新型冠状病毒肺炎疑似感染患者防控措施、知识调查及心理状态分析
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Prevention measures,knowledge investigation and psychological status analysis of patients with suspected coronavirus disease 2019
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    摘要:

    目的:了解新型冠状病毒肺炎疑似感染患者相关防护措施、新型冠状病毒认知及其心理状况现状。方法:应用新型冠状病毒防控措施及知识调查表、症状自评量表(SCL-90)对四川大学华西医院感染隔离病房的65名新型冠状病毒肺炎疑似感染患者进行面对面问卷调查,并对调查结果提出相关建议。结果:防护措施得分为(37.89±6.16)分,其中得分较高的条目包括咳嗽及喷嚏时捂住口鼻[(4.58±0.81)分]、避免接触呼吸道疾病患者[(4.57±0.92)分];得分较低的条目为回家时使用酒精或含氯消毒剂消毒身体暴露部位及衣物[(3.78±0.27)分]、开窗通气及使用酒精或含氯消毒剂擦拭居家用品[(3.85±1.22)分]。知识得分为(15.72±2.82)分,其中得分较高的条目包括病毒可通过呼吸道飞沫传播(1.00分)、目前最有效的防控手段是早发现早隔离(1.00分);得分最低的条目包括母婴传播[(0.29±0.46)分]、血液传播[(0.20±0.40)分]及传染病类别[(0.35±0.48)分]。SCL-90量表调查结果显示,出现躯体化症状的患者有15人(23.1%),出现强迫症的患者有19人(29.2%),出现人际关系敏感的有15人(23.1%)。躯体化、焦虑、恐怖、神经病性及饮食睡眠因子得分均高于国内常模(P<0.05)。结论:新型冠状病毒肺炎疑似感染患者存在躯体化、焦虑、恐怖心理,睡眠存在一定障碍,医护人员应及时针对相关症状加以干预。另外,防护措施及相关知识得分说明,应加强患者外出后的正确消毒方法及新型冠状病毒传播途径的相关宣教。

    Abstract:

    Objective:To investigate the prevention measures,knowledge on coronavirus disease 2019(COVID-19) and psychological condition among patients with suspected infection. Methods:Questionnaires about coronavirus prevention measures and knowledge,and symptom self-assessment scale(SCL-90) were used to investigate 65 patients with suspected infection in the isolation ward of West China Hospital,Sichuan University. Results:The score of protective measures was (37.89±6.16),among which higher-score items included:covering nose and mouth when coughing and sneezing(4.58±0.81) and avoiding contact with patients with respiratory diseases(4.57±0.92);low-score items included:using disinfectants containing alcohol or chlorine to disinfect exposed parts of body and clothes(3.78±0.27),and opening window for ventilation and wiping housewares by using alcohol or chlorine disinfectant(3.85±1.22). Overall score of knowledge was (15.72±2.82),among which high-score items included:viruses can be transmitted by respiratory droplets(1.00) and the most effective means of prevention and control is early discovery and early isolation(1.00);low-score items included:mother-to-child transmission(0.29±0.46),blood transmission(0.20±0.40) and infectious disease classifi-cation(0.35±0.48). Results of SCL-90 scale showed that 15 patients had somatization symptoms(23.1%),19 patients had obsessive-compulsive disorder(29.2%),and 15 patients had interpersonal sensitivity(23.1%). Scores of somatization,anxiety,fear,neuropathy and sleep disorders were higher than those of domestic norm(P<0.05). Conclusion:Patients with suspected infection have somatization,anxiety,fear and sleep disorder,therefore,the medical staff should timely take measures for symptoms. In addition,the medical staff should explain protection measures and knowledge for suspected infected person,and promote teaching and announce-ment on right disinfecting ways after going out and transmission ways of COVID-19.

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曹鑫宇,唐秀美,薛秒,曹金秋.新型冠状病毒肺炎疑似感染患者防控措施、知识调查及心理状态分析[J].重庆医科大学学报,2020,45(7):894-

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  • 在线发布日期: 2020-09-14
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