Psychological changes of 84 patients with common type of COVID-19 in Jingzhou, Hubei

Objective To investigate the psychological changes of 84 patients with common type of coronavirus disease 2019 (COVID-19) in Jingzhou City, Hubei, and we aim to guide their psychological rehabilitation training. Methods Using the general condition questionnaire, generalized anxiety scale and depression scale, 84 patients with common COVID-19 admitted to the Second People's Hospital of Jingzhou City in Hubei from January 28th to February 10th, 2020, were investigated by questionnaires at the time of admission, discharge, and on the 14th and 28th day after discharge. The disordered Logistic regression model was used for statistical analysis. Results The incidence of mild, moderate and severe anxiety was respectively 39.29%, 36.90% and 17.86%; The 28 days after discharge were 14.29%, 2.38% and 2.38%, respectively. The incidence rates of mild, moderate, moderate-severe and severe depression were 45.24%, 32.14%, 14.29% and 7.14%, respectively, at the time of diagnosis; and 19.05%, 4.76%, 1.19% and 1.19%, respectively, at the 28th day after discharge. The results of multi-factor analysis showed that the anxiety of different degrees was easy to appear in primary and secondary schools, migrant workers and their families, especially migrant workers. Female, age, family workers were prone to depression, persons with primary and secondary school education level and family workers were prone to mild and moderate-severe depression, especially we should pay attention to the people with university education level. Conclusion COVID-19 patients are with different degrees of anxiety and depression psychological problems, and the factors affecting different degrees of anxiety and depression are not the same, community workers and medical staff should strengthen the psychological rehabilitation treatment of patients after discharge, as soon as possible to make patients recover a healthy psychological state. 摘要：目的 探讨湖北荆州市84例普通型新型冠状病毒肺炎(简称新冠肺炎)患者的心理变化特征, 指导患者心理 康复训练。 方法 使用一般情况调査表、广泛性焦虑量表和抑郁量表, 对湖北荆州市第二人民医院2020年1月28日至 2020年2月10日收治的84名普通型新冠肺炎患者进行人院时、出院时、出院后第14天和第28天问卷调査。运用无序 多分类Logistic回归模型进行统计分析。 结果 84例新冠肺炎患者确诊时轻度、中度和重度焦虑发生率分别是 39.29%、36.90%、17.86%;出院后第28天分别为14.29%、2.38%、2.38%;确诊时抑郁症轻度、中度、中重度及重度发生率 分别是45.24%、32.14%、14.29%、7.14%, 出院后第28天分别为19.05%、4.76%、1.19%、1.19%。多因素分析结果显示:初 中及以下和进城打工者以及家庭工作者易出现不同程度的焦虑情绪, 尤其是进城打工者。女性、年龄、家庭工作者容 易出现抑郁症, 受初中及以下教育者和家庭工作者容易患轻度和中重度抑郁症, 尤其应重视受大学教育者。 结论 新 冠肺炎患者易出现不同程度的焦虑及抑郁心理问题, 且不同程度焦虑和抑郁情绪的影响因素不完全相同, 社区工作者 和医务人员应该加强患者出院后的心理康复治疗, 让患者尽早恢复健康的心理状态