标题：非传染科护士在新型冠状病毒肺炎患者护理中的焦虑抑郁状况及其影响因素分析

      作者：李春静，彭艺芬，任雅坤，王齐，刘雪珍，李莉，毛婷，孙璐露    深圳市第三人民医院甲乳外科，广东 深圳 518000

      卷次： 2020年31卷16期

      【摘要】 目的 了解非传染科护士在新型冠状病毒肺炎(COVID-19)患者护理中的焦虑抑郁水平的动态变化趋势，并分析其影响因素。方法 选择2020年1~2月深圳市第三人民医院外科病区58名非传染科护士作为研究对象，所有护士均参与462例COVID-19患者的护理，护理期间所有护士均予以管理干预措施。采用Zung氏焦虑自评量表(SAS)和Zung氏自评抑郁量表(SDS)纵向测评护理人员的心理状态，对比护士在护理COVID-19患者第1周和第4周的焦虑抑郁状况，以评价管理干预措施实施的效果，并分析影响护士SAS、SDS评分的相关因素。结果 护士护理COVID-19患者第4周的SAS、SDS评分分别为(16.04±3.5)分、(13.06±3.38)分，明显低于护理第1周的(20.04±2.51)分、(19.06±2.38)分，差异均有统计学意义(P<0.05)；单因素分析结果显示，不同生育情况、文化程度、工龄、COVID-19感染防控知识掌握程度、曾经参加过突发公共卫生事件处理、对目前工作量和时长的感受及自测被感染风险的护士的SAS、SDS评分比较差异均有统计学意义(P<0.05)。结论 随着护理COVID-19患者时间的延长和管理干预措施的落实，护士的焦虑抑郁水平逐渐降低；不同生育情况、文化程度、工龄、COVID-19感染防控知识掌握程度、曾经参加过突发公共卫生事件处理、对目前工作量和时长的感受及自测被感染风险等是影响护士焦虑抑郁状况的因素，应提早加强对护士的心理干预和疏导。
      【关键词】 新型冠肺病毒肺炎；焦虑；抑郁；传染病；护理；影响因素
      【中图分类号】 R473 【文献标识码】 A 【文章编号】 1003—6350（2020）16—2170—04

Anxiety and depression status of nurses not from Infectious Diseases Department and involved in the nursing ofpatients with coronavirus disease 2019 and their influencing factors.
LI Chun-jing, PENG Yi-fen, REN Ya-kun,WANG Qi, LIU Xue-zhen, LI Li, MAO Ting, SUN Lu-lu. Department of Thyroid and Breast Surgery, Shenzhen ThirdPeople's Hospital, Shenzhen 518000, Guangdong, CHINA
【Abstract】 Objective To understand the dynamic changes of anxiety and depression levels of non-infec-tious nurses in the care of patients with coronavirus disease 2019 (COVID-19), and analyze the influencing factors.Methods From January 2020 to February 2020, 58 nurses who were not from Infectious Diseases Department andwere involved in the nursing of 462 COVID-19 patients in the surgical ward, Shenzhen Third People's Hospitalwere selected as the research objects. The nurses were all given management intervention measures. The psychologicalstatus of nursing staff was assessed by Zung self-rating Anxiety Scale (SAS) and Zung self-rating Depression Scale(SDS). The anxiety and depression status of nurses in the first and fourth weeks of nursing were compared, in order toevaluate the effect of management interventions. The related factors influencing the nurses SAS, SDS score were ana-lyzed. Results The SAS and SDS scores of nurses at week 4 were (16.04±3.5) points and (13.06±3.38) points, whichwere significantly lower than (20.04±2.51) points and (19.06±2.38) points at week 1 (P<0.05). The differences in SAS andSDS scores of nurses were statistically significant with different fertility conditions, education level, length of service,knowledge of COVID-19 infection prevention and control, previous participation in handling public health emergencies,current workload and duration of experience, and self-assessment of risk of infection (P<0.05). Conclusion With the ex-tension of nursing time for COVID-19 patients and the implementation of management interventions, the level of anxi-ety and depression of nurses has gradually decreased. There are many factors affecting the anxiety and depression ofnurses, including fertility conditions, education level, length of service, knowledge of COVID-19 infection preventionand control, previous participation in handling public health emergencies, current workload and duration of experience,and self-assessment of risk of infection. Therefore, psychological intervention and counseling should be strengthenedin advance.
      【Key words】 Coronavirus disease 2019 (COVID-19); Anxiety; Depression; Infectious disease; Nursing; Influ-encing factors·护理·doi:10.3969/j.issn.1003-6350.2020.16.037