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目的探讨甲型N1H1流感(甲流)爆发期间传染病医院医务人员对甲流的态度和心理特征。方法在甲流高峰期,应用症状自评量表(SCL-90)和社会支持量表对135名重症甲流定点收治传染病医院医务人员进行测试。结果 SCL-90总均分及各因子分值均低于全国常模。但临床医务人员在焦虑、敌对、偏执、精神疾病4个因子分值较其他部门上升,而护士在躯体化、恐怖2个因子方面得分比医生高。曾在抗击非典一线工作过的医务人员,在躯体化、敌对2个因子分值较未去过非典一线者上升。年龄大和未去过非典一线者心理健康状况较好。去过非典的医务人员所获得的主观支持、客观支持高,临床医务工作者所获得的社会支持和客观支持较非临床少。结论传染病医院工作人员在甲流高峰期心理健康状况总体良好。与患者直接接触多以及曾经战斗在非典一线的医务人员,更容易出现心理问题和情绪障碍。有必要为临床医务人员提供有效而强有力的社会支持。
Objective To investigate the attitude and psychological characteristics of medical staffs in infectious disease hospital during the outbreak of Influenza A (H1N1) influenza A (H1N1). Methods During the peak period of H1N1, 135 medical staffs who were admitted to hospital for infectious diseases were tested by SCL-90 and social support scale. Results The total score of SCL-90 and scores of each factor were lower than the national norm. However, the scores of anxiety, hostility, paranoid psychosis and mental illness in clinical staff increased more than those in other departments, while nurses scored higher than doctors in somatization and horror. Medical staff who had worked in the fight against atypical pneumonia had risen in scores of somatization and hostility two factors higher than those who had not been to SARS. The older ones and those who have not been to SARS have better mental health status. The subjective support obtained by medical staff who have been to SARS and objective support are high, and the social support and objective support obtained by clinical medical workers are less than the non-clinical ones. Conclusion Infectious disease hospital staff in the peak flow of Mental Health in general good. Patients who are in direct contact with patients and medical personnel who had fought in the SARS front are more prone to psychological problems and mood disorders. There is a need to provide effective and powerful social support to clinicians.