Anxiety, depression, and mania in suspected patients with imported covid-19 during isolation screening: related factors
境外输入型新冠肺炎疑似患者隔离筛查期间的焦虑抑郁狂躁情绪及相关因素研究

摘要

目的 探讨境外输入型新冠肺炎疑似患者隔离筛查期间的焦虑抑郁狂躁情绪及相关因素。方法 以2021年12月31日～2023年3月1日于我院感染科留观病房境外输入型新冠肺炎隔离筛查的126例病员作为研究对象，收集病员人口学特性、从何地来蓉、收入状况、留观费用支付方式、睡眠质量、应激程度、社会支持程度等信息，采用汉密尔顿焦虑量表、汉密尔顿抑郁量表、躁狂量表对病员情绪状态进行评估，运用Logistic逐步回归法对影响焦虑、抑郁、躁狂情绪状态的因素进行统计分析。结果 在126例境外输入型新冠肺炎疑似病例的隔离筛查中，焦虑的发生率最高，达到46.03%，其次为抑郁情绪，发生率为31.75%，躁狂情绪发生率最低，为22.22%。经Logistic逐步回归分析，有子女、伴有发热症状、伴有咳嗽症状是影响焦虑情绪发生的危险因素（P＜0.05），匹兹堡睡眠评分高是影响焦虑情绪、抑郁情绪发生的保护因素（P＜0.05）。而躁狂情绪的发生与各因素无明显相关性（P＞0.05）。结论 发热、咳嗽作为新冠肺炎的突出症状是影响病员产生焦虑、抑郁情绪的直接影响因素，而通过提高病员的睡眠质量可能有助于缓解病员的焦虑、抑郁情绪。

Abstract

Objective To explore the anxiety, depression, mania and related factors of suspected patients with imported COVID-19 during isolation screening.
Methods 126 cases of imported COVID-19 isolated and screened in the observation wards of the Infectious Department of our hospital from December 31, 2021 to March 1, 2023 were selected as the research objects. The demographic characteristics, where they came from, income status, payment methods of observation fees, sleep quality, stress level, and social support were collected. The emotional status of patients was assessed with Hamilton Anxiety Scale, Hamilton Depression Scale, and Mania Scale. Logistic stepwise regression was used to statistically analyze the factors affecting the emotional status of anxiety, depression, and mania.
Results The incidence of anxiety was the highest (46.03%), followed by depression (31.75%) and mania (22.22%) among the 126 suspected cases of imported COVID-19. According to logistic stepwise regression analysis, having children, accompanied by fever symptoms, and accompanied by cough symptoms are risk factors for the occurrence of anxiety (P<0.05), while a high Pittsburgh sleep score is a protective factor for the occurrence of anxiety and depression (P<0.05). The occurrence of manic mood was not significantly correlated with various factors (P>0.05).
Conclusion   Fever and cough, as the prominent symptoms of COVID-19, are the direct influencing factors that affect patients' anxiety and depression, and improving patients' sleep quality may help to alleviate patients' anxiety and depression.