COVID-19疑似感染病人對隔離事件之心理健康初探

Patients' Mental Health During Isolation for Suspected COVID-19

10.6142/VGHN.202109_38(3).0001

劉雅絃(Ya-Hsien Liu)；黃惠美(Hui-Mei Huang)；陳俊朋(Jun-Peng Chen)；鍾宜真(Yi-Jen Chung)

COVID-19 ； 隔離事件 ； 心理健康 ； COVID-19 ； isolation ； mental health

榮總護理

38卷3期（2021 / 09 / 01）

221 - 230

繁體中文

背景：2019年COVID-19新興傳染病爆發，2020年全世界迅速傳播，嚴重地影響人類健康及生活型態，病人在疑似感染階段時，即需要隔離環境，接受觀察或治療至病程穩定後，才可以返回社區。目的：探討COVID-19疑似感染病人對隔離事件之心理健康狀況。方法：本研究採病歷回溯分析，收案對象以中部某醫學中心住於負壓隔離病房之COVID-19疑似感染病人。病歷回溯區間在2020年1月1日至5月31日，共151位病人。由護理作業電子病歷之簡式心理健康量表（BSRS-5）結果，呈現病人對隔離事件的心理健康狀況焦慮、易怒、憂鬱、自卑、睡眠困難的現況與相關因素。結果：13位（8.6%）COVID-19疑似感染病人感到輕度到重度心理困擾，前三項身體症狀為發燒（64.9%）、咳嗽（43.7%）及喉嚨痛（10.6%）。在身體症狀與心理健康狀況分析中，以喉嚨痛與中重度心理困擾呈顯著差異的項目為焦慮（p=.026）及自卑（p=.011）。結論：心理健康評估可以初步篩檢COVID-19疑似感染病人對隔離事件，反應在身體症狀與心理健康狀況。醫療照護人員宜注意病人在隔離期間因身體症狀產生中重度情緒困擾，並能回復穩定的心理健康狀況。

COVID-19 was emerged in 2019 and spreaded rapidly throughout the world in 2020, severely affecting human health and lifestyles. Patients with COVID-19 must be isolated as soon as infection was suspected and undergo observation or treatment until their conditions were stable. The purpose of this study was to examine the mental health status of patients with suspected COVID-19 to the isolation event. A total of 151 patients who received care from January 1, 2020, to May 31, 2020, were retrospectively analyzed. The brief symptom rating scale was completed at admission, and the mental health assessment items included difficult sleep, anxiety, anger, depression, and low self-esteem. 13 patients (8.6%) with suspected COVID-19 felt mild to severe psychological distress. We found there were showed statistically significant differences on sore throat and anxiety (p=.026) and sore throat and low self-esteem (p=.011). The mental health assessments can be used to preliminarily screen patients' mental health while suspected COVID-19 in the hospital. Health care providers should pay attention to patients who have moderate to severe psychological distress due to physical symptoms during isolation, and they can return to a stable mental health status.

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