摘要
目的了解新型冠状病毒疫情期间社区卫生服务机构工作人员的心理状况、心理服务需求及其效果。方法于2020年2月28日至3月2日,通过电子调查问卷方式收集北京市、浙江省、河北省、上海市社区卫生服务机构工作人员调查问卷554份。通过焦虑症状评估量表GAD-7和躯体症状评估被调查者的心理健康状况,了解社区卫生服务机构工作人员在疫情期间的心理服务需求、得到心理干预情况及其效果。结果调查显示,19.7%(109/554)的社区卫生服务机构工作人员需要心理支持,工作人员得到较多的心理支持来自同事间的鼓励(59.6%,330/554)和心理健康知识推送(41.2%,228/554),接受到团体心理干预和一对一心理咨询者较少,分别占5.8%(32/554)和5.6%(31/554)。有焦虑症状和躯体症状的工作人员与无症状的人员相比,有心理支持的需求比例较高(χ^2=53.41、71.47),且认为现有心理干预没有帮助的比例较高(χ^2=26.89、17.79),差异均有统计学意义(P<0.05)。结论疫情期间需加强社区卫生服务机构工作人员心理健康评估,根据需求给予有效的心理干预。
Objective To investigate the mental health status and psychological intervention needs in community health service staff during the outbreak of COVID-19.Methods From February 28 to March 2,2020,a total of 554 questionnaires on the mental health status and psychological intervention needs were collected from community health service staff in Beijing,Zhejiang,Hebei and Shanghai.The mental health was assessed by physical symptoms and GAD-7.The status and effectiveness of psychological intervention was analyzed.Results The survey found that 19.7%(109/554)of community health service staff needed psychological support.Most psychological supports were received from colleagues′encouragement(59.6%,330/554)and internet mental health knowledge(41.2%,228/554);in contrast,less from group intervention(5.8%,32/554)and one-on-one counseling(5.6%,31/554).Higher proportion of staff with anxiety symptoms and physical symptoms needed psychological support than that without symptoms(χ^2=53.41,71.47),and a higher proportion of responders thought that the existing psychological intervention was not helpful(χ^2=26.89,17.79),the difference is statistically significant(P<0.05).Conclusion It is necessary to strengthen the mental health assessment of community health service staff and give effective psychological intervention according to their needs during the outbreak of COVID-19.
作者
边立立
孙艳格
钟勤
刘美超
杜雪平
孙玥
Bian Lili;Sun Yange;Zhong Qin;Liu Meichao;Du Xueping;Sun Yue(Yuetan Community Health Service Center of Fuxing Hospital Affiliated to Capital Medical University,Beijing 100045,China)
出处
《中华全科医师杂志》
2020年第12期1120-1123,共4页
Chinese Journal of General Practitioners
关键词
冠状病毒感染
新型冠状病毒肺炎
社区卫生中心
医务人员
心理干预
Coronavirus infection
Coronavirus disease 2019
Community health centers
Medical staff
Psychological intervention
作者简介
通信作者:孙艳格,Email:13488796993@163.com。
