member team for door-to-door screening,the presence of anxiety and level of perceived working pressure on COVID-19 prevention and control were factors associated with the presence of depression among community medical personnel(P<0.05).The presence of anxiety and depression were factors associated with the level of perceived working pressure on COVID-19 prevention and control among community medical personnel(P<0.05).Conclusion The perceived working pressure on COVID-19 prevention and control and negative emotions of anxiety and depression are related and interacted with each other,and the relative shortage of epidemic prevention and control tasks and human resources,as well as the imbalance between labor effort and labor income,have exacerbated the synergistic effect of negative emotions among community medical personnel.And health administration department should be dedicated to build up long-term investment and development mechanism for community health service institutions in the new situation and strengthen health administration department according to the development characteristics and problems exposed at community health service institutions during the normalized prevention and control of COVID-19.关键词
新型冠状病毒感染/社区卫生工作者/社区医务人员/心理健康/影响因素分析Key words
COVID-19/Community health workers/Community medical personnel/Mental health/Root cause analysis分类
医药卫生引用本文复制引用
杨华杰,王皓翔,陈运聪,梁旭东,王家骥,黄翔..新型冠状病毒感染疫情常态化防控背景下社区医务人员心理健康状况及影响因素分析[J].中国全科医学,2024,27(7):834-842,9.基金项目
国家自然科学基金组织间国际合作研究项目(72061137002) （72061137002）
广东省哲学社会科学规划项目(GD19CGL12) （GD19CGL12）
中山市医学科研项目(2021J447) （2021J447）
中山市社科规划课题(自筹 202307) （自筹 202307）
