新型冠状病毒肺炎确诊患者的心理状况调查及影响因素分析

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摘要目的调查新型冠状病毒肺炎（COVID-19）确诊患者的心理状况，并分析其影响因素。方法选择荆州市胸科医院2020年1～3月收治的114 例COVID-19 确诊患者作为研究对象，采用自制调查表调查患者的一般资料，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）调查COVID-19 患者焦虑、抑郁等心理状况。比较各组SAS 和SDS评分，采用Logistic 回归分析法分析焦虑、抑郁等心理状况的影响因素。结果 COVID-19 确诊患者SAS、SDS 评分分别为（49.74±10.52）分和（54.94±11.25）分；COVID-19 确诊患者SAS、SDS 评分在性别、年龄、受教育年限、婚姻状况、职业状况、月收入、居住地、基础疾病及睡眠质量方面比较，差异均有统计学意义（P＜0.05）；Logistic 回归分析结果显示：女性、年龄41～59 岁、受教育年限＜9年、已婚、无业、月收入＜3000 元、农村、基础疾病≥2 种和睡眠质量差均为COVID-19 确诊患者焦虑、抑郁的危险因素（P＜0.05）。结论 COVID-19 确诊患者存在较严重的焦虑、抑郁等心理，针对各种影响因素应积极采取心理护理干预措施，从而缓解患者焦虑、抑郁等负性情绪。

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	范天琼
	熊英
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	赵晶晶
	王秋
	朱金陵

关键词 ：新型冠状病毒肺炎, 焦虑, 抑郁, 心理状况, 影响因素

Abstract：Objective To investigate the psychological status of patients diagnosed with Coronavirus disease 2019(COVID-19)and analyze its influencing factors.Methods A total of 114 cases of confirmed COVID-19 patients admitted to the Chest Hospital of Jingzhou from January 2020 to March 2020 were selected as research objects.Self-made questionnaires were used to investigate the general information of patients,the SAS and SDS scores of each group were compared,and the influencing factors of psychological conditions such as anxiety and depression were analyzed by Logistic regression analysis.Results The SAS and SDS scores of COVID-19 patients were(49.74±10.52)points and(54.94±11.25)points,respectively.There were significant differences in gender,age,years of education,marital status,occupational status,monthly income,residence,basic diseases and sleep quality about the SAS and SDS scores of patients diagnosed with COVID-19(P＜0.05).Logistic regression analysis method showed that female,age 41-59 years old,years of education ＜9 years,married,unemployed,monthly income ＜3000 yuan,rural area,≥2 basic diseases and poor sleep quality were all risk factors for anxiety and depression in COVID-19 patients(P＜0.05).Conclusion The patients diagnosed with COVID-19 have severe anxiety and depression.The psychological nursing intervention measures should actively take in view of the various factors,so as to alleviate the negative emotions of patients such as anxiety and depression.

Key words： Coronavirus disease 2019 Anxiety Depression Psychological condition Influencing factors

收稿日期: 2020-06-28

作者简介: 范天琼（1976-），女，本科，副主任护师

引用本文:

范天琼；熊英；刘丹丹；赵晶晶；王秋；朱金陵. 新型冠状病毒肺炎确诊患者的心理状况调查及影响因素分析[J]. 中国当代医药, 2021, 28(2): 166-169.
FAN Tian-qiong； XIONG Ying； LIU Dan-dan； ZHAO Jing-jing；WANG Qiu；ZHU Jin-ling. The investigation of COVID-19 patients′ psychological status and the analysis of influencing factors. 中国当代医药, 2021, 28(2): 166-169.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I2/166

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