新型冠状病毒肺炎疫情下医护人员社会资本对创伤后应激障碍的影响
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作者单位:

1.澳门科技大学商学院, 澳门 00853;2.赣南医学院第一附属医院, 江西 赣州 341000

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通讯作者:

周仁元  E-mail:zhourenyuan@163.com

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基金项目:

澳门高等教育基金项目(HSS-MUST-2020-08)


Impact of social capital of health care workers on post-traumatic stress disorder during COVID-19 epidemic
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Affiliation:

1.School of Business, Macau University of Science and Technology, Macau 00853, China;2.The First Affiliated Hospital of Gannan Medical College, Ganzhou 341000, China

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    摘要:

    目的 了解新型冠状病毒肺炎(简称新冠肺炎)救治期间医护人员的创伤后应激反应水平和群组差异,提出疫情后有效恢复和改善医护人员心理状态的建议与意见。 方法 2020年6—7月通过方便抽样方式,收集我国19个省市自治区的公立医院信息,对新冠肺炎疫情下在岗的医护人员进行统计调查,调查问卷内容包括人口统计学资料、社会资本、控制感,以及创伤后应激障碍(PTSD)相关内容。采用描述性统计、独立样本t检验、相关分析、层级回归等方法进行数据分析。 结果 共收回有效问卷760份,其中315名医护人员参与了确诊或者疑似新冠肺炎患者的救治工作。受访的医护人员存在一定程度的PTSD,处于中等水平(2.2155~2.9385)。医生在经历过新冠肺炎疫情后表现出的规避、闯入和唤醒倾向均高于护士群体,差异均有统计学意义(均P < 0.05)。新冠肺炎定点救治医院的医护人员在规避反应上高于非定点医院,差异有统计学意义(P < 0.05)。直接参与新冠肺炎患者救治的医护人员规避、闯入和唤醒反应水平均高于未直接参与救治的医护人员,差异均有统计学意义(均P < 0.05)。结构资本(r=0.566)、人际资本(r=0.577)和认知资本(r=0.596)对医护人员的控制感具有显著正向影响。结构资本(r=-0.166)、人际资本(r=-0.177)和认知资本(r=-0.168)对医护人员的PTSD具有显著负向影响。控制感(r=-0.179)对医护人员的PTSD具有显著负向影响。 结论 医护人员感知的结构资本、人际资本和认知资本通过增强其控制感可以有效抑制创伤后应激障碍的形成与发展,医院应采取措施通过提高医护人员的社会资本感知和控制感降低创伤后应激障碍的影响。

    Abstract:

    Objective To understand the level of post-traumatic stress response and group differences of health care workers (HCWs) during the treatment of coronavirus disease 2019 (COVID-19), and propose suggestions and opinions to effectively restore the psychological state of HCWs after the epidemic. Methods From June to July in 2020, the information of public hospitals in 19 provinces and autonomous regions of China was collected by conve-nient sampling, HCWs on duty during COVID-19 epidemic period were investigated, the questionnaire included demographic data, social capital, sense of control and post-traumatic stress disorder (PTSD). Descriptive statistics, independent sample t-test, correlation analysis and hierarchical regression were adopted for data analysis. Results A total of 760 available questionnaires were collected, 315 HCWs participated in the treatment of confirmed or suspected COVID-19 patients. There was a certain degree of PTSD in HCWs, which was at a medium level (2.2155-2.9385). After experiencing COVID-19 epidemic, doctors showed higher tendency of avoidance, intrusion and arousal than nurse group, differences were all statistically significant (all P < 0.05). HCWs in designated hospitals for COVID-19 treatment had higher avoidance response than HCWs in non-designated hospitals, difference was statistically significant (P < 0.05). HCWs who directly participated in treatment of COVID-19 had high level of avoi-dance, intrusion and arousal than HCWs who didn't directly participate in treatment of COVID-19, difference were all statistically significant (all P < 0.05). Structural capital (r=0.566), interpersonal capital (r=0.577) and cognitive capital (r=0.596) had significant positive effect on the sense of control of HCWs. Structural capital (r=-0.166), interpersonal capital (r=-0.177) and cognitive capital (r=-0.168) had significant negative effect on PTSD of HCWs. Sense of control (r=-0.179) had significant negative effect on PTSD of HCWs. Conclusion Structural capital, interpersonal capital and cognitive capital perceived by HCWs can effectively suppress the formation and development of PTSD through enhancing their sense of control, hospitals should take measures to reduce the impact of PTSD by improving HCWs' sense of social capital and sense of control.

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聂婷,周仁元,姚伟民,等.新型冠状病毒肺炎疫情下医护人员社会资本对创伤后应激障碍的影响[J]. 中国感染控制杂志,2021,(5):456-461. DOI:10.12138/j. issn.1671-9638.20217910.
Ting NIE, Ren-yuan ZHOU, Wei-min YAO, et al. Impact of social capital of health care workers on post-traumatic stress disorder during COVID-19 epidemic[J]. Chin J Infect Control, 2021,(5):456-461. DOI:10.12138/j. issn.1671-9638.20217910.

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  • 收稿日期:2020-08-11
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  • 在线发布日期: 2021-07-26
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