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                      1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 新冠肺炎患者焦虑影响因素与心理干预

                        新冠肺炎患者焦虑影响因素与心理干预

                        时间:2019-02-27 10:35作者:程丽 郑丽平 晏苏玉
                        本文导读:这是一篇关于新冠肺炎患者焦虑影响因素与心理干预的文章,新型冠状病毒肺炎 (corona virus disease 2019, COVID-19) 自2019年12月在中国武汉爆发以来, 波及国内所有省份及多个国家和地区, 截至2月16日全球累计确诊71447例。由于其传染性强, 又缺乏有效的治疗方法, 引起了一

                          摘    要: 目的 分析新型冠状病毒肺炎 (COVID-19) 患者焦虑现状及其影响因素。方法 对76例COVID-19患者进行问卷调查, 内容包括人口学特征及焦虑自评量表 (SAS) ;同时分析影响COVID-19患者SAS评分的因素。结果 76例COVID-19患者SAS评分为 (54.39±7.51) 分;存在焦虑情绪50例, 包括轻度焦虑33例、中度焦虑12例、重度焦虑5例。不同年龄、文化程度以及是否有固定职业、医学背景的COVID-19患者SAS评分比较, 差异均有统计学意义 (均P<0.05) ;不同性别、婚姻状况、生育史、月平均收入的COVID-19患者SAS评分比较, 差异均无统计学意义 (均P>0.05) 。多因素logistic回归分析显示, 年龄、文化程度、是否有固定职业是COVID-19患者SAS评分的影响因素 (均P<0.05) 。结论 COVID-19患者存在明显的焦虑情绪, 而年龄、文化程度、是否有固定职业是其影响因素。

                          关键词: 新型冠状病毒肺炎; 焦虑; 影响因素;

                          Abstract:棋牌大全下载安装 Objective To analyze the status of anxiety and its influencing patients with corona virus disease 2019 (COVID-19) .Methods A questionnaire survey was conducted among 76 patients with COVID-19, including demographic characteristics and anxiety self-rating scale (SAS) , and the influencing factors of SAS scores were analyzed.Results The mean SAS score of patients with COVID-19 was 54.39±7.51.Fifty out of 76 patients with COVID-19 had anxiety, including 33 with mild anxiety, 12 with moderate anxiety, and 5 with severe anxiety.The SAS scores were associated with age, education level, regularity of jobs and medical background of COVID-19 patients (all P<0.05) , but not associated with gender, marital status, reproductive history and monthly average income (all P>0.05) .Multivariate logistic regression analysis showed that the age, education level and the regularity of job were influencing factors for the anxiety of COVID patients (P<0.05) .Conclusion Patients with COVID-19 have obvious anxiety, and the age, education level and the regularity of job can influence the severity of anxiety status.

                          Keyword: Corona virus disease 2019; Anxiety; Influencing factors;

                          XINXINGGUANZHUANGBINGDUFEIYAN (corona virus disease 2019, COVID-19) [1]ZI2019NIAN12YUEZAIZHONGGUOWUHANBAOFAYILAI, BOJIGUONEISUOYOUSHENGFENJIDUOGEGUOJIAHEDIQU, JIEZHI2YUE16RIQUANQIULEIJIQUEZHEN71 447LI[2]。YOUYUQICHUANRANXINGQIANG, YOUQUEFAYOUXIAODEZHILIAOFANGFA, YINQILEYIDINGCHENGDUDESHEHUIKONGHUANG。YOUYANJIUXIANSHI, 98.54%DESHOUFANGZHEBIAOSHIFEICHANGHAIPA, 94.45%DANXINZIJIHUOJIARENBEIGANRAN[3]。ZAIJIBINGYUKONGHUANGDESHUANGZHONGQIANGLIECIJIXIA, BUFENQUEZHENHUANZHECHUXIANLEBUTONGCHENGDUDEXINLIWENTI。BENYANJIUDUICOVID-19HUANZHEJIAOLVXIANZHUANGJINXINGLEDIAOCHA, BINGDUIQIYINGXIANGYINSUJINXINGFENXI, YIQIWEIHUANZHESHISHIYOUXIAOXINLIGANYUJIHULICUOSHITIGONGKEXUEYIJU。

                          1 、对象和方法

                          1.1 、对象

                        棋牌大全下载安装   XUANQU2020NIAN2YUE1ZHI16RIZAIBENYUANJIUZHENDE76LICOVID-19HUANZHEWEIYANJIUDUIXIANG, QIZHONGNAN31LI, NV45LI;NIANLING21~66 (35.86±10.59) SUI。NARUBIAOZHUN: (1) NIANLING>18SUI; (2) QUEZHENWEICOVID-19, ZHENDUANBIAOZHUNCANKAOXINXINGGUANZHUANGBINGDUGANRANDEFEIYANZHENLIAOFANGAN (SHIXINGDIWUBAN) [4]; (3) HUANZHEZHIQINGTONGYI; (4) NENGZHENGQUESHIYONGWEIXINXIANGGUANGONGNENG。PAICHUBIAOZHUN: (1) HUANYOUYANZHONGXIN、GAN、NAO、SHENDENGQUTIZHONGDAJIBING; (2) JIWANGYOUXINLIHUOJINGSHENJIBING; (3) JINQIYOUGUOZHONGDAXINLICHUANGSHANG; (4) DUILIJIEWENZIYOUKUNNAN, CUNZAIYUYANJIRENZHIZHANGAI。

                          1.2、方法

                          利用微信平台在线填写问卷 (问卷星, http://www.wjx.cn) 的形式进行调查, 由研究团队成员介绍调查目的及意义并指导患者完成;对于文化程度较低且对问卷内容理解有困难的患者, 逐条讲解后再指导其完成。本次调查共发放问卷76份, 回收有效问卷76份, 有效回收率为100%。调查内容包括人口学特征 (性别、年龄、婚姻状况、生育史、文化程度、职业、医学背景、月平均收入等) 、焦虑自评量表 (self-rating anxiety scale, SAS) [5]。SAS由Zung于1971年编制, 主要评估患者近1周主观焦虑感受, 共包括20个条目。所有条目从“没有或很少时间”到“绝大部分或全部时间”分别赋值1~4分, 除条目中2、5、6、11、12、14、16、17、18、20是正性词陈述 (按照4、3、2、1计分) 外, 其他均为负性词陈述。焦虑标准分 (取整数) =粗分 (所有选项得分之和) ×1.25, 以中国常模结果显示, ≥50分表示存在焦虑。50~59分为轻度焦虑, 60~69分为中度焦虑, ≥70分为重度焦虑。该量表Cronbachα系数为0.823。
                         

                        新冠肺炎患者焦虑影响因素与心理干预
                         

                          1.3 、统计学处理

                        棋牌大全下载安装   CAIYONGSPSS 22.0TONGJIRUANJIAN。JILIANGZILIAOYONG±sBIAOSHI, LIANGZUBIJIAOCAIYONGLIANGDULIYANGBENtJIANYAN, DUOZUBIJIAOCAIYONGDANYINSUFANGCHAFENXI;JIANGKENENGYINGXIANGHUANZHESASPINGFENDEYINSUNARUDUOYINSUlogisticHUIGUIMOXINGJINXINGFENXI。P<0.05WEICHAYIYOUTONGJIXUEYIYI。

                          2 、结果

                          2.1、 COVID-19患者焦虑现状

                          76LICOVID-19HUANZHESASPINGFENWEI (54.39±7.51) FEN;CUNZAIJIAOLVQINGXU50LI, BAOKUOQINGDUJIAOLV33LI (66.00%) , ZHONGDUJIAOLV12LI (24.00%) , ZHONGDUJIAOLV5LI (10.00%) 。

                          2.2、 不同人口学特征COVID-19患者的SAS评分比较

                          BUTONGNIANLING、WENHUACHENGDUYIJISHIFOUYOUGUDINGZHIYE、YIXUEBEIJINGDECOVID-19HUANZHESASPINGFENBIJIAO, CHAYIJUNYOUTONGJIXUEYIYI (JUNP<0.05) ;BUTONGXINGBIE、HUNYINZHUANGKUANG、SHENGYUSHI、YUEPINGJUNSHOURUDECOVID-19HUANZHESASPINGFENBIJIAO, CHAYIJUNWUTONGJIXUEYIYI (JUNP>0.05) , JIANBIAO1。

                          表1 不同人口学特征COVID-19患者的SAS评分比较(分)
                        表1 不同人口学特征COVID-19患者的SAS评分比较(分)
                        表1 不同人口学特征COVID-19患者的SAS评分比较(分)

                          2.3、 影响COVID-19患者SAS评分的多因素分析

                          YISASPINGFENWEIYINBIANLIANG、SHANGSHUTONGJIXUEJIEGUOP<0.05DEYINSUWEIZIBIANLIANGJINXINGDUOYINSUlogisticHUIGUIFENXI, JIEGUOXIANSHINIANLING、WENHUACHENGDU、SHIFOUYOUGUDINGZHIYESHIQIYINGXIANGYINSU (JUNP<0.05) , JIANBIAO2。

                          表2 影响COVID-19患者SAS评分的多因素分析
                        表2 影响COVID-19患者SAS评分的多因素分析

                          ZHU:BIANLIANGFUZHIQINGKUANG:NIANLING<30SUI=1, 30~50SUI=2, >50SUI=3;WENHUACHENGDUWEIDAZHUANJIYIXIA=1, BENKEJIYISHANG=2;ZHIYEWEIGUDINGZHIYE=1, WUYE=2

                          3 、讨论

                          COVID-19JUYOUJIAOQIANGDECHUANRANXING、JIAOGAODEZHONGZHENGLVJIYIDINGDEBINGSILV, KENENGYINQISHEHUIKONGHUANG。GUANGDACHONGZAIYIXIANDEYIWURENYUANJICOVID-19HUANZHEDUICICIZHONGDATUFAGONGGONGWEISHENGSHIJIANYEKENENGCHANSHENGJUDADEXINLIYINGJI。ZHANGWENHUIDENG[6]DIAOCHAFAXIANCOVID-19DINGDIANYIYUANHUSHICUNZAIMINGXIANDEJIAOLVQINGXU。WANGCHENDENG[7]RENWEIYAOZHONGSHIHUANZHEHUOXINGCUNZHE、GELIRENQUN、YIWURENYUANZHEI3LEIRENYUANJIJIASHUDEXINLIWENTI, BINGJIYUBIYAODEGANYU。BENYANJIUDUICOVID-19HUANZHEJIAOLVZHUANGKUANGJINXINGLEDIAOCHA, JIEGUOFAXIANCOVID-19HUANZHECUNZAIJIAOLVQINGXU50LI (QIZHONGZHONGZHONGDUJIAOLV17LI) , KEJIANYOUJIAODUOCOVID-19HUANZHECUNZAIJIAOYANZHONGDEJIAOLVQINGXU。

                          BENYANJIUDUOYINSUFENXIJIEGUOXIANSHI, YINGXIANGCOVID-19HUANZHESASPINGFENDEYINSUYOUNIANLING、WENHUACHENGDU、SHIFOUYOUGUDINGZHIYE。76LICOVID-19HUANZHENIANLINGDUANYI30~50SUIWEIZHU, TAMENDUOSHIJIATINGHESHEHUIDEDINGLIANGZHU, CHENGDANZHEJIAODUODEJIATINGJISHEHUIZEREN, ERZHUYUANGELIHUIDUITAMENDEXUEXI、SHENGHUO、GONGZUOCHANSHENGYIDINGDEYINGXIANG, TAMENHUIDANXINJIBINGNANYIZHIYUHUOYINGXIANGJINHOUGONGZUO, JIJIATINGZAOCHENGJIDADEFUDAN。JIASHANGQICHUANRANXINGJIAOQIANG, YIFASHENGJIATINGJUJIXINGCHUANRAN, WANGWANGHUIZAOCHENGJIATINGJIQINPENG、TONGSHIDUORENTONGSHIHUOXIANHOUGELIGUANCHAHUOHUANBING, ZHEIYEHUIJIAZHONGHUANZHEDEKONGHUANGHEJIAOLVGAN, BUFENHUANZHESHENZHICHANSHENGFUZUIGAN[8]。BENYANJIUHAIFAXIANWENHUACHENGDUSHIYINGXIANGCOVID-19HUANZHESASPINGFENDEYINSU, ZHEIKENENGYUGAOXUELIZHEDUIJIBINGDELEJIEYUWANGGENGQIANG、YIJIESHOUGEZHONGXINXIJIZHISHIYOUGUAN。TAMENYISHIDAOCOVID-19DEYANZHONGCHUANRANXINGHEWEIXIANXING, DUIZHOUWEIHUANJINGDEMINGANDUYEGENGQIANG, DUIWEILAIJIJIBINGBENSHENBUQUEDINGDEJIAOLVGANYEGENGQIANGLIE。CIWAI, SHIFOUYOUGUDINGZHIYEDUICOVID-19HUANZHESASPINGFENYEYOUYIDINGDEYINGXIANG。BIZHEKAOLVYOUGUDINGZHIYEDERENQUNYIBANYOUJIAOHAODEZHIYEGUIHUA, DUIWEILAICHONGMANXIWANG, ERTURANCHUXIANDEBUQUEDINGXINGJIBINGDAOZHIQIDUIQIANTUCHANSHENGMIMANG, NEIXINJIAOLVGANMINGXIANZENGJIA。LINGWAI, ZHEILEIHUANZHESHEHUIHUOYUEDUJIAOGAO, XINXIHUOQUDETUJINGJIAODUO (WEIXIN、WEIBODENG) , NENGHUODEGEZHONGXIANGGUANXINXI, BAOKUOSHEHUISHANGGEZHONGCHUANYANHUOYAOYAN, ZHEIYEKENENGHUIJIAZHONGQIDUIJIBINGDEKONGHUANG, DAOZHIJIAOLVBUAN。

                          ZONGSHANGSUOSHU, COVID-19HUANZHECUNZAIMINGXIANDEJIAOLVQINGXU, ERNIANLING、WENHUACHENGDU、SHIFOUYOUGUDINGZHIYESHIQIYINGXIANGYINSU。JIANYIYIHURENYUANDUIYOUSHANGSHUTEDIANDEHUANZHEJINXINGBIYAODEXINLISHUDAOJIHULIGANYU, GAISHANQIXINLIZHUANGKUANG, CUJINHUANZHEZAORIKANGFU, ZHANSHENGYIQING。YOUYUYIQINGQIJIANHUODEZILIAOCUNZAIYIDINGKUNNANJIYANJIUDECANGCUXING, BENYANJIUKENENGCUNZAIYIXIEBUZU, HOUQIJIANGJINYIBUGAIJIN。

                          参考文献

                          [1]Chen N, Zhou M, Dong X, et al.Epidemiological and clinical characteristics of 99 cas-es of 2019 novel coronavirus pneumonia in Wuhan, China:a descriptive study[J/OL].2020, 395 (10223) :507-513.DOI:10.1016/S0140-6736 (20) 30211-7.
                          [2]Worldometers.Wu Han coronavirus outbreak[J/OL]. (2019-02-17) [2019-02-17].http://www.worldometers.info/coronavirus/.
                          [3] 齐晔, 陈刘欢, 张栗, 等.新型冠状病毒感染肺炎的公众认知、态度和行为研究[J/OL].热带医学杂志, 2020:1-12.http://kns.cnki.net/kcms/detail/44.1503.R.20200204.1114.002.html.
                          [4] 国家卫生健康委员会办公厅, 国家中医药管理局办公室.新型冠状病毒感染的肺炎诊疗方案 (试行第五版) :国卫办医函 (2020) 103号[EB/OL]. (2019-02-05) [2019-02-12].http://www.gov.c n/zhengce/zhengceku/2020-02/05/content_5474791.htm.
                          [5] 张明园, 何燕玲.精神科评定量表手册[M].2版.长沙:湖南科学技术出版社, 2015:35-49.
                          [6] 张文慧, 李儿, 郑丽平, 等.杭州某新型冠状病毒肺炎定点医院护士的焦虑现状调查及对策[J].健康研究, 2020, 40 (2) :1-4.DOI:10.3969/j.issn.1674-6449.2020.02.00.
                          [7] 王琛, 王旋.新型冠状病毒感染的流行、医院感染及心理预防[J].全科护理, 2020, 18 (3) :1-3.DOI:10.12104/j.issn.1674-4748.2020.03.02.
                          [8]张志远, 仝小林, 李爱国, 等.89例SARS患者抑郁与焦虑状态的调查分析[J].医学研究通讯, 2004, 33 (1) :47-49.

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