来源：风湿病与关节炎,2020,9（12）:23-25,56.

新型冠状病毒肺炎疫情下风湿病患者的心理状态及干预策略（调查研究）

张仕玉，彭树刚，石　欣，镇兰芳，镇东鑫，镇方寿，余功龙

　　【摘　要】目的：了解新型冠状病毒肺炎（COVID-19）疫情下风湿病患者的心理健康状态并探讨干预策略。方法：选取2020年2月5日至2020年5月5日在咸宁麻塘中医医院治疗的风湿病患者225例，按照一般问题问卷、广泛性焦虑量表-7、患者健康问卷抑郁量表的内容进行问卷调查，了解风湿病患者的心理状态，并分析影响因素。结果：共收集到有效信息200例，受访患者的心理压力都有不同程度的增加，出现焦虑状态者占61.50%（123/200），出现抑郁状态者占45.50%（91/200）。不同风湿病患者发生焦虑和抑郁的比例、严重程度并不相同，发生率以系统性红斑狼疮最高，类风湿关节炎次之，原发性干燥综合征最低。焦虑、抑郁程度以系统性红斑狼疮患者最严重，类风湿关节炎次之，原发性干燥综合征最轻。引起风湿病患者焦虑、抑郁的主要因素是担心感染COVID-19、恐惧COVID-19所致的死亡、担心抗风湿病药物损害免疫功能而降低抵抗力、疫情期间无法外出就医复诊开药、疫情期间无法上班从而缺乏收入、经济拮据而影响治疗和家庭生活等。结论：风湿病患者在COVID-19疫情下发生焦虑、抑郁的概率较高，需要从社会、医疗、个人层面进行干预。作为风湿科的医务人员，应发挥专业特长，创造条件，在风湿病患者的心理疏导和干预方面发挥主体作用，尽量减轻患者的心理痛苦。

　　【关键词】　风湿病；新型冠状病毒肺炎；心理健康；焦虑；抑郁

Psychological State of Patients with Rheumatism Under the Covid-19 Epidemic Situation and Intervention Strategies

ZHANG Shi-yu,PENG Shu-gang,SHI Xin,ZHEN Lan-fang,ZHEN Dong-xin,ZHEN Fang-shou,YU Gong-long

　　【ABSTRACT】Objective:To understand the psychological state of patients with rheumatism under the Covid-19 epidemic situation and intervention strategies.Methods:Two hundred and twenty-five patients with rheumatism who were treated in Xianning Matang TCM hospital from February 5,2020 to May 5,2020 were selected.According to the contents of general question questionnaire,generalized anxiety scale-7 and patient health questionnaire depression scale,the psychological state of rheumatic patients was investigated,and the influencing factors were analyzed.Results:A total of 200 cases of effective information were collected.The psychological pressure of the patients increased in varying degrees,61.50%（123/200）of the patients had anxiety and 45.50%（91/200） had depression.The proportion and severity of anxiety and depression in different rheumatic patients are not the same.Systemic lupus erythematosus is the highest,rheumatoid arthritis is the second,and primary Sjögren's syndrome is the lowest.Patients with systemic lupus erythematosus were the most severe,rheumatoid arthritis was the second,and primary Sjögren's syndrome was the least severe.Novel coronavirus pneumonia,fear of novel coronavirus pneumonia,death of the new crown pneumonia,fear of rheumatic diseases,damage to immune function,resistance to disease,absence of medical treatment during the epidemic,drug withdrawal during the epidemic,lack of income during the epidemic,lack of income,financial constraints and the impact of treatment and family life.Conclusion:Novel coronavirus pneumonia patients with rheumatic diseases have higher probability of anxiety and depression,and need to intervene from the social,medical and personal level.As medical staff in rheumatology department,they should play their professional expertise,create conditions,play a main role in psychological counseling and intervention of rheumatic patients,and try to reduce the psychological pain of patients.

　　【Keywords】 rheumatism;Covid-19 Epidemic pneumonia;mental health;anxiety;depression