COVID-19 大流行期间与患者心理健康有关的因素

Sarahí Elizabeth Rodea Montellano, Erick José Zárate Ayón, Maria del Carmen Aguirre Garcia, Yolanda Olvera Pérez
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摘要

研究背景本研究旨在确定基层医疗机构中 COVID-19 大流行对患者心理影响的相关因素。研究方法研究为分析性横断面研究,事先获得了当地研究委员会的授权和知情同意,对墨西哥城第二家庭医疗单位的 468 名受益者进行了调查,调查内容包括社会人口学方面、背景、习惯和行为、应对方式、对死亡的恐惧以及 DASS-21 量表。采用了描述性和分析性统计方法,当 P<0.05 时,智方或 CI 为 95%,具有显著性。结果研究对象的社会人口学特征为:61.3% 为女性,40.6% 年龄在 35-59 岁之间,44.4% 接受过本科教育,42.1% 处于单身婚姻状况,23.5% 为专业人士。56%的人报告了任何一个心理健康分量表中的症状,其中 35% 为抑郁症状,44.9% 为焦虑症状,37.8% 为压力症状。相关因素包括对大流行病的恐惧、曾患有 COVID-19、职业、孤独感、性格改变。结论大流行对心理健康产生了影响,因此必须有意识地寻找影响程度,以便在一级护理中作为综合护理的一部分提供及时治疗。
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Factor associated with mental health of patients during the COVID-19 pandemic
Background: The objective of this study was to determine the factors associated with the psychological impact on patients due to the COVID-19 pandemic in primary care. Methods: Study was analytical cross-sectional, prior authorization from the local research committee and informed consent, a survey was applied to 468 beneficiaries of the family medicine unit number 2 of Mexico City, which contained sociodemographic aspects, background, habits and behaviors, styles of coping, fear of death, and the DASS-21 scale. Descriptive and analytical statistics were used Chi square OR CI at 95% considering significance when p<0.05. Results: The sociodemographic profile of the studied population were 61.3% women, 40.6% in the range of 35-59 years, 44.4% undergraduate education, 42.1% single marital status and 23.5% professionals. 56% reported symptoms in any of the mental health subscales, of which 35% were depressive symptoms, 44.9% anxiety symptoms and 37.8% stress symptoms. Associated factors were fear of the pandemic, having suffered from COVID-19, being a professional, feeling of loneliness, changes in character. p 0.00. Conclusions: The pandemic affected mental health, so it is important to carry out an intentional search for the degree of repercussions to provide timely treatment as part of comprehensive care at the first level of care.
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