热带病与寄生虫学

热带病与寄生虫学 ›› 2023, Vol. 21 ›› Issue (4): 232-237.doi: 10.3969/j.issn.1672-2302.2023.04.012

• 调查研究 • 上一篇    下一篇

新型冠状病毒感染疫情期间深圳市医务人员失眠、焦虑和抑郁情绪状况及其影响因素分析

朱幸恺1(), 罗可望2, 邓秀良2, 廖洁容2, 梁碧玉2, 薛婷3, 刘力杰1, 朱润泽1, 罗新乐1()   

  1. 1.广东医科大学公共卫生学院，广东 东莞 523808
    2.深圳市龙华区人民医院
    3.南方医科大学第三附属医院
  • 收稿日期:2023-03-15 出版日期:2023-08-20 发布日期:2023-08-23
  • 通信作者: 罗新乐 E-mail:zhuxingkai126@126.com;luoxinlesz@163.com
  • 作者简介:朱幸恺，女，硕士在读，研究方向：睡眠和心理健康。E-mail: zhuxingkai126@126.com

Prevalence and related factors of insomnia, anxiety and depression among medical staff in Shenzhen during the COVID-19 epidemic

ZHU Xingkai1(), LUO Kewang2, DENG Xiuliang2, LIAO Jierong2, LIANG Biyu2, XUE Ting3, LIU Lijie1, ZHU Runze1, LUO Xinle1()   

  1. 1. School of Public Health，Guangdong Medical University, Dongguan 523808, Guangdong Province, China
    2. Shenzhen Longhua District People's Hospital
    3. The Third School of Clinical Medicine, Southern Medical University
  • Received:2023-03-15 Online:2023-08-20 Published:2023-08-23
  • Contact: LUO Xinle E-mail:zhuxingkai126@126.com;luoxinlesz@163.com

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摘要：

目的 了解新型冠状病毒感染疫情（简称新冠疫情）期间深圳市医务人员的失眠、焦虑和抑郁情绪现状，并探讨其可能的影响因素。方法 于2022年5月10日—8月10日，采用分层抽样方法选择深圳市7家公立医院，再使用便利抽样法抽取符合条件的医务人员为研究对象。采用横断面研究方法，运用阿森斯失眠量表（Athens insomnia scale, AIS）、7项广泛性焦虑问卷（generalized anxiety disorder questionnaire-7, GAD-7）和9项患者健康调查问卷（patient health questionnaire-9, PHQ-9）进行失眠、焦虑和抑郁情绪状况调查，利用SPSS 26.0软件对数据进行统计分析并建立多因素logistic回归模型。结果 共发放问卷1 050份，回收有效问卷1 007份。出现失眠、焦虑和抑郁的医务人员分别为552人（占54.8%）、555人（占55.1%）和541人（占53.7%）。多因素logistic回归模型显示，本科学历（OR=1.733，95% CI：1.236~2.429）和连续1周、2周、2周以上未休（OR=1.789、1.883、2.928，95% CI：1.271~2.518、1.158~3.060、2.058~4.166）是发生失眠的危险因素；女性（OR=1.584，95% CI：1.165~2.154），本科、研究生及以上学历（OR=1.796、1.755，95% CI：1.270~2.539、1.075~2.865），工作年限≤10年（OR=1.759，95% CI：1.089~2.843），在抗疫一线（OR=1.474，95% CI：1.093~1.987）和连续1周、2周、2周以上未休（OR=1.730、1.879、2.481，95% CI：1.221~2.451、1.148~3.074、1.741~3.536）是发生焦虑的危险因素；本科、研究生及以上学历（OR=2.376、1.859，95% CI：1.688~3.343、1.164~2.969）和连续1周、2周、2周以上未休（OR=1.465、1.718、2.177，95% CI：1.040~2.063、1.054~2.803、1.539~3.079）是发生抑郁的危险因素。运动是医务人员发生失眠、焦虑和抑郁的保护因素（OR=0.760、0.783、0.572，95% CI：0.584~0.989、0.597~0.926、0.439~0.744）。结论 新冠疫情期间深圳市医务人员出现失眠、焦虑和抑郁的概率较高，应采取综合性干预措施改善医务人员失眠和心理异常状况。

关键词: 新型冠状病毒感染疫情, 医务人员, 失眠, 焦虑, 抑郁, 深圳市

Abstract:

Objective To understand the prevalence status of insomnia, anxiety and depression, and explore the factors affecting the prevalence in medical staff in Shenzhen City during prevention and control of COVID-19 epidemic. Methods By multi-stage sampling method, we initially included 7 public hospitals in Shenzhen area, and then the eligible medical personnel were recruited as study subjects by convenient sampling between May 10 and August 10 of 2022. Cross-sectional study was conducted in the participants using Athens insomnia scale (AIS), generalized anxiety disorder questionnaire-7 (GAD-7) and the patient health questionnaire-9 (PHQ-9) for the status of insomnia, anxiety and depression. SPSS 26.0 statistical software was used to analyze data for multivariate logistics regression. Results A total of 1 050 questionnaires were distributed, and 1 007 valid questionnaires were collected. The statistics indicated that 552 (54.8%), 555 (55.1%) and 541 (53.7%) had insomnia, anxiety and depression, respectively. Multivariate logistic regression analysis showed that bachelor degree (OR=1.733, 95% CI: 1.236-2.429) and continuous work for 1 week, 2 weeks, or more without shift (OR=1.789, 1.883, 2.928; 95% CI: 1.271-2.518, 1.158-3.060, 2.058-4.166, respectively) were risk factors for insomnia in the medical staff. Female (OR=1.584, 95% CI: 1.165-2.154), bachelor degree, graduate degree or above (OR=1.796, 1.755; 95% CI:1.270-2.539, 1.075-2.865, respectively), working life ≤ 10 years (OR=1.759, 95% CI: 1.089-2.843), working in frontline (OR=1.474, 95% CI: 1.093-1.987) and working continuously for 1 week, 2 weeks or more without shift (OR=1.730, 1.879, 2.481; 95% CI: 1.221-2.451, 1.148-3.074, 1.741-3.536, respectively) were the risks for anxiety. The risk factors for depression were associated with bachelor degree, graduate degree or above (OR=2.376, 1.859; 95% CI: 1.688-3.343, 1.164-2.969, respectively) and the working shift persisting for 1 week, 2 weeks or more (OR=1.465, 1.718, 2.177; 95% CI: 1.040-2.063, 1.054-2.803, 1.539-3.079, respectively). Exercise (OR=0.760, 0.783, 0.572; 95% CI: 0.584-0.989, 0.597-0.926, 0.439-0.744) was a protective factor for insomnia, anxiety and depression in medical staff. Conclusion During the normalization period of COVID-19 epidemic, the probability of insomnia, anxiety and depression was higher in the medical staff in Shenzhen City. The findings suggest that comprehensive intervention measures should be taken to mitigate insomnia and psychological abnormalities of medical staff.

Key words: COVID-19 epidemic, Medical staff, Insomnia, Anxiety, Depression, Shenzhen City

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