Depression status and influencing factors of nurses in high-risk departments under the new crown pneumonia epidemic
新冠肺炎疫情下高风险科室护士的抑郁现状及影响因素分析

摘要

目的 对新冠肺炎疫情期限高风险科室护士的抑郁状况及影响因素进行分析。方法 本研究开展时间2020年3月，结束时间为2020年10月，研究期间选择高风险科室护士，如呼吸科、急诊、门诊等科室护士作为主要研究对象。根据实际情况设计相关调查问卷，主要包括：PHQ-9（患者健康调查问卷）、GAD-7（广泛性焦虑量表）以及家庭关怀度指数。以此对护士的实际情况进行了解。结果 所有的调查问卷发放完成后，在规定时间内进行回收，收回的有效问卷共计320份，其中（7.11±5.38）分是患者健康调查问卷得分，存在不同程度抑郁的护士有67.5%（216/320）。根据相关因素分析，认为护士的抑郁情况与以下因素有关，如：护士在家庭中是否是独生子女、在单位中的职称、是否有基础、对公共卫生突发事件的应对经验、自觉健康状态、对疫情是否恐惧、是否对医院的培训和应急预案以及诊疗方案满意、家庭关怀度等，以上因素之间的联系较为密切，有一定的相关性，以上结果为单因素分析结果。而通过自身将病毒传染给家人的恐惧、焦虑以及家庭关怀度指数等因素，是导致护士产生抑郁情绪的重要独立应影响因素，这是多因素分析后的结果。结论 在新冠肺炎疫情的影响下，高风险科室中的护士出现抑郁状态的几率较高。为了能够保证护士的心理健康，管理人员应该提高重视，及时发现问题并进行相应的心理干预。

Abstract

Objective: To analyze the depression status and influencing factors of nurses in high-risk departments of the new crown pneumonia epidemic.
Methods: The study was carried out in March 2020 and ended in October 2020. During the study, nurses in high-risk departments, such as respiratory, emergency, and outpatient department nurses, were selected as the main research objects. Design related questionnaires based on actual conditions, including: PHQ-9 (patient health questionnaire), GAD-7 (generalized anxiety scale) and family care index. In order to understand the actual situation of nurses.
Results: After all the questionnaires were distributed, they were recovered within the specified time. A total of 320 valid questionnaires were recovered, of which (7.11±5.38) was the patient health questionnaire score. 67.5% (216 /320). According to the analysis of related factors, it is believed that the depression of nurses is related to the following factors, such as whether the nurse is the only child in the family, the professional title in the unit, whether there is a foundation, the experience of responding to public health emergencies, conscious health, Whether you are afraid of the epidemic, whether you are satisfied with the hospital's training and emergency plans, diagnosis and treatment plans, and family care, the above factors are closely related and have a certain correlation. The above results are the results of a single factor analysis. The fear, anxiety, and family care index of transmitting the virus to family members by themselves are important independent factors that cause depression in nurses. This is the result of multi-factor analysis.
Conclusion  : Under the influence of the new coronary pneumonia epidemic, nurses in high-risk departments are more likely to develop depression. In order to ensure the mental health of nurses, managers should pay more attention to them, discover problems in time and carry out corresponding psychological interventions.