| 题名 | 抗疫医务人员社会支持和心理弹性、应激反应的关系研究 |
| 作者 | 刘立 |
| 答辩日期 | 2021-07 |
| 文献子类 | 硕士 |
| 授予单位 | 中国科学院心理研究所 |
| 授予地点 | 中国科学院心理研究所 |
| 其他责任者 | 张雨青 |
| 关键词 | 新型冠状病毒性肺炎 医务人员, 应激反应 心理弹性 社会支持 |
| 学位名称 | 理学硕士（同等学力硕士） |
| 其他题名 | Correlation study between social support, psychological resilience, and post-traumatic stress response of medical staff in the fight against the epidemic |
| 学位专业 | 健康心理学 |
| 中文摘要 | Purpose As a global public health emergency, the novel coronavirus pneumonia is highly contagious, has hidden transmission routes, and has an unknown prognosis. It has a profound impact on global politics, economy and culture, and has a very serious harm on human physiology and psychology health. As medical personnel fighting on the front line of the fight against the epidemic, facing the novel coronavirus, its psychological state and stress response will be affected by a variety of factors, especially under the background of national participation in anti-epidemic, the support of all walks of life makes China's anti-epidemic achievements attracting worldwide attention. The relationship and influence of the stress response, psychological resilience, and social support of front-line medical staff in the fight against the new crown epidemic under major infectious diseases are currently hot topics in protecting the physical and mental health of front-line medical staff. Methods Medical personnel working in the front line of fighting against the epidemic from January to May 2020 in Kunming City were selected as the research subjects. The general situation questionnaire, the psychological resilience scale, the post-traumatic stress disorder scale and the social support scale were used to conduct questionnaire surveys on the stress response, psychological resilience and social support level of frontline medical staff in the fight against the epidemic. SPSS25.0 and AMOS24.0 statistical software for statistical data were used to collect from processing, general information using frequency, the structure than to describe; The scores and total scores of resilience, post-traumatic stress response and social support were described by means and standard deviation. The independent sample t-test or one-way analysis of variance were used to compare the differences in mental resilience, post-traumatic stress response and social support scores of medical staff with different characteristics. Pearson correlation analysis and multiple linear regression were used to analyze the correlation and influence of continuous variables. On the basis of correlation analysis and expertise, the structural equation hypothesis model was established with AMOS, and the model was modified, verified and analyzed.Results ① The total score of mental resilience was 63.01±7.49, and the scores of toughness, optimism and strength were 31.90±8.34, 9.38±2.62 and 22.50±5.22, respectively. The results of univariate analysis showed that there were statistically significant differences in the mental resilience of the front-line medical staff in terms of education background, public health emergency experience, disinfection and protection, and prevention and control training (P<0.05).② The total stress response score of the first-line medical workers was 31.59±9.01. The scores of the three dimensions of stress response were 9.45±3.11, 11.46±4.22 and 9.01±2.89, respectively, for re-experience, avoidance/numbness and increased alertness. Univariate analysis results showed that there were significant differences in the stress response of the first-line medical staff in disinfection, protection and prevention and control training (P<0.05).③ The total score of social support was 39.32±5.94, and the scores of objective support, subjective support and utilization of social support were 10.81±3.45, 20.28±3.02 and 8.21±1.84, respectively. The results of univariate analysis showed that there were statistically significant differences in the social support of the first-line medical staff in disinfection, protection and prevention and control training (P<0.05).④ In the correlation analysis of mental resilience, stress response and social support, mental resilience was negatively correlated with stress response (r= -0.726, P =0.000), and positively correlated with social support (r=0.821, P =0.000).⑤ Structural equation model analysis showed that stress response negatively predicted mental resilience (β= -0.19), while social support positively predicted mental resilience (β= 0.79).Conclusion The scores of psychological resilience of front-line medical staff in anti-epidemic patients are lower than the average. Stress response can negatively predict psychological resilience, and social support can positively predict psychological resilience. At the same time, the stress response indirectly affects psychological resilience through social support. |
| 英文摘要 | 目的 新型冠状病毒性肺炎作为全球性的突发公共卫生事件，传染性强、传播途径隐匿、预后又不可知，对全球的政治、经济和文化产生了极其深远的影响，对人类的生理和心理健康产生了极其严重的危害。而作为奋战在抗疫第一线的医务人员，直面阻击新型冠状病毒，其心理状况和应激反应会受到多种因素的影响，特别是我国全民参与抗疫的大背景下，社会各界的支持让我国的抗疫取得了举世瞩目的成就。而抗击新冠疫情一线医务人员在重大传染性疾病下的应激反应、心理弹性及社会支持的相互关系及影响，是当下保障一线医务人员身心健康的热点课题。方法 选取昆明市2020年1月－5月在抗击新冠疫情一线工作的医务人员作为研究对象。采用一般情况调查表、心理弹性量表、创伤后应激障碍量表和社会支持量表对抗疫一线医务人员的应激反应、心理弹性、社会支持水平进行问卷调查，采用SPSS25.0和AMOS24.0统计软件对收集的数据进行统计学处理，一般资料采用频数、结构比进行描述；心理弹性、创伤后应激反应、社会支持各维度得分及总分采用均数和标准差进行描述；采用独立样本的t检验或单因素方差分析比较不同特征医务人员在心理弹性、创伤后应激反应、社会支持得分的差异；采用Pearson相关分析、多重线性回归分析连续性变量之间的相关性和影响；在相关分析和专业基础之上，用AMOS建立结构方程假设模型并进行模型修正、验证和分析。结果 ①抗疫一线医务人员心理弹性总分得分为63.01±7.49，心理弹性3个维度坚韧性、乐观性、力量性得分分别为31.90±8.34、9.38±2.62、22.50±5.22。单因素分析结果显示，抗击新冠疫情一线医务人员心理弹性在学历、突发公共卫生事件经历、消毒防护、防控培训方面差异有统计学意义（P＜0.05）.②抗疫一线医务人员应激反应总分得分为31.59±9.01。应激反应3个维度重新体验、回避/麻木、警觉性增高得分分别为9.45±3.11、11.46±4.22、9.01±2.89。单因素分析结果显示，抗击新冠疫情一线医务人员应激反应在消毒防护、防控培训方面差异有统计学意义（P＜0.05）。③抗疫一线医务人员社会支持总分得分为39.32±5.94分，社会支持3个维度客观支持、主观支持、支持利用度得分分别为10.81±3.45、20.28±3.02、8.21±1.84。单因素分析结果显示，抗击新冠疫情一线医务人员社会支持在消毒防护、防控培训方面差异有统计学意义（P＜0.05）。④抗疫一线医务人员心理弹性、应激反应、社会支持的相关性分析中，心理弹性与应激反应负相关（r=-0.726,P=0.000），与社会支持正相关(r=0.821,P=0.000)。⑤结构方程模型分析显示，应激反应负向预测心理弹性（β= -0.19），社会支持正向预测心理弹性（β= 0.79）。结论 抗疫一线医务人员心理弹性得分低于平均水平，应激反应能负向预测心理弹性、社会支持能正向预测心理弹性。同时应激反应通过社会支持间接影响心理弹性。 |
| 语种 | 中文 |
| 内容类型 | 学位论文 |
| 源URL | [http://ir.psych.ac.cn/handle/311026/41588]  |
| 专题 | 心理研究所_健康与遗传心理学研究室 |
| 推荐引用方式 GB/T 7714 | 刘立. 抗疫医务人员社会支持和心理弹性、应激反应的关系研究[D]. 中国科学院心理研究所. 中国科学院心理研究所. 2021. |
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