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新型冠状病毒肺炎疫情暴发期间四川省疾病预防控制中心工作人员心理状况及其影响因素
Psychological Status and Influencing Factors of Staff at Centers for Disease Control and Prevention in Sichuan Province during the Outbreak of Coronavirus Disease 2019

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杜艳 1   王庆志 1   叶睿雪 1   毛丹梅 2   蒋小勇 3   郑庆梅 4   甘霖 5   顾菁 6   周欢 1 *  
文摘 目的评估新型冠状病毒肺炎疫情暴发期间四川省疾病预防控制中心(CDC)人员的心理状况并探索其影响因素。方法通过方便抽样选取四川省省级、市级、县(区)级CDC工作人员为研究对象,通过网络自填问卷收集其基本特征、工作状况、培训情况、工作困难及工作单位的支持等,并采用广泛性焦虑障碍量表和抑郁症筛查量表分别测量CDC工作人员的焦虑、抑郁情况。运用逐步Logistic回归分析CDC工作人员焦虑和抑郁的影响因素。结果653名CDC工作人员中,焦虑、抑郁的检出率分别为58.35%、50.06%。回归分析结果显示,年龄(OR=0.95,95%CI=0.92~0.97)和工作单位提供精神支持(OR=0.61,95%CI=0.45~0.82)是CDC工作人员抑郁的保护因素;身体疲劳(OR=1.82,95%CI=1.20~2.74)、工作压力(OR=1.61,95%CI=1.21~2.12)、防护用品不足(OR=1.92,95%CI=1.06~3.49)是CDC工作人员抑郁的危险因素。年龄(OR=0.97,95%CI=0.94~0.99)、每天睡眠时长(OR=0.74,95%CI=0.56~0.96)和参与技术培训工作(OR=0.33,95%CI=0.12~0.95)是CDC工作人员焦虑的保护因素;精神疲劳(OR=1.68,95%CI=1.18~2.41)、工作压力(OR=2.94,95%CI=2.08~4.17)、加班激励制度不清(OR=1.99,95%CI=1.23~3.23)是CDC工作人员焦虑的危险因素。结论新型冠状病毒肺炎疫情下CDC工作人员焦虑与抑郁状况堪忧,主要受年龄、睡眠、防护用品供应、激励制度、疲劳和工作压力等多方面因素的影响。
其他语种文摘 Objective To assess the psychological status of staff at the centers for disease control and prevention(CDC) in Sichuan during the outbreak of coronavirus disease 2019(COVID-19) and explore the influencing factors.Methods The staff at Sichuan provincial,municipal,and county(district)-level CDC were selected by convenience sampling.Their basic information,work status,training status,work difficulties,and support from the work group were collected from the self-filled questionnaires online.The Generalized Anxiety Disorder Scale and the 9-question Patient Health Questionnaire were respectively employed to measure the anxiety and depression of the staff.The stepwise Logistic regression was carried out to analyze the influencing factors of anxiety and depression in CDC staff.Results Among the 653 staff,58.35% and 50.06% presented anxiety and depression,respectively.The regression results showed that age(OR=0.95,95%CI=0.92-0.97) and mental support from the work group(OR=0.61,95%CI=0.45-0.82) were the protective factors while physical fatigue(OR=1.82,95%CI=1.20-2.74),work pressure(OR=1.61,95%CI=1.21-2.12),and insufficient protective equipment(OR=1.92,95%CI=1.06-3.49) were the risk factors for depression of CDC staff.Age(OR=0.97,95%CI=0.94-0.99),length of sleep per day(OR=0.74,95%CI=0.56-0.96),and participation in technical training(OR=0.33,95%CI=0.12-0.95) were the protective factors while mental fatigue(OR=1.68,95%CI=1.18-2.41),work pressure(OR=2.94,95%CI=2.08-4.17),and unclear incentive system for overtime(OR=1.99,95%CI=1.23-3.23) were the risk factors for the anxiety of CDC staff.Conclusion The anxiety and depression status of CDC staff during the COVID-19 outbreak were worrying,which were mainly affected by age,sleep,supply of protective equipment,incentive system,fatigue,and work pressure.
来源 中国医学科学院学报 ,2022,44(2):199-207 【核心库】
DOI 10.3881/j.issn.1000-503X.14151
关键词 焦虑 ; 抑郁 ; 疾病预防控制中心工作人员 ; 新型冠状病毒肺炎疫情
地址

1. 四川大学华西公共卫生学院/四川大学华西第四医院健康行为与社会医学系, 成都, 610041  

2. 成都市金牛区疾病预防控制中心, 成都, 610000  

3. 自贡市疾病预防控制中心健康教育所, 四川, 自贡, 643000  

4. 自贡市疾病预防控制中心慢病所, 四川, 自贡, 643000  

5. 南充市疾病预防控制中心业务与质量管理科, 四川, 南充, 637000  

6. 中山大学公共卫生学院医学统计学系, 广州, 510080

语种 中文
文献类型 研究性论文
ISSN 1000-503X
学科 预防医学、卫生学
基金 四川省医学科研课题计划
文献收藏号 CSCD:7216951

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