新冠肺炎康复者社会支持对睡眠和抑郁的影响：焦虑的中介作用

摘要
图/表
参考文献
相关文章 (6)

全文:PDF(1854 KB)HTML(0 KB)
输出:BibTeX|EndNote(RIS)

摘要目的:探究新冠肺炎康复者社会支持对睡眠和抑郁的影响及其作用机制,旨在为改善新冠肺炎康复者睡眠和抑郁提供参考。方法:采用便利抽样法,选取2022年1月―2022年7月湖南省长沙市捐献恢复期血浆的120名新冠肺炎康复者,采用一般资料问卷、社会支持量表、焦虑自评量表、匹兹堡睡眠量表、病人健康问卷进行调查,得到有效问卷120份。采用mplus 8.7结构方程模型检验焦虑在社会支持、睡眠和抑郁间的中介效应。结果:新冠肺炎康复者普遍存在焦虑、睡眠障碍和抑郁症状。焦虑与睡眠、抑郁呈正相关;社会支持与焦虑呈负相关;社会支持通过焦虑的中介作用影响睡眠和抑郁。结论:社会支持可以改善新冠肺炎康复者的睡眠和抑郁情况。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	宋彩妮
	陈惠甦
	贺涛涛
	刘丽华

关键词：新冠肺炎,康复者,社会支持,睡眠,抑郁,焦虑

Abstract：ObjectiveTo explore the effect and mechanism of social support on sleep and depression in patients recovering from COVID-19, in order to provide a reference for improving sleep and depression in patients recovering from COVID-19.MethodsThe convenience sampling method was used to select 120 COVID-19 patients who donated convalescence plasma in Changsha, Hunan Province between January 2022 and July 2022. The investigation used a general information questionnaire, a social support scale, a self-rating anxiety scale, the Pittsburgh Sleep Scale, and a patient health questionnaire and 120 valid questionnaires were obtained. The mplus 8.7 structural equation model was used to investigate how anxiety affects social support, sleep, and depression.ResultsResult Anxiety, insomnia, and depression were all common among the patients. Anxiety was associated with poor sleep and depression. Anxiety was negatively correlated with social support; social support influences sleep and depression via anxiety’s mediating role.ConclusionSocial support can help COVID-19 patients sleep better and feel better.

Key words：COVID-19 infection recovered patients social support sleep depression anxiety

收稿日期:2022-11-06

中图分类号:

R473.5

基金资助:2022年湖南省研究生科研创新项目（CX20220521）

通讯作者:刘丽华,Liulihuahsd@163.com

引用本文:

宋彩妮, 陈惠甦, 贺涛涛, 刘丽华. 新冠肺炎康复者社会支持对睡眠和抑郁的影响：焦虑的中介作用[J]. 金宝搏官方188学报(医学版), 2023, 20(1): 129-132. SONG Caini, CHEN Huisu, HE Taolao, LIU Lihua. The effect of social support on sleep and depression in COVID-19 survivors: the mediating role of anxiety. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(1): 129-132.

链接本文:

http://yxb.hunnu.edu.cn/CN/或http://yxb.hunnu.edu.cn/CN/Y2023/V20/I1/129

[1] World Health Organization. WHO Coronavirus (COVID-19) Dashboard Data (2022). Available at: https: //covid19. who. int/(Accessed August 16, 2022).
[2] De R, Dutta S.Role of the Microbiome in the Pathogenesis of COVID-19[J]. Front Cell Infect Microbiol, 2022, 12: 736397.
[3] Perotin JM, Gierski F, Bolko L, et al.Cluster analysis unveils a severe persistent respiratory impairment phenotype 3-months after severe COVID-19[J]. Respir Res, 2022, 23(1): 199.
[4] de Oliveira JF, de Ávila RE, de Oliveira NR, et al. Persistent symptoms, quality of life, and risk factors in long COVID: a cross-sectional study of hospitalized patients in Brazil[J]. Int J Infect Dis, 2022, 122: 1044-1051.
[5] Putri C, Arisa J, Hananto JE, et al.Psychiatric sequelae in COVID-19 survivors: A narrative review[J]. World J Psychiatry, 2021, 11(10): 821-829.
[6] Pappa S, Ntella V, Giannakas T, et al.Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis[J]. Brain Behav Immun, 2020, 88: 901-907.
[7] 杨丽萍, 高小平, 谭茜芝, 等. 新冠肺炎疫情背景下住培医生身心状况及职业信念的调查研究[J]. 金宝搏官方188学报 (医学版), 2021, 18(05): 282-285.
[8] 孙振球. 医学统计学[M]. 北京: 人民卫生出版社, 2014: 32.
[9] 中华人民共和国国家卫生健康委员会. 新型冠状病毒肺炎诊疗方案 (试行第八版)[J]. 中华临床感染病杂志, 2020, 13(05): 321-328.
[10] Zung WW.A rating instrument for anxiety disorders[J]. Psychosomatics, 1971, 12(6): 371-379.
[11] 田银娣, 王怡恺, 李静, 等. 焦虑和抑郁量表在肝硬化患者临床应用中的信效度评价[J]. 实用肝脏病杂志, 2019, 22(01): 105-108.
[12] Kroenke K, Spitzer RL, Williams JB.The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613.
[13] 曲姗, 史欣欣, 谢稚鹃, 等. 病人健康问卷和广泛性焦虑量表在非心源性胸痛患者中筛查抑郁焦虑的效度和信度[J]. 中国心理卫生杂志, 2021, 35(05): 376-381.
[14] Buysse DJ, Reynolds CF 3rd, Monk TH, et al. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research[J]. Psychiatry Res, 1989, 28(2): 193-213.
[15] 刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996,29(2): 103-107.
[16] 路桃影, 李艳, 夏萍, 等. 匹兹堡睡眠质量指数的信度及效度分析[J]. 重庆医学, 2014, 43(03): 260-263.
[17] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J]. 临床精神医学杂志, 1994,(02): 98-100.
[18] Shi L, Wang L, Jia X, et al.Prevalence and correlates of symptoms of post-traumatic stress disorder among Chinese healthcare workers exposed to physical violence: a cross-sectional study[J]. BMJ Open, 2017, 7(7): e016810.
[19] Young KS, Purves KL, Hübel C, et al.Depression, anxiety and PTSD symptoms before and during the COVID-19 pandemic in the UK[J]. Psychol Med, 2022, 1-14.
[20] Zhang YT, Huang T, Zhou F, et al.Correlation between Anxiety, Depression, and Sleep Quality in College Students[J]. Biomed Environ Sci, 2022, 35(7): 648-651.
[21] Lin C, Fu X.A Cross-Sectional Study of Depression, Anxiety, and Insomnia Symptoms in People in Quarantine During the COVID-19 Epidemic[J]. Int J Public Health, 2022, 67: 1604723.
[22] Zhao Y, Hu B, Liu Q, et al.Social support and sleep quality in patients with stroke: The mediating roles of depression and anxiety symptoms[J]. Int J Nurs Pract, 2022, 28(3): e12939.
[23] 赵洪庆, 韩远山, 柳卓, 等. 焦虑性抑郁模型大鼠脑区单胺递质含量与神经因子表达的变化[J]. 中国实验动物学报, 2017, 25(04): 373-379.
[24] Pineda CN, Naz MP, Ortiz A, et al.Resilience, Social Support, Loneliness and Quality of Life during COVID-19 Pandemic: A Structural Equation Model[J]. Nurse Educ Pract, 2022, 64: 103419.
[25] Lekagul A, Piancharoen P, Chattong A, et al.Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions[J]. BMJ Open, 2022, 12(7): e060804.
[26] Erin R, Baki Erin K, Kulaksız D, et al.Psychosocial outcomes of the COVID-19 pandemic on pregnant women[J]. J Obstet Gynaecol, 2022, 42(7): 2799-2804.
[27] Di Fazio N, Morena D, Delogu G, et al.Mental Health Consequences of COVID-19 Pandemic Period in the European Population: An Institutional Challenge[J]. Int J Environ Res Public Health, 2022, 19(15): 9347.
[28] Alleaume C, Peretti-Watel P, Beck F, et al.Incidence of PTSD in the French population a month after the COVID-19 pandemic-related lockdown: evidence from a national longitudinal survey[J]. BMC Public Health, 2022, 22(1): 1500.
[29] Goulabchand R, Castille E, Navucet S, et al.The interplay between cognition, depression, anxiety, and sleep in primary Sjogren's syndrome patients[J]. Sci Rep, 2022, 12(1): 13176.
[30] Bapolisi A, Maurage P, Rubambura RB, et al.Psychopathological states among Congolese health workers during the first wave of COVID-19 pandemic: links with emotion regulation and social support[J]. Eur J Psychotraumatol, 2022, 13(2): 2101346.
[31] Pal R, Banerjee M.COVID-19 and the endocrine system: exploring the unexplored[J]. J Endocrinol Invest, 2020, 43(7): 1027-1031.