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目的研究SARS治疗一线医护人员在工作不同阶段的心理健康状况。方法采用症状自评量表(SCL90)对小汤山医院620名一线医护人员进行心理评估。结果除精神病性因子以外,该群体SCL90各因子5个时间段的得分与地方常模比较,差异均有统计学意义(P<0.05);每个因子5个时间段的得分之间的比较差异有统计学意义(P<0.05)。各因子不同时间段的得分呈动态变化,焦虑、恐怖因子得分逐步下降,躯体化、强迫、抑郁、偏执因子得分先升高后下降,人际敏感因子得分先下降后上升,敌对因子得分最后有所升高。结论SARS治疗一线医护人员的心理健康水平总体上低于地方常模,焦虑、恐怖、强迫、躯体化症状相对突出,其心理健康状况值得重视。
Objective To study the psychological health status of frontline medical staff in SARS treatment at different stages of their work. Methods Psychological evaluation was performed on 620 first-line medical staff in Xiaotangshan Hospital using the Symptom Checklist 90 (SCL90). Results Except for psychotic factors, the score of each factor in SCL90 for five time periods was significantly different from that of local norm (P <0.05). The scores of each factor in five time periods were significantly different There was statistical significance (P <0.05). The scores of various factors in different time periods showed dynamic changes. The score of anxiety and terror factors decreased gradually. The scores of somatization, coercion, depression and paranoid increased first and then decreased, interpersonal sensitivity scores decreased first and then increased, Rise. Conclusion The mental health status of frontline medical staff in SARS treatment is generally lower than that in local norm. The symptoms of anxiety, terror, coercion and somatization are relatively prominent, and its mental health status deserves attention.