School of Health and Life Sciences, Glasgow Caledonian University, UK.
School of Health and Life Sciences, Glasgow Caledonian University, UK.
Respir Med. 2021 Jan;176:106219. doi: 10.1016/j.rmed.2020.106219. Epub 2020 Nov 7.
The delivery of healthcare during the COVID pandemic has had a significant impact on front line staff. Nurses who work with respiratory patients have been at the forefront of the pandemic response. Lessons can be learnt from these nurses' experiences in order to support these nurses during the existing pandemic and retain and mobilise this skilled workforce for future pandemics.
This study explores UK nurses' experiences of working in a respiratory environment during the COVID-19 pandemic. An e-survey was distributed via professional respiratory societies; the survey included a resilience scale, the GAD7 (anxiety) and the PHQ9 (depression) tools. Demographic data was collected on age, gender, ethnicity, nursing experience and background, clinical role in the pandemic, and home-life and work balance.
Two hundred and fifty-five responses were received for the survey, predominately women (89%, 226/255), aged over 35 (79%, 202/255). Nearly 21% (40/191) experiencing moderate to severe or severe symptoms of anxiety. Similar levels are seen for depression (17.2%, 31/181). 18.9% (34/180) had a low or very low resilience score. Regression analysis showed that for both depression and anxiety variables, age and years of qualification provided the best model fit. Younger nurses with less experience have higher levels of anxiety and depression and had lower resilience.
This cohort experienced significant levels of anxiety and depression, with moderate to high levels of resilience. Support mechanisms and interventions need to be put in place to support all nurses during pandemic outbreaks, particularly younger or less experienced staff.
在 COVID 大流行期间提供医疗保健对一线工作人员产生了重大影响。与呼吸科患者一起工作的护士一直处于大流行应对的前沿。可以从这些护士的经验中吸取教训，以便在当前大流行期间为这些护士提供支持，并在未来的大流行中留住和调动这支熟练的劳动力。
本研究探讨了英国护士在 COVID-19 大流行期间在呼吸科环境中工作的经验。通过专业呼吸学会分发电子调查；该调查包括弹性量表、GAD7（焦虑）和 PHQ9（抑郁）工具。收集了年龄、性别、种族、护理经验和背景、大流行期间的临床角色以及家庭生活和工作平衡等人口统计学数据。
共收到 255 份调查回复，主要为女性（89%，226/255），年龄在 35 岁以上（79%，202/255）。近 21%（40/191）经历了中度至重度或重度焦虑症状。抑郁情况类似（17.2%，31/181）。18.9%（34/180）的人弹性评分较低或非常低。回归分析表明，对于抑郁和焦虑两个变量，年龄和资格年限提供了最佳的模型拟合。经验较少的年轻护士焦虑和抑郁水平较高，弹性较低。
这一队列经历了显著水平的焦虑和抑郁，同时具有中等至高水平的弹性。在大流行爆发期间，需要建立支持机制和干预措施，为所有护士提供支持，特别是为年轻或经验较少的员工提供支持。
