The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong Province, China.
J Clin Nurs. 2020 Nov;29(21-22):4217-4226. doi: 10.1111/jocn.15454. Epub 2020 Aug 25.
This study aimed to portray the prevalence and associated factors of psychological distress among frontline nurses during COVID-19 outbreak.
The COVID-19 outbreak has posed great threat to public health worldwide. Nurses fighting against the epidemic on the frontline might be under great physical and psychological distress. This psychological distress was predominantly described as sleep disturbance, symptoms of anxiety and depression, post-traumatic stress, inability to make decisions and even somatic symptoms.
Cross-sectional study.
Frontline nurses from designated hospitals for COVID-19 patients were invited to complete an online survey by convenience sampling, and the survey included six main sections: the General Health Questionnaire, the Perceived Social Support Scale, the Simplified Coping Style Scale, the Impact of Event Scale-Revised, socio-demographic, occupation and work history. Multiple logistic analysis was used to identify the potential risk factors of psychological distress. The study methods were compliant with the STROBE checklist.
Of the 263 frontline nurses, 66 (25.1%) were identified as psychological distress. Multiple logistic analysis revealed that working in emergency department, concern for family, being treated differently, negative coping style and COVID-19-related stress symptom were positive related to psychological distress. Perceived more social support and effective precautionary measures were negatively associated with psychological distress.
The study demonstrated that COVID-19 had a significant psychological impact on frontline nurses. Early detection of psychological distress and supportive intervention should be taken according to the associated factors to prevent more serious psychological impact on frontline nurses.
This study highlighted that the frontline nurses were suffering from varying degrees of psychological distress, which needed early screening and supportive intervention for preventing more serious psychological impact on frontline nurses. Beside, more specific measurement should be combined with the GHQ-12 to assess the varying degrees of psychological distress in frontline nurses.
本研究旨在描述 COVID-19 疫情期间一线护士心理困扰的流行情况及其相关因素。
COVID-19 疫情对全球公共卫生构成了巨大威胁。在前线抗击疫情的护士可能面临巨大的身心压力。这种心理困扰主要表现为睡眠障碍、焦虑和抑郁症状、创伤后应激、决策困难甚至躯体症状。
横断面研究。
通过便利抽样邀请指定的 COVID-19 患者医院的一线护士完成在线调查，调查包括六个主要部分：一般健康问卷、感知社会支持量表、简化应对方式量表、修订后的事件影响量表、社会人口统计学、职业和工作史。多因素逻辑回归分析用于确定心理困扰的潜在危险因素。研究方法符合 STROBE 清单。
在 263 名一线护士中，有 66 名（25.1%）被确定为心理困扰。多因素逻辑回归分析显示，在急诊科工作、对家庭的担忧、受到不同待遇、消极应对方式和 COVID-19 相关应激症状与心理困扰呈正相关。感知到更多的社会支持和有效的预防措施与心理困扰呈负相关。
本研究表明，COVID-19 对一线护士造成了重大的心理影响。应根据相关因素早期发现心理困扰并进行支持性干预，以防止对一线护士造成更严重的心理影响。
本研究强调一线护士正遭受不同程度的心理困扰，需要早期筛查和支持性干预，以防止对一线护士造成更严重的心理影响。此外，应结合 GHQ-12 进行更具体的测量，以评估一线护士心理困扰的不同程度。
