重大突发公共卫生事件(新型冠状病毒肺炎流行)下心理干预对改善医务人员慢性颈腰痛的疗效研究

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摘要目的探索在应对重大突发公共卫生事件(新型冠状病毒肺炎流行)过程中，医务人员慢性颈腰痛的发病情况、心理压力变化程度以及两者之间的相关性，行心理干预并对医务人员慢性颈腰痛的疗效进行分析。方法选择2020年1月至2020年6月参加我院援鄂医疗队员为观察组，非援鄂医务人员为对照组进行横断面调查，发放问卷调查。其中观察组51例，男2例，女49例；年龄27～38岁，平均(33.73±4.45)。对照组57例，男1例，女56例；年龄26～39岁，平均(32.25±6.79)岁。比较两组间颈腰痛发生率、程度［Oswestry功能障碍指数(Oswestry disability index，ODI)、颈椎功能障碍指数(neck disability index，NDI)、疼痛视觉模拟评分(visual analogue scale，VAS)］以及心理评分［焦虑自评量表(selfrating anxiety scale，SAS)］是否存在差异性，分析心理因素与颈腰痛程度的相关性。对观察组进行心理干预后，自身前后对照研究心理干预措施对缓解医务人员慢性颈腰痛的作用。结果与对照组相比，观察组颈腰痛发生率、程度及心理评分均有所增加，差异有统计学意义(P＜0.05)，心理评分与颈腰痛程度具有显著的正相关性。此外，有效的心理干预可改善医务人员的心理状态，进而缓解颈腰痛的程度。结论在应对重大突发公共卫生事件中，医务人员会有一定心理压力的改变，这会导致慢性颈腰痛发生及发展。而有效的心理干预可明显改善由心理因素导致的慢性颈腰痛的加重，这将有利于医务人员更好地应对重大突发公共卫生事件。

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关键词 ：重大突发公共卫生事件, 医务人员, 心理压力, 慢性颈腰痛, 心理干预

Abstract：Objective To explore the incidence of chronic neck and low back pain，the degree of psychological pressure changes and the correlation between the two in response to major public health emergency(COVID-19 epidemic)，and further investigate the impact of psychological intervention on the chronic neck and back pain of medical staff.Methods The medical team of Ruijin Hospital to Hubeifrom January 2020 to June 2020 was selected as the observation group，with 2 males and 49 females；the ages were 27~38 years，with an average of (33.73±4.45).The other medical team not aiding Hubei served as the control group，with 1 male and 56 females；the ages were 26~39 years，with an average of (32.25±6.79).Cross-sectional surveys were conducted by questionnaires.The incidence and degree of cervical and low back pain (JOA score，ODI score，NDI score，VAS score) and psychological score (SAS score) were compared between the two groups，and the correlation between psychological factors and the degree of cervical and low back pain was analyzed.After psychological intervention in the observation group，the effect of psychological intervention measures on alleviating the chronic neck and low back pain of medical staff was studied before and after.Results Compared with the control group，the incidence，degree and psychological score of cervical and low back pain in the observation group increased，and there was statistical significance (P＜0.05)；and it was found that the psychological score had a significant positive correlation with the degree of cervical and low back pain.In addition，effective psychological intervention could improve the psychological state of medical staff，thereby alleviating the degree of neck and low back pain.Conclusion In response to major public health emergencies，medical staff will have a certain psychological pressure change，which will lead to the occurrence and development of chronic neck and low back pain.And effective psychological intervention can significantly improve the aggravation of chronic neck and low back pain caused by psychological factors.This will help medical staff better respond to major public health emergencies.

Key words： major public health emergency medical staff psychological stress chronic neck and low back pain psychologicalintervention

基金资助:上海交通大学医学院附属瑞金医院院级课题基金(RJHK-2020-35)

通讯作者: 王晓宁

作者简介: 施莺莺(1977－ )，女，主管护师，上海交通大学医学院附属瑞金医院手术室，200025。

引用本文:

施莺莺 1，王晓宁 1*，魏澜 1，曹鹏 2，林亚洲 2. 重大突发公共卫生事件(新型冠状病毒肺炎流行)下心理干预对改善医务人员慢性颈腰痛的疗效研究[J]. 实用骨科杂志, 2020, 26(11): 992-995.
Shi Yingying，Wang Xiaoning *，Wei Lan，et al. Efficacy of Psychological Intervention in the Context of Major Public Health Emergencies (COVID-19 epidemic) to Improve Chronic Neck and Lower Back Pain in Medical Staff. sygkzz, 2020, 26(11): 992-995.

链接本文:

http://www.sygkzz.com/CN/ 或 http://www.sygkzz.com/CN/Y2020/V26/I11/992

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