新型冠状病毒肺炎疫情下雅安市普通民众心理健康状况

Abstract

了解新型冠状病毒肺炎流行期雅安普通民众居家隔离期间的心理健康状况。方法:采用在线问卷调查,选取雅安市年龄≥15岁的居民537例,于2020年2月10-15日,采用12条目一般健康问卷(≥3分为心理健康状况不良)、自评焦虑量表(≥50分有焦虑症状)、匹兹堡睡眠质量指数量表(≥8分有睡眠障碍)评估。结果:537例居民中心理健康状况不良者79例(14.7%),有焦虑症状者50例(9.3%),有睡眠障碍者69例(12.8%)。Logistics回归分析显示,年龄≥65岁组更易出现心理健康状况不良、焦虑症状(OR=4.21、9.87,P<0.05),知道新冠肺炎疫情爆发后不太担心组更不易出现心理健康状况不良、焦虑症状、睡眠障碍(OR=0.08、0.06、0.24,P<0.05),居住地为乡村、对新冠肺炎传染性知道一点或不清楚组更易出现睡眠障碍(OR=2.99、2.97,P<0.05)。结论:新冠肺炎疫情下老年可能是雅安普通民众心理健康状况不良、焦虑症状的危险因素,居住地为乡村、对新冠肺炎传染性缺乏了解是睡眠障碍的危险因素.

Objective:To understand the mental health status of the general population in home quarantine in Ya’ an City during the COVID-19 epidemic.Methods:By using online questionnaire survey,the residents aged ≥ 15 years in Ya’ an were investigated during February 10-15,2020.The 12-item General Health Questionnaire(GHQ-12,poor mental health was defined as GHQ-12 total score ≥3),Self-rating Anxiety Scale(SAS,having anxiety symptoms was defined as SAS total score ≥50),and Pittsburgh Sleep Quality Index scale(PSQI,having sleep disorders was defined as PSQI total score ≥8) were used to assess mental health status, anxiety symptoms and sleep quality.Results:Among the 537 valid study participants,79 cases had poor mental health(14.7%),50 cases had anxiety symptoms(9.3%),and 69 cases had sleep disorders(12.8%).Logistics regression analysis showed that those aged ≥65 years were more likely to have poor mental health and anxiety symptoms(OR=4.21,9.87,Ps<0.05),those who were not too worried about the COVID-19 epidemic were less likely to have poor mental health,anxiety symptoms,and sleep disorder(OR=0.08,0.06,0.24,Ps<0.05),and those who lived in rural areas and knew a little or did not know the infectivity of COVID-19 were more likely to have sleep disorders(OR=2.99,2.97,Ps<0.05).Conclusion:During the COVID-19 epidemic old age may be a risk factor for poor mental health and anxiety symptoms among the general population in Ya’ an.Living in rural areas and lack of knowledges of COVID-19 infectivity are risk factors for sleep disorders.