其他摘要 | Purpose As a global public health emergency, the novel coronavirus pneumonia is highly contagious, has hidden transmission routes, and has an unknown prognosis. It has a profound impact on global politics, economy and culture, and has a very serious harm on human physiology and psychology health. As medical personnel fighting on the front line of the fight against the epidemic, facing the novel coronavirus, its psychological state and stress response will be affected by a variety of factors, especially under the background of national participation in anti-epidemic, the support of all walks of life makes China's anti-epidemic achievements attracting worldwide attention. The relationship and influence of the stress response, psychological resilience, and social support of front-line medical staff in the fight against the new crown epidemic under major infectious diseases are currently hot topics in protecting the physical and mental health of front-line medical staff. Methods Medical personnel working in the front line of fighting against the epidemic from January to May 2020 in Kunming City were selected as the research subjects. The general situation questionnaire, the psychological resilience scale, the post-traumatic stress disorder scale and the social support scale were used to conduct questionnaire surveys on the stress response, psychological resilience and social support level of frontline medical staff in the fight against the epidemic. SPSS25.0 and AMOS24.0 statistical software for statistical data were used to collect from processing, general information using frequency, the structure than to describe; The scores and total scores of resilience, post-traumatic stress response and social support were described by means and standard deviation. The independent sample t-test or one-way analysis of variance were used to compare the differences in mental resilience, post-traumatic stress response and social support scores of medical staff with different characteristics. Pearson correlation analysis and multiple linear regression were used to analyze the correlation and influence of continuous variables. On the basis of correlation analysis and expertise, the structural equation hypothesis model was established with AMOS, and the model was modified, verified and analyzed.Results ① The total score of mental resilience was 63.01±7.49, and the scores of toughness, optimism and strength were 31.90±8.34, 9.38±2.62 and 22.50±5.22, respectively. The results of univariate analysis showed that there were statistically significant differences in the mental resilience of the front-line medical staff in terms of education background, public health emergency experience, disinfection and protection, and prevention and control training (P<0.05).② The total stress response score of the first-line medical workers was 31.59±9.01. The scores of the three dimensions of stress response were 9.45±3.11, 11.46±4.22 and 9.01±2.89, respectively, for re-experience, avoidance/numbness and increased alertness. Univariate analysis results showed that there were significant differences in the stress response of the first-line medical staff in disinfection, protection and prevention and control training (P<0.05).③ The total score of social support was 39.32±5.94, and the scores of objective support, subjective support and utilization of social support were 10.81±3.45, 20.28±3.02 and 8.21±1.84, respectively. The results of univariate analysis showed that there were statistically significant differences in the social support of the first-line medical staff in disinfection, protection and prevention and control training (P<0.05).④ In the correlation analysis of mental resilience, stress response and social support, mental resilience was negatively correlated with stress response (r= -0.726, P =0.000), and positively correlated with social support (r=0.821, P =0.000).⑤ Structural equation model analysis showed that stress response negatively predicted mental resilience (β= -0.19), while social support positively predicted mental resilience (β= 0.79).Conclusion The scores of psychological resilience of front-line medical staff in anti-epidemic patients are lower than the average. Stress response can negatively predict psychological resilience, and social support can positively predict psychological resilience. At the same time, the stress response indirectly affects psychological resilience through social support. |
修改评论