4. Discussion
During COVID-19 outbreaks, the ER effectively cut off the virus spread in Anhui. However, the quarantine and trauma related psychological distress should not be ignored, which may adversely affect the course of the disease, the treatment process, and reduce quality of life(Brooks et al., 2020; Cukor et al., 2011; Jarosz, Syed, Blachut, & Badura Brzoza, 2020). The trend of mental status may due to normal panic at the beginning of the outbreaks and then gradually adapted to the situation. However, the scores not fell to zero, which may be attributed the constant worry about the outbreaks reappear or just nervous due to their spine diseases. Therefore, more humanistic approaches are required, including solving their problems in life, sending positive and optimistic attitude towards life and reducing their fear on COVID-19. However, It was important to attach importance to the preventive measures on COVID-19 while relieve their panic. Notably, the figures of psychological scores and newly confirmed patients showed similar trends, but the connection between them required farther research to verified. In the present study, we took the spine surgery department as an example to investigate the mental status of patients, yet patients in other departments may encounter a similar situation. Meanwhile, China has got the virus fully under control while the outbreaks in many other countries is becoming much worse, which means the potential impacts on the mental status of patients cannot be ignored. All of these alerts required further studies to verified.