To analyse our early-on psychological service to medical workers as part of CL-service in fever clinic of PUMCH during the outbreak of COVID-19, so as to explore better psychological help to frontline medical workers.

We offered a resource-oriented supportive psychological hotline service to all medical workers in fever clinic of PUMCH. Following data from January 23 to April 27 were acquired and analysed, including basic information, qualitative interview, Union Physio-Psycho-Social Assessment Questionnaire(UPPSAQ-70), Impact of Event Scale-Revised (IES-R), and Maslach Burn-out Inventory (MBI).

A total of 120 participants completed the evaluation (response rate of 96.0%). Most medical workers found personal protection supervision, adjusting work time and work load, and some other measures important and helpful. Of all the participants, 5.0% had significant stress reactions, 47.1% showed professional burnout, and 10.8% had significant depression. In bio-psycho-social wholistic evaluation, 8.3% showed a poor status. In general, the participants showed a better psychological state than in other similar studies. Depression was associated with hyperarousal (b=0.832, P<0.001)and emotional exhaustion(b=0.081, P=0.020).

Integral interventions including providing medical security, adjusting work load continuously, and early supportive psychological service could cushion stress in medical workers and reduce negative psychological outcomes. Hyperarousal, emotional exhaustion and depression are closely related. Therefore, we call for early-on integral interventions in similar situations, with special modalities focusing on decreasing hyperarousal.