Mental health service demands among medical staff during the COVID-19 epidemic.

Abstract

Objective: To explore the mental health service demands among medical staff and its distributions during the COVID-19 epidemic, so as to provide basis for psychological interventions. Methods: A total of 4677 medical staff from 348 hospitals in 31 provinces of China were investigated by an online survey based on "questionnaire star" from February 17 to 24, 2020. A self-designed questionnaire was used to collection information of social-demographic characteristics and mental health service demands. Psychological problem was defined if the screening results of any of the following instruments were positive, including Self Report Questionnaire for emotional pain, Self-rating Anxiety Scale for anxiety symptoms, and Self-rating Depression Scale for depression symptoms. Mental health service demands were recorded according to the self-report of the respondents. Results: Prevalence of psychological problem was 39. 3% and the demands of mental health services among medical staff with any psychological problem was 27. 2%. The results of multivariate analysis showed that fewer instruments with positive screening results ( only one instrument, OR = 3. 02, 95% CI: 2.35 — 3. 89, two instruments, OR = 1. 65, 95% CI: 1.26 — 2. 16), aged 29 and less ( OR = 1. 66, 95% CI: 1. 01 — 2.74), working in departments with lower risk ( OR = 1. 28, 95% CI: 1. 003 — 1. 64), and no epidemic isolation from themselves or the people around them ( OR = 1. 54, 95% CI: 1. 09 —2. 18) were associated with less mental health service demands. There were significant differences among the intentions to the provided methods of mental health services among medical staff with different types of screening results. Promoting health knowledge by mobile phone was the top intention in each subgroup. Conclusion: The rate of mental health service demands for medical staff with psychological problems is relatively low during the COVID-19 epidemic. Different intervention methods should be used for different populations during the psychological interventions. (English) [ABSTRACT FROM AUTHOR] 目的：了解新冠肺炎流行期间医护人员心理卫生服务需求及分布特点，为开展心理干预工作 提供依据。方法：２０２０年 ２月 １７日 －２４日，采用 “问卷星”进行网络调查，中国 ３１个省份 ３４８家医院共 ４６７７名医护人员参与；采用自行设计问卷调查一般人口学特征、医护人员的心理需求及相关因素，采用心 理健康自评问卷 （ＳＲＱ-20）评估情感痛苦，焦虑自评量表评估焦虑症状，抑郁自评量表评估抑郁症状，并 将有心理问题定义为上述 ３个量表中任意一个量表筛查阳性。采用自我报告的方式记录心理卫生服务需求。 结果：心理问题的检出率为 39.3%。有心理问题者的心理卫生服务需求率为 27.2%。多因素分析结果显 示，筛查阳性量表数目少 （任意 １种，OR = 3. 02, 95% CI: 2.35 ~ 3. 89 任意 ２种，OR = 1. 65, 95% CI: 1.26 ~ 2. 16），年龄在 ２９岁及以下 （OR = 1. 66, 95% CI: 1. 01 ~ 2.74），在低风险科室工作 （OR = 1. 28, 95% CI: 1. 003 ~ 1. 64），及自己或周围无人被隔离 （OR = 1. 54, 95% CI: 1. 09 ~ 2. 18）与心理卫生服务需 求率低有关。不同类别的筛查阳性者心理卫生服务方式的选择意愿存在差异，其中以接受手机推送方式的 心理干预比例最高。结论：新冠肺炎流行期间存在心理问题医护人员接受心理卫生服务需求比例不高，在 具体干预工作中针对不同人群应当采取不同干预方式。 (Chinese) [ABSTRACT FROM AUTHOR] Copyright of Chinese Mental Health Journal / Zhongguo Xinli Weisheng Zazhi is the property of Chinese Mental Health Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)