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目的 :了解在SARS病房直接抢救、治疗SARS患者的护士们的心理应激状况。方法 :采用Beck抑郁问卷 (BDI)、状态 -特质焦虑问卷 (STAI)和SCL -90于 2 0 0 3年 5月 5日——— 12日对工作在SARS病房内的护士和社区 /大学健康志愿者进行了调查。结果 :出现抑郁情绪的护士占所有受试者的 5 2 % ( 5 3 /10 1) ;其中 17% ( 17/ 10 1)达到中度至严重抑郁 ,显著高于志愿者 (P <0 0 1)。护士组SCL -90总分和各因子分显著或极显著高于志愿者 (P <0 0 1)。两组的状态焦虑和特质焦虑无显著性差异 (P >0 0 5 )。结论 :SARS一线护理人员在SARS应激事件下其焦虑体验与处于外部环境中的正常人群在SARS应激下的焦虑体验不存在差别 ,该样本中护理人员的人格特质性焦虑倾向与一般人群间亦没有差别。SARS一线护理人员出现的抑郁的比例显著增高 ,出现精神病性症状的风险显著增高。
OBJECTIVE: To understand the psychological stress of nurses in SARS ward who are directly rescued and treated in SARS. METHODS: The health status of nurses and community / university students working in the SARS ward was assessed using the Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI) and SCL-90 from May 5 to February 12, 2003 Volunteers conducted a survey. Results: Nurses with depressed mood accounted for 52% (5 3/101) of all subjects; 17% (17/101) of them achieved moderate to severe depression, which was significantly higher than that of volunteers (P <0 0) 1). The score of SCL-90 and the scores of each factor in nurses group were significantly higher than those in volunteers (P <0.01). There was no significant difference in state anxiety and trait anxiety between the two groups (P> 0.05). CONCLUSIONS: There is no difference between SARS front-line nursing staff in SARS stress and normal living outside environment in SARS stress. In this sample, the anxiety of personality trait of nursing staff is different from that of general population There is no difference either. The proportion of depression experienced by first-line caregivers in SARS was significantly higher and the risk of developing psychotic symptoms was significantly higher.