中国一家医院护理人员中与新型冠状病毒肺炎相关的知识和心理压力：横断面调查研究
Knowledge and Psychological Stress Related to COVID-19 Among Nursing Staff in a Hospital in China: Cross-Sectional Survey Study.
作者信息
Huang Huaping, Zhao Wen-Jun, Li Gui-Rong
机构信息
Operating Room, Mianyang Central Hospital, Mianyang, China.
Department of Nursing, Mianyang Central Hospital, Mianyang, China.
出版信息
JMIR Form Res. 2020 Sep 18;4(9):e20606. doi: 10.2196/20606.
BACKGROUND
Since December 2019, coronavirus disease (COVID-19) has been rapidly spreading worldwide. Nurses play a key role in fighting this disease and are at risk of COVID-19 infection. Therefore, there is an urgent need to assess the mental health condition of nurses and establish appropriate interventions to reduce the negative psychiatric outcomes of the pandemic.
OBJECTIVE
The objectives of this study were to evaluate the knowledge and psychological stress related to COVID-19 among nursing staff and to provide evidence of the need for targeted training and psychological intervention.
METHODS
This cross-sectional web-based survey study was performed in a class 3 grade A general hospital in a southwest province of China from March 1 to March 15, 2020. A self-designed questionnaire with questions about COVID-19-related prevention and control knowledge and the Triage Assessment Form (TAF) were used to assess nursing staff's knowledge of COVID-19 and their degree of psychological stress, respectively. SPSS 23.0 was applied for statistical analysis of the collected data.
RESULTS
A total of 979 nurses completed the questionnaire. The results showed that the nursing staff provided the fewest correct answers to questions about continuous viral nucleic acid testing specifications (379/979 correct answers, 38.7%), isolation/discharge criteria (539/979 correct answers, 55.1%), and management measures for patients with suspected symptoms (713/979 correct answers, 72.8%). The median total score of the TAF was 7.0 (IQR 5.0-12.0), and there were statistically significant differences in scores between different nursing roles, years of work experience, and hospital departments (P<.05).
CONCLUSIONS
This study indicated that nursing staff have insufficient knowledge about COVID-19. Meanwhile, although the psychological damage to nurses during the pandemic was found to be low, nurse managers must continue to monitor the mental health of nursing staff and perform timely interventions.
背景
自2019年12月以来，冠状病毒病（COVID-19）在全球迅速传播。护士在抗击这种疾病中发挥着关键作用，并且面临感染COVID-19的风险。因此，迫切需要评估护士的心理健康状况并制定适当的干预措施，以减少疫情带来的负面精神后果。
目的
本研究的目的是评估护理人员中与COVID-19相关的知识和心理压力，并为有针对性的培训和心理干预需求提供证据。
方法
这项基于网络的横断面调查研究于2020年3月1日至3月15日在中国西南部某省的一家三级甲等综合医院进行。使用一份自行设计的关于COVID-19相关防控知识的问卷和分诊评估表（TAF）分别评估护理人员对COVID-19的知识及其心理压力程度。应用SPSS 23.0对收集的数据进行统计分析。
结果
共有979名护士完成了问卷。结果显示，护理人员对关于连续病毒核酸检测规范（379/979个正确答案，38.7%）、隔离/出院标准（539/979个正确答案，55.1%）以及疑似症状患者管理措施（713/979个正确答案，72.8%）的问题给出的正确答案最少。TAF的总得分中位数为7.0（四分位间距5.0 - 12.0），不同护理角色、工作年限和医院科室之间的得分存在统计学显著差异（P<0.05）。
结论
本研究表明护理人员对COVID-19的知识不足。同时，尽管发现疫情期间护士受到的心理损害较低，但护士长必须继续监测护理人员的心理健康并及时进行干预。
Zotero 插件