中华医学教育杂志

中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (9): 799-802.DOI: 10.3760/cma.j.cn115259-20201208-01690

• 心理健康教育 • 上一篇    下一篇

住院医师对新型冠状病毒肺炎疫情的认知和焦虑状况调查

黄晓寒1, 何谐2, 祝冰晶2, 邓才霞1, 卞士柱3, 李阳4, 罗虎1   

  1. 1陆军军医大学第一附属医院呼吸与危重症医学科,重庆 400038;
    2陆军军医大学医学心理系,重庆 400038;
    3陆军军医大学第二附属医院心血管内科,重庆 400037;
    4陆军军医大学陆军特色医疗中心创伤外科,重庆 400042
  • 收稿日期:2020-12-08 发布日期:2021-08-31
  • 通讯作者: 罗虎, Email: luohucy@163.com, 电话: 023-68765315
  • 基金资助:
    陆军军医大学第一附属医院优秀住培医师培养计划(SWH2018QNJX-02)

Investigation on cognition and anxiety status of trainees receiving standardized resident training for COVID-19 pandemic

Huang Xiaohan1, He Xie2, Zhu Bingjing2, Deng Caixia1, Bian Shizhu3, Li Yang4, Luo Hu1   

  1. 1Department of Respiratory and Critical Care Medicine, First affiliated hospital of Army Military Medical University, Chongqing 400038,China;
    2Department of Medical Psychology, First affiliated hospital Army Military Medical University, Chongqing 400042,China;
    3Department of Cardiovascular Medicine, Second Affiliated Hospital of Army Military Medical University, Chongqing 400037,China;
    4Department of Traumatic Surgery, Army Medical Center of Army Military Medical University, Chongqing 400042, China
  • Received:2020-12-08 Published:2021-08-31
  • Contact: Luo Hu, Email: luohucy@163.com, Tel: 0086-23-68765315
  • Supported by:
    Training Program for Outstanding Resident Physicians in the First Affiliated Hospital of Army Military Medical University (SWH2018QNJX-02)

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摘要： 目的 了解接受住院医师规范化培训(简称住培)的医师对新型冠状病毒肺炎(简称新冠肺炎)的认知和焦虑状况,为学校相关部门制订措施提高住院医师相关能力提供参考。方法 采用问卷调查方法,于2020年2月7日至10日选取陆军军医大学3所附属医院154名住院医师为研究对象,利用问卷星平台进行问卷调查,并通过Excel和SPSS 22.0对相关数据进行统计处理。结果 72.7%(112/154)的住院医师认为其新冠肺炎认知水平和个人自身防护能力提升最主要来自医院疫情初期组织的培训课程;85.7%(132/154)的住院医师认为技能培训可以明显提高个人防护技能;95.5%(147/154)的住院医师认为大力加强烈性传染性疾病感染防护知识的培训尤为重要。55.2%(85/154)的住院医师存在不同程度的焦虑;认为疫情可防可控的住院医师,中重度焦虑情绪的发生率较低(χ2=24.8,P＜0.05);参与防护技能培训次数≥2次的住院医师,中重度焦虑情绪发生率较低(χ2=11.9,P＜0.05);对新冠肺炎防护技能掌握程度越好的住院医师,中重度焦虑情绪发生率越低(χ2=13.7,P＜0.05),而学历、年级、专业与焦虑状况无明显相关性。结论 医院组织的新冠肺炎疫情相关知识和技能培训是住院医师提高个人防护能力的重要手段;突发疫情状态下,住院医师的焦虑情绪发生率较高,而加强相关培训可以降低其焦虑发生率。教学管理部门应当多关注住院医师的心理健康,加强心理疏导。

关键词: 住院医师, 新型冠状病毒肺炎, 认知情况, 焦虑状况

Abstract: Objective To understand the knowledge gain and psychological status of residents of standardized training program on the emerging coronavirus pneumonia (COVID-19), to provide a reference to the teaching departments of the school for development of methods to improve capacity building of trainees. Methods A questionnaire survey was implemented and.154 trainees from three hospitals affiliated to Army Medical University participated in this investigation by questionnaires star platform. Data was collected and analyzed by Excel and SPSS 22.0. Results It was found that 72.7% (112/154) of the trainees believed that the improvement of their awareness about COVID-19 pandemic and their personal protection skill was mainly learnt from training courses organized by the hospital in the early stage of the pandemic; 85.7% (132/154) of them believed that skill training significantly improved personal protection skills, and 95.5% (147/154) of them believed that it was very important to strengthen the training on these infectious diseases. The results also showed that 55.2% (85/154) of the trainees suffered from different degrees of anxiety. The incidence of moderate-to-severe anxiety was much lower among those who believed the pandemic was preventable(χ2=24.8, P＜0.05);Among the trainees who participated in skill training more than two times, the incidence of moderate-to-severe anxiety is lower than those who participated in the protection skill training less than 2 times( χ2=11.9, P＜0.05); The better the mastery of the new coronary pneumonia protection skill,the lower is the incidence of moderate-to-severe anxiety as compared to the individuals with poor knowledge(χ2=13.7, P＜0.05), while there was no significant correlation between the degree of education, grade, major and anxiety status. Conclusions In the early stage of the COVID-19 pandemic, most of the trainees receiving standardized resident training are not well trained with the protection skill against to deal with acute contagious diseases,thus the knowledge and skills training related to the COVID-19 pandemic organized by the hospital is necessary. Facing an emerging pandemic, the incidence of anxiety is high in resident training trainees and the teaching management department needs to pay attention to their mental health and provide necessary psychological support including personal consultation.

Key words: Residents trainees, COVID-19, cognition, Anxiety status

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