新型冠状病毒肺炎住院患者心理应激状况及影响因素分析
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女,本科,主任护师,护理部主任

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中央高校基本科研业务费专项资金资助:华中科技大学新型冠状病毒肺炎应急专项(2020kfyXGYJ083)


Psychological stress status and its influencing factors among inpatients with COVID-19
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    摘要:

    目的 调查新型冠状病毒肺炎(COVID-19)住院患者的心理应激状况,并分析其影响因素,为实施心理危机干预提供参考。 方法 以方便抽样方法选取COVID-19患者652例,采用症状自评量表中的躯体化、抑郁、焦虑、睡眠与饮食4个因子调查患者的心理应激反应,采用认知融合问卷、医学应对方式问卷调查其应对情况。 结果 患者躯体化、抑郁、焦虑、睡眠与饮食因子得分分别为1.70±0.53、1.58±0.57、1.53±0.60、1.81±0.60;存在躯体化症状172例(26.38%)、焦虑117例(17.94%)、抑郁124例(19.02%)、睡眠与饮食障碍236例(36.20%)。性别、婚姻状况、年龄、认知融合程度、疾病应对方式是患者躯体化、抑郁、焦虑、睡眠与饮食因子的影响因素(P<0.05,P<0.01)。 结论 COVID-19住院患者存在一定程度的心理应激。医护人员应对中老年、女性、离异或丧偶、认知融合程度高的COVID-19患者加强心理干预,帮助患者正确认知疾病,采取恰当的疾病应对方式,以促进其身心健康。

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    Objective To investigate the psychological stress status and its influencing factors among inpatients with Coronavirus Di-sease 2019 (COVID-19), and to provide reference for conducting psychological crisis intervention. Methods A total of 652 inpatients with COVID-19 were selected using convenient sampling, then their psychological stress symptoms were investigated using 4 factors (somatization, depression, anxiety, sleep and dietary conditions) of the Symptom Checklist 90 (SCL-90), and the Cognitive Fusion Questionnaire and the Medical Coping Modes Questionnaire were used to investigate their coping style. Results The score of somatization, depression, anxiety, sleep and dietary conditions factors was 1.70±0.53, 1.58±0.57, 1.53±0.60, and 1.81±0.60 respectively, and a total of 172(26.38%) patients experienced somatization symptom, 117(17.94%) suffered from anxiety, 124(19.02%) suffered from depression, and 236(36.20%) suffered from sleep and eating disorders. Gender, marital status, age, degree of cognitive fusion and coping modes of the disease were the influencing factors of somatization, depression, anxiety, and sleep and dietary conditions for the inpatients with COVID-19 (P<0.05,P<0.01 ). Conclusion The inpatients with COVID-19 experience psychological stress symptoms to some extent. Medical staff should strengthen psychological intervention for those COVID-19 patients who are middle-aged or elderly, female, divorced or widowed, and with a high degree of cognitive fusion, so as to help them hold a correct attitude towards the disease, adopt a proper disease coping style, then to improve their physical and mental health.

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汪晖,黄丽红,胡露红,王颖,徐蓉,蔡斯斯,廖菁,赵娅,杨伟梅,王成爽.新型冠状病毒肺炎住院患者心理应激状况及影响因素分析[J].护理学杂志,2020,35(15):75-79

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  • 收稿日期:2020-04-03
  • 最后修改日期:2020-05-10
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  • 在线发布日期: 2022-09-06