海南省COVID-19疫情期间三亚方舱医院患者焦虑和抑郁现患率及影响因素

陈浩; 李皓炜; 李雪航; 杨磊; 叶子凤; 王盛书; 杨姗姗; 陈仕敏; 刘少华; 李蓉蓉; 杨钧涵; 李怀昊; 鲍颖慧; 石岳庭; 王建华; 刘淼; 何耀

doi:10.16462/j.cnki.zhjbkz.2023.11.007

文章导航 > 中华疾病控制杂志 > 2023 > 27(11): 1282-1288

陈浩, 李皓炜, 李雪航, 杨磊, 叶子凤, 王盛书, 杨姗姗, 陈仕敏, 刘少华, 李蓉蓉, 杨钧涵, 李怀昊, 鲍颖慧, 石岳庭, 王建华, 刘淼, 何耀. 海南省COVID-19疫情期间三亚方舱医院患者焦虑和抑郁现患率及影响因素[J]. 中华疾病控制杂志, 2023, 27(11): 1282-1288. doi: 10.16462/j.cnki.zhjbkz.2023.11.007

引用本文:

CHEN Hao, LI Haowei, LI Xuehang, YANG Lei, YE Zifeng, WANG Shengshu, YANG Shanshan, CHEN Shimin, LIU Shaohua, LI Rongrong, YANG Junhan, LI Huaihao, BAO Yinghui, SHI Yueting, WANG Jianhua, LIU Miao, HE Yao. A study on the prevalence rate of anxiety and depression status and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Hainan[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(11): 1282-1288. doi: 10.16462/j.cnki.zhjbkz.2023.11.007

Citation:

CHEN Hao, LI Haowei, LI Xuehang, YANG Lei, YE Zifeng, WANG Shengshu, YANG Shanshan, CHEN Shimin, LIU Shaohua, LI Rongrong, YANG Junhan, LI Huaihao, BAO Yinghui, SHI Yueting, WANG Jianhua, LIU Miao, HE Yao. A study on the prevalence rate of anxiety and depression status and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Hainan[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(11): 1282-1288. doi: 10.16462/j.cnki.zhjbkz.2023.11.007

引用本文:

Citation:

CHEN Hao, LI Haowei, LI Xuehang, YANG Lei, YE Zifeng, WANG Shengshu, YANG Shanshan, CHEN Shimin, LIU Shaohua, LI Rongrong, YANG Junhan, LI Huaihao, BAO Yinghui, SHI Yueting, WANG Jianhua, LIU Miao, HE Yao. A study on the prevalence rate of anxiety and depression status and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Hainan[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2023, 27(11): 1282-1288. doi: 10.16462/j.cnki.zhjbkz.2023.11.007

海南省COVID-19疫情期间三亚方舱医院患者焦虑和抑郁现患率及影响因素

doi: 10.16462/j.cnki.zhjbkz.2023.11.007

陈浩^{1, 2},
李皓炜³,
李雪航³,
杨磊^{3, 4},
叶子凤⁵,
王盛书³,
杨姗姗⁶,
陈仕敏³,
刘少华³,
李蓉蓉³,
杨钧涵^{2, 3},
李怀昊³,
鲍颖慧³,
石岳庭^{2, 3},
王建华³,
刘淼^2, ,,
何耀^{3, 7, ,}

1.
解放军总医院海南医院卫勤部保健工作办公室，三亚 572013
2.
解放军总医院研究生院，北京 100853
3.
解放军总医院第二医学中心老年医学研究所，国家老年疾病临床医学研究中心，衰老与相关疾病研究北京市重点实验室，北京 100853
4.
解放军总医院保健工作办公室，北京 100853
5.
解放军总医院海南医院心理医学科，三亚 572013
6.
解放军总医院第一医学中心疾病预防控制科，北京 100853
7.
肾脏疾病国家重点实验室，北京 100853

基金项目:

海南省重大科技计划 ZDKJ2019012

国家重点研发计划 2022YFC2503605

详细信息

通讯作者:
刘淼，E-mail: liumiaolmbxb@163.com

何耀，E-mail: yhe301@sina.com

中图分类号: R181
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- 文章访问数: 300
- HTML全文浏览量: 153
- PDF下载量: 42
- 被引次数: 0
出版历程
- 收稿日期: 2023-01-04
- 修回日期: 2023-04-23
- 网络出版日期: 2023-11-20
- 刊出日期: 2023-11-10

A study on the prevalence rate of anxiety and depression status and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Hainan

CHEN Hao^{1, 2},
LI Haowei³,
LI Xuehang³,
YANG Lei^{3, 4},
YE Zifeng⁵,
WANG Shengshu³,
YANG Shanshan⁶,
CHEN Shimin³,
LIU Shaohua³,
LI Rongrong³,
YANG Junhan^{2, 3},
LI Huaihao³,
BAO Yinghui³,
SHI Yueting^{2, 3},
WANG Jianhua³,
LIU Miao^{2
, ,},
HE Yao^{3, 7
, ,}

1.
Healthcare Office of Medicial Service Department, Hainan Hospital, Chinese People′s Liberation Army General Hospital, Sanya 572013, China
2.
Department of Statistics and Epidemiology, Graduate School of People′s Liberation Army General Hospital, Beijing 100853, China
3.
Institute of Geriatrics, Beijing Key Laboratory of Aging and Geriatrics, National Clinical Research Center for Geriatric Disease, 2nd Medical Center, Chinese People′s Liberation Army General Hospital & Chinese People′s Liberation Army Medical Academy, Beijing 100853, China
4.
Healthcare Office of Chinese People′s Liberation Army General Hospital, Beijing 100853, China
5.
Department of Medical Psychology of Hainan Hospital, Chinese People′s Liberation Army General Hospital, Sanya 572013, China
6.
Department of Disease Prevention and Control, First Medical Center of People′s Liberation Army General Hospital, Beijing 100853, China
7.
State Key Laboratory of Kidney Diseases, Beijing 100853, China

Funds:

Major Science and Technology Plan Project of Hainan Province ZDKJ2019012

National Key Research and Development Program of China 2022YFC2503605

More Information

Corresponding author: LIU Miao, E-mail: liumiaolmbxb@163.com; HE Yao, E-mail: yhe301@x263.com

摘要

摘要: 目的调查海南省COVID-19疫情期间三亚方舱医院COVID-19患者的焦虑和抑郁现患率及相关影响因素。方法 2022年8―10月，通过问卷星网络平台对收治于海南省三亚第二方舱医院的COVID-19轻型患者和无症状感染者进行心理状况问卷调查。焦虑及抑郁的判定及严重程度分别通过焦虑自评量表和抑郁自评量表评估。采用多因素logistic回归分析模型分析影响焦虑、抑郁发生的因素。结果在纳入的569例患者中，焦虑和抑郁的整体检出率分别为14.9%和55.4%，以轻、中度为主。多因素logistic回归分析模型分析结果显示，女性、已婚者、饮酒及存在既往慢性病病史的患者更易出现焦虑情绪(均P＜0.05)。已婚者、体力劳动者及独居者更易出现抑郁情绪，而经常参加体育锻炼者出现抑郁情绪的风险较低(均P＜0.05)。结论 COVID-19疫情期间，方舱医院内患者焦虑和抑郁不良情绪的患病率高，对高风险人群的不良心理状况应依据高危和诱发因素进行早期识别及干预。
- 新型冠状病毒感染 /
- 方舱医院 /
- 焦虑 /
- 抑郁 /
- 不良情绪
Abstract: Objective To investigate the anxiety and depression status of asymptomatic and light COVID-19 patients admitted to Fangcang shelter hospitals in Hainan during the COVID-19 outbreak, and analyze the related influencing factors. Methods From August to October 2022, an online survey of anxiety and depression status using the Questionnaire Star program was conducted. The severity of anxiety and depression were assessed by Self-Rating Anxiety Scale and Self-Rating Depression Scale, respectively. A multivariable logistic regression model was used to analyze the influencing factors. Results Of the 569 patients included, 14.9% and 55.4% had COVID-19-related anxiety and depression symptoms, mainly mild and moderate. Multivariable logistic regression analysis showed that female sex, being married, alcohol consumption and past medical history were independent risk factors for anxiety symptoms (all P < 0.05). Additionally, being married, manual occupation and living alone were risk factors, while frequent physical exercises appeared as protective factors (all P < 0.05) related to depression symptoms. Conclusions The COVID-19 outbreak resulted in a related widespread increase in anxiety and depression in patients admitted to Fangcang shelter hospitals, and early identification and intervention of adverse psychological status in high-risk groups should be achieved.
- COVID-19 /
- Fangcang shelter hospitals /
- Anxiety /
- Depression /
- Adverse psychological status

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图 1 方舱医院569名无症状感染者和轻型患者焦虑、抑郁情绪不同程度检出情况

Figure 1. Detection of different levels of anxiety and depression in 569 asymptomatic and light COVID-19 patients of Fangcang shelter hospitals

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表 1 方舱医院569名无症状感染者和轻型患者的一般情况

Table 1. Basic information of 569 asymptomatic and light COVID-19 patients admitted to Fangcang shelter hospitals

项目Factor	人数(占比/%) Number of people (proportion/%)
年龄组/岁Age group/years
＜20	106(18.6)
20~＜40	223(39.2)
40~＜60	205(36.0)
≥60	35(6.2)
性别Gender
男Male	295(51.8)
女Female	274(48.2)
民族Ethnicity
汉族Han	508(89.3)
其他Others	61(10.7)
文化程度Education level
初中及以下Junior middle school or below	296(52.0)
高中或中专Higher school or technical school	150(26.4)
大学及以上University and above	123(21.6)
婚姻状况Marital status
已婚Married	327(57.5)
其他(离异、丧偶、未婚等)Others (divorced, widowed, unmarried, et al)	242(42.5)
居住状况Residential type
同居(与家人或他人同居)Living together (with family or others)	499(87.7)
独居Living alone	70(12.3)
工作性质Work-related nature
脑力劳动为主Mental labor	204(35.9)
轻中度体力劳动为主Light and moderate physical labor	330(58.0)
重度体力劳动为主Heavy physical labor	35(6.2)
吸烟Smoking	110(19.3)
饮酒Drinking	107(18.8)
经常参加体育锻炼Regular physical exercise	162(28.5)
既往慢性病病史Previous chronic disease history	35(6.2)
注：既往慢性病病史包括恶性肿瘤、冠状动脉粥样硬化性心脏病(冠心病)、高血压、糖尿病、脑卒中、精神类疾病及痴呆。 Note: previous chronic disease history included malignant neoplasm, coronary heart disease, hypertension, diabetes, stroke, psychiatric disorders, and dementia.

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表 2 方舱医院不同特征无症状感染者和轻型患者焦虑、抑郁情绪的检出情况

Table 2. Detection of anxiety and depression in patients with different characteristics in Fangcang helter hospitals

变量Variable	焦虑情绪Anxiety			抑郁情绪Depression
变量Variable	无 ^① No ^①	有 ^① Yes ^①	P值value	无 ^① No ^①	有 ^① Yes ^①	P值value
年龄组/岁Age group/years			0.009			＜0.001
＜20	101(95.3)	5(4.7)		67(63.2)	39(36.8)
20~＜40	186(83.4)	37(16.6)		95(42.6)	128(57.4)
40~＜60	170(82.9)	35(17.1)		80(39.0)	125(61.0)
≥60	27(77.1)	8(22.9)		12(34.3)	23(65.7)
性别Gender			0.033			0.287
男Male	260(88.1)	35(11.9)		138(46.8)	157(53.2)
女Female	224(81.8)	50(18.2)		116(42.3)	158(57.7)
民族Ethnicity			0.473			0.450
汉族Han	434(85.4)	74(14.6)		224(44.1)	284(55.9)
其他Others	50(82.0)	11(18.0)		30(49.2)	31(50.8)
文化程度Education level			0.260			＜0.001
初中及以下Junior middle school or below	258(87.2)	38(12.8)		109(36.8)	187(63.2)
高中或中专Higher school or technical school	122(81.3)	28(18.7)		69(46.0)	81(54.0)
大学及以上University and above	104(84.6)	19(15.4)		76(61.8)	47(38.2)
婚姻状况Marital status			0.002			＜0.001
已婚Married	265(81.0)	62(19.0)		124(37.9)	203(62.1)
其他(离异、丧偶、未婚等)Others (divorced, widowed, unmarried)	219(90.5)	23(9.5)		130(53.7)	112(46.3)
居住状况Residential type			0.379			0.018
同居(与家人或他人同居)Living together (with family or others)	422(84.6)	77(15.4)		232(46.5)	267(53.5)
独居Living alone	62(88.6)	8(11.4)		22(31.4)	48(68.6)
工作性质Work-related nature			0.037			＜0.001
脑力劳动为主Mental labor	182(89.2)	22(10.8)		128(62.7)	76(37.3)
轻中度体力劳动为主Light and moderate physical labor	270(81.8)	60(18.2)		119(36.1)	211(63.9)
重度体力劳动为主Heavy physical labor	32(91.4)	3(8.6)		7(20.0)	28(80.0)
吸烟Smoking			0.288			0.507
否No	394(85.8)	65(14.2)		208(45.3)	251(54.7)
是Yes	90(81.8)	20(18.2)		46(41.8)	64(58.2)
饮酒Drinking			0.003			0.417
否No	403(87.2)	59(12.8)		210(45.5)	252(54.5)
是Yes	81(75.7)	26(24.3)		44(41.1)	63(58.9)
经常参加体育锻炼Regular physical exercise			0.958			0.029
否No	346(85.0)	61(15.0)		170(41.8)	237(58.2)
是Yes	138(85.2)	24(14.8)		84(51.9)	78(48.1)
既往慢性病病史Previous chronic disease history			＜0.001			0.105
否No	462(86.5)	72(13.5)		243(45.5)	291(54.5)
是Yes	22(62.9)	13(37.1)		11(31.4)	24(68.6)
注：既往慢性病病史包括恶性肿瘤、冠状动脉粥样硬化心脏病(冠心病)、高血压、糖尿病、脑卒中、精神类疾病及痴呆。 ①以[人数(占比/%)]表示。 Note: Previous chronic disease history included malignant neoplasm, coronary heart disease, hypertension, diabetes, stroke, psychiatric disorders, and dementia. ① [Number of people (proportion /%)].

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表 3 方舱医院无症状感染者和轻型患者焦虑、抑郁多因素logistic回归模型分析

Table 3. Multivariate logistic regression analysis of influencing factors for anxiety and depression status in patients of Fangcang shelter hospitals

变量Variable	β值 value	s_x	Wald χ²值value	OR值 value	95% CI	P值 value
焦虑Anxiety
性别Gender
男Male				1.000
女Female	1.048	0.300	12.183	2.851	1.583~5.135	0.001
婚姻状况Marital status
其他(离异、丧偶、未婚等)Others (divorced, widowed, unmarried)				1.000
已婚Married	0.651	0.268	5.899	1.917	1.134~3.241	0.015
饮酒Drinking
否No				1.000
是Yes	1.306	0.333	15.387	3.690	1.922~7.086	＜0.001
既往慢性病病史Previous chronic disease history
否No				1.000
是Yes	1.323	0.395	11.210	3.755	1.731~8.148	0.001
抑郁Depression
婚姻状况Marital status
其他(离异、丧偶、未婚等)Others (divorced, widowed, unmarried)				1.000
已婚Married	0.403	0.189	4.541	1.496	1.033~2.167	0.033
工作性质Work-related nature
脑力劳动为主Mental labor				1.000
轻中度体力劳动为主Light and moderate physical labor	0.963	0.195	24.314	2.618	1.786~3.839	＜0.001
重度体力劳动为主Heavy physical labor	1.693	0.454	13.890	5.434	2.231~13.235	＜0.001
居住状况Residential type
同居(与家人或他人同居)Living together (with family or others)				1.000
独居Living alone	0.676	0.292	5.373	1.966	1.110~3.480	0.020
经常参加体育锻炼Regular physical exercise
否No				1.000
是Yes	-0.413	0.196	4.413	0.662	0.450~0.973	0.036
焦虑伴随抑郁Anxiety accompanied by depression
性别Gender
男Male
女Female	1.292	0.327	15.609	3.640	1.918~6.910	＜0.001
婚姻状况Marital status
其他(离异、丧偶、未婚等) Others (divorced, widowed, unmarried, et al)				1.000
已婚Married	0.730	0.282	6.676	2.074	1.193~3.607	0.010
饮酒Drinking
否No				1.000
是Yes	1.532	0.354	18.723	4.629	2.312~9.268	＜0.001
既往慢性病病史Previous chronic disease history
否No				1.000
是Yes	0.964	0.424	5.185	2.623	1.144~6.017	0.023
注：既往慢性病病史包括恶性肿瘤、冠状动脉粥样硬化性心脏病(冠心病)、高血压、糖尿病、脑卒中、精神类疾病及痴呆。 Note: Previous chronic disease history included malignant neoplasm, coronary heart disease, hypertension, diabetes, stroke, psychiatric disorders, and dementia.

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海南省COVID-19疫情期间三亚方舱医院患者焦虑和抑郁现患率及影响因素

doi: 10.16462/j.cnki.zhjbkz.2023.11.007

通讯作者:
刘淼，E-mail: liumiaolmbxb@163.com

何耀，E-mail: yhe301@sina.com

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A study on the prevalence rate of anxiety and depression status and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Hainan

Corresponding author: LIU Miao, E-mail: liumiaolmbxb@163.com; HE Yao, E-mail: yhe301@x263.com

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海南省COVID-19疫情期间三亚方舱医院患者焦虑和抑郁现患率及影响因素

doi: 10.16462/j.cnki.zhjbkz.2023.11.007

通讯作者: 刘淼，E-mail: liumiaolmbxb@163.com 何耀，E-mail: yhe301@sina.com

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A study on the prevalence rate of anxiety and depression status and influencing factors of COVID-19 patients in Fangcang shelter hospitals in Hainan

Corresponding author: LIU Miao, E-mail: liumiaolmbxb@163.com; HE Yao, E-mail: yhe301@x263.com

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出版历程

目录

通讯作者:
刘淼，E-mail: liumiaolmbxb@163.com

何耀，E-mail: yhe301@sina.com