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

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.

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.

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.

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.