Department of Pediatric, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei province, People's Republic of China.
Wuhan University School Of Health Sciences, Wuhan, Hubei province, People's Republic of China.
Compr Psychiatry. 2021 Jan;104:152217. doi: 10.1016/j.comppsych.2020.152217. Epub 2020 Nov 10.
The COVID-19 pandemic is putting healthcare workers across the world in an unprecedented situation. The purpose of this study was to evaluate the levels of depression, anxiety, and stress among Hubei pediatric nurses during the COVID-19 pandemic and to analyze the potential factors associated with them.
A self-designed online questionnaire survey, which consisted of the demographic and selected features, the occupational protection knowledge, attitudes, and practices of COVID-19, and the Chinese version of Depression, Anxiety, and Stress Scale, were used to assess the levels of depression, anxiety, and stress among Hubei pediatric nurses during COVID-19 pandemic. The logistic regression analyses were performed to analyze the potential factors associated with depression, anxiety, and stress.
A total of 617 pediatric nurses were included in the survey. A considerable proportion of pediatric nurses reported symptoms of depression (95 [15.4%]), anxiety (201 [32.6%]), and stress (111 [18.0%]). Results of multivariable logistic regression analyses indicated that the good occupational protection practices (for depression: OR = 0.455, 95%CI: 0.281 to 0.739; for anxiety: OR = 0.597, 95%CI: 0.419 to 0.851; for stress: OR = 0.269, 95%CI: 0.166 to 0.438) and the personal protective equipment (PPE) meeting work requirements (for depression: OR = 0.438, 95%CI: 0.246 to 0.778; for anxiety: OR = 0.581, 95%CI: 0.352 to 0.959; for stress: OR = 0.504, 95%CI: 0.283 to 0.898) were independent protective factors against depression, anxiety, and stress, respectively. Yet, working in an isolation ward or fever clinic was an independent risk factor associated with depression, anxiety, and stress, respectively (for depression: OR = 1.809, 95%CI: 1.103 to 2.966; for anxiety: OR = 1.864, 95%CI: 1.221 to 2.846; for stress: OR = 2.974, 95%CI: 1.866 to 4.741). Having suspected or confirmed COVID-19 patients in the departments (OR = 1.554, 95%CI: 1.053 to 2.294) and coming in contact with the patient's bodily fluids or blood (OR = 1.469, 95%CI: 1.031 to 2.095) were independent risk factors for anxiety, while >3 times of training for COVID-19 related information was an independent protective factor for depression (OR = 0.592, 95%CI: 0.360 to 0.974). Moreover, >10 years of working was an independent risk factor for stress (OR = 1.678, 95%CI: 1.075 to 2.618).
During the COVID-19 outbreak, a considerable proportion of Hubei pediatric nurses had psychological problems. The pediatric nurses endorsing the higher number of risk factors should be given special attention and necessary psychological intervention. Improving the levels of PPE so as to meet the work requirements and intensifying occupational protection practices might help safeguard pediatric nurses from depression, anxiety, and stress.
COVID-19 大流行使全球医护人员面临前所未有的局面。本研究旨在评估 COVID-19 期间湖北儿科护士的抑郁、焦虑和压力水平，并分析与这些问题相关的潜在因素。
采用自行设计的在线问卷，内容包括人口统计学和选定特征、COVID-19 的职业防护知识、态度和实践以及中文版抑郁、焦虑和压力量表，评估 COVID-19 期间湖北儿科护士的抑郁、焦虑和压力水平。采用逻辑回归分析潜在的与抑郁、焦虑和压力相关的因素。
共纳入 617 名儿科护士。相当一部分儿科护士报告有抑郁（95 [15.4%]）、焦虑（201 [32.6%]）和压力（111 [18.0%]）症状。多变量逻辑回归分析结果表明，良好的职业防护实践（抑郁：OR=0.455，95%CI：0.281-0.739；焦虑：OR=0.597，95%CI：0.419-0.851；压力：OR=0.269，95%CI：0.166-0.438）和符合工作要求的个人防护设备（PPE）（抑郁：OR=0.438，95%CI：0.246-0.778；焦虑：OR=0.581，95%CI：0.352-0.959；压力：OR=0.504，95%CI：0.283-0.898）是抑郁、焦虑和压力的独立保护因素，而在隔离病房或发热门诊工作是与抑郁、焦虑和压力相关的独立危险因素（抑郁：OR=1.809，95%CI：1.103-2.966；焦虑：OR=1.864，95%CI：1.221-2.846；压力：OR=2.974，95%CI：1.866-4.741）。科室有疑似或确诊 COVID-19 患者（OR=1.554，95%CI：1.053-2.294）和接触患者体液或血液（OR=1.469，95%CI：1.031-2.095）是焦虑的独立危险因素，而 COVID-19 相关信息培训超过 3 次是抑郁的独立保护因素（OR=0.592，95%CI：0.360-0.974）。此外，工作超过 10 年是压力的独立危险因素（OR=1.678，95%CI：1.075-2.618）。
在 COVID-19 疫情期间，相当一部分湖北儿科护士存在心理问题。应特别关注并对具有较高风险因素的儿科护士进行必要的心理干预。提高 PPE 水平以满足工作要求并加强职业防护实践可能有助于保护儿科护士免受抑郁、焦虑和压力的影响。
