Intervention of unhealthy mood and sleep quality in children with mild COVID-19 in makeshift hospital based on the response mode

Abstract

Objective To explore the role of response mode in the intervention of unhealthy mood and sleep quality in children with mild COVID-19 in makeshift hospitals. Methods A total of 111 children with mild symptoms of COVID-19 were recruited from the first Branch of the makeshift hospital located in National Convention and Exhibition Center (Shanghai) between April 19 and May 10 of 2022 by convenient sampling. This self-pre- and post-control study used response model of psychological crisis to perform intervention. Relevant scales were collected before and after the intervention, including self-designed general information questionnaire, COVID-19 fear Scale, Chinese version of Spence Children's Anxiety Scale and Pittsburgh sleep quality index (PSQI). Data were collected using the electronic survey tool and were compared by the pre - and post-matching sample comparison method. Results The total score of C19P-S was 66.91±7.79. After Response mode intervention, the total score of C19P-S was 58.15±8.37. Psychological score(t=5.938, P < 0.01, 95%CI: 2.739~5.781), body score (t=4.410, P < 0.01, 95%CI: 1.266~4.074)and overall score(t=8.065, P < 0.01, 95%CI: 6.423~11.097)of the children after intervention were lower than those before the intervention. The total score of SCAS was 82.97±11.44, and the score was 74.00±10.90 after the response mode intervention. The separation anxiety (t=4.091, P < 0.01, 95%CI: 0.866~2.834), physical injury fear (t=3.527, P=0.001, 95%CI: 0.524~2.396), generalized anxiety (t=5.529, P < 0.01, 95%CI: 1.431~3.309) and overall score (t=5.982, P < 0.01, 95%CI: 5.538~12.402) after the intervention were lower than those before the intervention. The score of PSQI was 6.13±2.59, and the score was 4.98±2.47 after the intervention. The sleep quality (t=2.943, P=0.004, 95%CI: 0.051~0.309), the time of falling asleep (t=2.605, P=0.010, 95%CI: 0.021~0.459), sleep efficiency (t=2.772, P=0.006, 95%CI: 0.123~0.957) and overall(t=3.385, P=0.001, 95%CI: 0.373~1.927) after the intervention were lower than before the intervention. Conclusion The response mode can improve the unhealthy mood and sleep quality of children with mild COVID-19 in makeshift hospital and it has clinical value for the intervention of children's psychological problems.

Keywords

• covid-19
• children
• makeshift hospital
• psycholsocial intervention
• response mode