疫情常态下发热门诊青少年患者负性情绪及影响因素调查

doi:10.12183/j.scjpm.2024.0236

摘要/Abstract

摘要： 目的探讨疫情常态下发热门诊青少年患者负性情绪情况及影响因素,为健康教育相关部门针对性制定干预措施提供参考。方法以2021年2月至2022年12月在上海某医院发热门诊就诊的青少年患者作为研究对象,采用负情情绪相关量表评估负性情绪发生情况并进行相关因素的问卷调查,采用述性分析方法对该人群负性情绪发生情况进行分析,并采用单、多因素分析方法分析青少年患者负性情绪的影响因素。结果本研究共有效调查1 608例发热门诊青少年,检出负性情绪青少年患者294例,检出率为18.28%。多因素logistic回归模型分析结果显示父母冲突频率（OR=3.020）、人际关系敏感（OR=4.567）、新冠病毒（新冠）感染史（OR=4.078）、新冠集中隔离史（OR=3.893）、新冠后遗症情况（OR=2.362）、社会支持（OR=3.044）均是与疫情常态下发热门诊青少年患者负性情绪检出的独立相关因素。结论疫情常态下发热门诊青少年患者负性情绪检出率较高,父母冲突频率、人际关系敏感、新冠感染史、新冠集中隔离史、新冠后遗症情况、社会支持均是发热门诊青少年患者负性情绪重要相关因素,需增加健康教育及心理疏导力度,共同关注青少年群体心理健康问题,积极做好心理调节,预防青少年抑郁症。

关键词: 疫情, 发热门诊, 青少年, 负性情绪, 影响因素

Abstract: Objective To investigate the negative emotions and influencing factors of adolescent patients in fever clinics during the epidemic,and provide the reference for health education departments to formulate targeted intervention measures. Methods Adolescent patients who visited fever clinic in a hospital in Shanghai from February 2021 to December 2022 were selected for this study. The negative emotion related scale was used to evaluate the occurrence of negative emotions and a questionnaire survey was conducted on related factors. Descriptive analysis was used to analyze the occurrence of negative emotions in this population,and univariate and multivariate analysis methods were used to analyze the influencing factors of negative emotions in adolescent patients. Results In this study,a total of 1 608 adolescents in fever clinic were effectively investigated,and 294 cases of negative emotions were detected,the detection rate was 18.28%. Multivariate logistic regression analysis showed that the frequency of parental conflict （OR=3.020）,interpersonal sensitivity （OR=4.567）,history of COVID-19 infection （OR=4.078）,history of centralized isolation of COVID-19 （OR=3.893）,sequelae of COVID-19 （OR=2.362）,and social support （OR=3.044） were all independent risk factors that led to negative emotions of adolescent patients in fever clinics during the epidemic. Conclusions During the epidemic,the detection rate of negative emotions in adolescent patients in fever clinics is high. The frequency of parental conflict,interpersonal sensitivity,history of COVID-19 infection,history of centralized isolation of COVID-19,sequelae of COVID-19,and social support are all important factors that induce negative emotions in adolescent patients in fever clinics. It is necessary to increase health education and psychological counseling,and pay attention to the mental health problems of adolescents,actively engage in psychological regulation to prevent adolescent depression.

Key words: Epidemic, Fever clinic, Adolescent, Negative emotion, Influencing factor

中图分类号:

R179

郭仁琳, 汪雪梅, 刘璐. 疫情常态下发热门诊青少年患者负性情绪及影响因素调查[J]. 华南预防医学, 2024, 50(3): 236-240.

GUO Renlin, WANG Xuemei, LIU Lu. A survey of negative emotions and influencing factors of adolescent patients in fever clinics during the epidemic[J]. South China Journal of Preventive Medicine, 2024, 50(3): 236-240.

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