Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, China.
Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Clin Nurs. 2021 Sep;30(17-18):2654-2664. doi: 10.1111/jocn.15678. Epub 2021 Jun 30.
To investigate the present status of anxiety among nurses fighting the spread of COVID-19 and its association with perceived stress and insomnia.
With the outbreak of COVID-19, nurses have been caring for infected patients for a considerable length of time in Wuhan, China. Previous COVID-19 studies generally focused on patients' medical treatment, but few considered healthcare workers' psychological needs while working with a pandemic involving an unfamiliar infectious disease. Numerous nurses have experienced mental health problems, such as anxiety.
The STROBE guidelines for a cross-sectional questionnaire were implemented.
An online survey of 643 frontline nurses working with COVID-19-infected patients was conducted from 3-10 March 2020. Sociodemographic data were collected, and the Generalized Anxiety Disorder Scale, the Chinese Perceived Stress Scale and the Athens Insomnia Scale were administered.
One-third (33.4%) of participants reported anxiety, which was associated with perceived stress and insomnia among Chinese frontline nurses in Wuhan during the COVID-19 pandemic. Significant associations were found between anxiety, perceived stress, insomnia, working four-night shifts per week, experience working during more than two epidemics and fear of COVID-19.
This study found that a substantial proportion of frontline nurses caring for COVID-19-infected patients experienced anxiety. We recommend that nurse managers focus on working conditions and cultivate safe and satisfactory work environments. Meanwhile, frontline nurses should foster awareness of mental health and rely on online resources for psychological training to alleviate anxiety.
The findings of this study could facilitate better understanding of anxiety among frontline nurses; more importantly, healthcare authorities and nursing managers need to pay more attention to ensuring intervention training to reduce anxiety for frontline nurses worldwide.
调查抗击 COVID-19 传播的护士的焦虑现状及其与感知压力和失眠的关系。
随着 COVID-19 的爆发，中国武汉的护士已经照顾感染患者相当长的时间。以前的 COVID-19 研究通常集中在患者的治疗上，但很少考虑到在涉及一种陌生传染病的大流行中与患者一起工作的医护人员的心理需求。许多护士经历了心理健康问题，如焦虑。
采用 STROBE 指南进行横断面问卷调查。
2020 年 3 月 3 日至 10 日，对 643 名与 COVID-19 感染患者一起工作的一线护士进行了在线调查。收集社会人口统计学数据，并进行了广泛性焦虑障碍量表、中国感知压力量表和雅典失眠量表的评估。
三分之一（33.4%）的参与者报告了焦虑，这与武汉 COVID-19 大流行期间中国一线护士的感知压力和失眠有关。焦虑、感知压力、失眠、每周上四个夜班、有两次以上流行病工作经验和对 COVID-19 的恐惧之间存在显著关联。
本研究发现，照顾 COVID-19 感染患者的一线护士中有相当一部分人经历了焦虑。我们建议护士管理人员关注工作条件，培养安全和满意的工作环境。同时，一线护士应增强对心理健康的认识，并依靠在线资源进行心理培训，以缓解焦虑。
本研究结果有助于更好地理解一线护士的焦虑；更重要的是，卫生当局和护理管理人员需要更加关注确保干预培训，以减轻全球一线护士的焦虑。
