Investigation and intervention research on the mental health status of medical staff in infectious disease hospitals
传染病医院医务人员心理健康状况的调查与干预研究

摘要

目的 探讨传染病医院医务人员心理健康状况的调查与干预研究。方法 抽调我院三个院区医护人员组成了三支传染病防控梯队，选取2021年1月--2022年12月的梯队医护人员，总计有效资料120份，采用广泛性焦虑自评量表（GAD-7）、抑郁自测量表（PHQ-9）、匹兹堡睡眠质量量表（PSQI）筛查评估医护人员心理健康，以梯队花名册单双号进行随机分组，单号为实验组，双号为对照组。对实验组给予团体心理治疗方法进行干预和个体心理疏导，对照组给予常规的关怀服务，半年后再次对两组人员进行三种量表的测评，比较实验组和对照组之间的数据以及实验组测评前后和对照组测评前后的数据变化，进行差异性检验。结果 120例医护人员中，实验组异常人数低于对照组；两组焦虑、抑郁、睡眠的评分干预后组内比较低于干预前，P＜0.05；干预后组间比较，实验组低于对照组，P＜0.05；而对照组患者在干预前后量表评分差异无统计学意义（P>0.05）。结论 传染病医院医务人员心理健康状况不容乐观，及时洞悉和了解医务人员的身心健康问题，采取针对性的措施做好心理健康维护，可切实改善医务人员的焦虑、抑郁及PSQI评分。

Abstract

Objective To investigate and intervene in the psychological health status of medical staff in infectious disease hospitals.
Methods Three medical staff from three districts of our hospital were selected to form three teams for infectious disease prevention and control. Medical staff from January 2021 to December 2022 were selected, with a total of 120 valid data. The Generalized Anxiety Scale (GAD-7), Self Rating Depression Scale (PHQ-9), and Pittsburgh Sleep Quality Index (PSQI) were used to screen and evaluate the mental health of medical staff. The team was randomly divided into two groups based on the roster of single and even numbers, with single numbers as the experimental group and even numbers as the control group. The experimental group received group psychotherapy intervention and individual psychological counseling, while the control group received routine care services. Six months later, the two groups were evaluated again using three different scales to compare the data between the experimental group and the control group, as well as the changes in data before and after the evaluation of the experimental group and the control group, and to conduct a difference test.
Results Among 120 medical staff, the number of abnormal cases in the experimental group was lower than that in the control group; The scores of anxiety, depression, and sleep in the two groups were lower within the intervention group compared to before the intervention, P＜0.05; After intervention, the experimental group was lower than the control group in inter group comparison, P＜0.05; There was no statistically significant difference in the scale scores of the control group patients before and after intervention (P>0.05).
Conclusion   The mental health status of medical staff in infectious disease hospitals is not optimistic. Timely understanding and awareness of the physical and mental health problems of medical staff, taking targeted measures to maintain their mental health, can effectively improve their anxiety, depression, and PSQI scores.