[1]袁 波 蔡 新 王建春 胡小鹏 李志文 卢 婷 安亚文.新型冠状病毒肺炎病人康复早期心理应激状态调查及影响因素分析[J].中国临床神经外科杂志,2020,(08):531-534.[doi:10.13798/j.issn.1009-153X.2020.08.011]
 YUAN Bo,CAI Xin,WANG Jian-chun,et al.Investigation of psychological stress state of during early convalescence of patients with coronavirus disease 2019 and analysis of its influencing factors[J].,2020,(08):531-534.[doi:10.13798/j.issn.1009-153X.2020.08.011]
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新型冠状病毒肺炎病人康复早期心理应激状态调查及影响因素分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2020年08期
页码:
531-534
栏目:
论著
出版日期:
2020-08-25

文章信息/Info

Title:
Investigation of psychological stress state of during early convalescence of patients with coronavirus disease 2019 and analysis of its influencing factors
文章编号:
1009-153X(2020)08-0531-04
作者:
袁 波 蔡 新 王建春 胡小鹏 李志文 卢 婷 安亚文
518118 广东深圳,萨米医疗中心神经内科(袁 波、蔡新),检验科(王建春),科教部(胡小鹏、李志文、安亚文) ,护理部(卢婷)
Author(s):
YUAN Bo1 CAI Xin1 WANG Jian-chun2 HU Xiao-peng31 LI Zhi-wen3 LU Ting4 AN Ya-wen3.
1. Department of Neurology, Shenzhen Samii Medical Center, Shenzhen 518118, China; 2. Department of Clinical Laboratory, Shenzhen Samii Medical Center, Shenzhen 518118, China; 3. Scientific Research and Education Section, Shenzhen Samii Medical Center, S
关键词:
新型冠状病毒肺炎COVID-19康复早期心理应激障碍
Keywords:
Coronavirus disease 2019 COVID-19 Early convalescence Psychological stress
分类号:
A
DOI:
10.13798/j.issn.1009-153X.2020.08.011
文献标志码:
R 184.6
摘要:
目的 探讨新型冠状病毒肺炎(COVID-19)病人康复早期心理应激状态及其影响因素。方法 以2020年3月1日至2020年3月14日由专科医院治愈出院并转入我院隔离观察病房的COVID-19康复者126例为研究对象,通过网络问卷调查采集心理学信息,问卷包含创伤后应激障碍自评量表(PTSD-SS)、抑郁自评量表和焦虑自评量表。采用多元线性回归分析检验影响因素。结果 126例PTSD-SS评分平均(45.5±18.9)分,39例(31.0%)存在应激障碍;创伤性再体验评分平均(15.4±6.8)分,52例(41.3%)有反复重现体验症状;回避症状评分平均(11.9±5.7)分,35例(27.8%)存在回避症状;警觉性增高评分平均(11.3±5.0)分,51例(40.5%)警觉性增高。28例(22.2%)有焦虑情绪,48例(38.1%)有抑郁情绪。多因素线性回归分析发现,退休、心理支持与PTSD-SS评分及其三个症状评分呈显著负相关(P<0.05),女性、焦虑情绪与PTSD-SS评分及其三个症状评分呈显著正相关(P<0.05),抑郁情绪与警觉性增高评分呈显著正相关(P<0.05)。结论 近1/3的COVID-19病人康复早期存在应激障碍,女性、未退休、缺乏心理支持、存在焦虑抑郁情绪这四大类人群应激障碍症状尤为严重,建议所有康复病人定期接受心理评估
Abstract:
Objective To explore the psychological stress state during early convalescence of the patients with coronavirus disease 2019 (COVID-19) and to analyze its influencing factors. Methods A questionnaire was performed in 126 patients with COVID-19 who were cured and discharged from the specialist hospital from March 1, 2020 to March 14, 2020 and transferred to the isolation and observation ward of our hospital. Psychological variables were collected by network questionnaire consisting of post-traumatic stress disorder scale (PTSD-SS), self-rating depression scale (SDS) and self-rating anxiety scale (SAS). Multiple linear regression analysis was used to test the influencing factors. Results The mean scores of PTSD-SS, traumatic re-experience, avoidance symptom and increased alertness were (45.5±18.9) points, (15.4±6.8) points, (11.9±5.7) points, and (11.3±5.0) points, respectively. Thirty-nine patients (31.0%) had acute stress disorder, 52 patients (41.3%) had repeated recurring symptoms, 35 patients (27.8%) had avoidance symptoms and 51 patients (40.5%) had increased alertness. Twenty-eight patients (22.2%) had anxiety, and 48 patients (38.1%) had depression. Multivariate linear regression analysis showed that retirement and psychological support were significantly negatively correlated with the PTSD-SS score (P<0.05); female and anxiety were significantly positive correlated with and PTSD-SS score (P<0.05); depression was significantly positively correlated with increased alertness score (P<0.05). Conclusions The state of stress disorder is common during early convalescence of patients with COVID-19. The symptoms of stress disorder are particularly serious in female survivors, non-retired population, and patients with lack of psychological support and anxiety and depression. Attention should be paid to the mental state of patients with COVID-19 and regular psychological screening is recommended

参考文献/References:

[1] Lai CC, Shih TP, Ko WC, et al. Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) and Coronavirus disease-2019 (COVID-19): the epidemic and the challen- ges [J]. Int J Antimicrob Agents, 2020, 55(3): 105924.
[2] Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of 2019 Coronavirus Disease (COVID-19) epidemic among the general population in China [J]. Int J Environ Res Public Health, 2020, 17(5): 1729.
[3] Bryant RA. An update of acute stress disorder [J]. PTSD Res Q, 2013, 24(1): 1-2.
[4] Mak IW, Chu CM, Pan PC, et al. Long-term psychiatric morbidities among SARS survivors [J]. Gen Hosp Psychiatry, 2009, 31(4): 318-326.
[5] Chen D, Xu W, Lei Z, et al. Recurrence of positive SARS- CoV-2 RNA in COVID-19: a case report [J]. Int J Infect Dis, 2020, 93: 297-299.
[6] 刘贤臣,马登岱,刘连启,等. 心理创伤后应激障碍自评量 表的编制和信度效度研究[J]. 中国行为医学科学,1998, 7(2):93-96.
[7] Zung WWK. A self-rating depression scale [J]. Arch Gen Psychiatry, 1965, 12(1): 63-70.
[8] Zung WWK. A rating instrument for anxiety disorders [J]. Psychosomatics, 1971, 12: 371-379.
[9] 王春芳,蔡则环,徐 清. 抑郁自评量表—SDS对1 340例 正常人评定分析[J]. 中国神经精神疾病杂志,1986,12 (5):267-268.
[10] Melis G, Pia G, Piras I, et al. Mental disorders and HIV infection in the emergency department: epidemiology and gender differences [J]. Int Emergency Med, 2015, 10(4): 465-469.
[11] Lee AM, Wong JG, McAlonan GM, et al. Stress and psycho- logical distress among SARS survivors 1 year after the out- break [J]. Can J Psychiatry, 2007, 52(4): 233-240.
[12] Field RJ, Schuldberg D. Social-support moderated stress: a nonlinear dynamical model and the stress-buffering hypo- thesis [J]. Nonlinear Dynamics Psychol Life Sci, 2011, 15 (1): 53-85.
[13] 刘萍萍,周 静,李安奕,等. 脑损伤病人急性应激反应及 其影响因素[J]. 中国老年学杂志,2019,39:3069-3072.
[14] Innuendo M, Brent DA, Birmaher B, et al. Post traumatic disorder comorbid with major depression: factors mediat- ing the association with suicidal behavior [J]. Am J Psychi- atry, 2005, 162(3): 560-566.

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备注/Memo

备注/Memo:
(2020-05-07收稿,2020-05-10修回)通讯作者:袁 波,E-mail:13825258808@163.com
更新日期/Last Update: 2020-08-20