School of Nursing, Point Loma Nazarene University, San Diego, CA, USA.
Nurs Open. 2021 Mar;8(2):900-907. doi: 10.1002/nop2.697. Epub 2020 Nov 20.
To examine the impact of various factors affecting nurses' mental health during the COVID-19 pandemic.
An online cross-sectional study.
Registered nurses who graduated from a nursing school in Southern California, USA, participated in the study from 20 April-10 May 2020 (N = 320). Kendall's tau correlations and multivariate logistic regression procedures were performed with stress, anxiety and depression as outcome variables.
Most nurses reported moderate/high stress (80.1%), while 43% and 26% reported moderate/severe anxiety and depression, respectively. COVID-19 patient care was positively associated with moderate/severe high stress (OR = 2.25; p = .012) and moderate/severe anxiety (OR = 3.04; p < .001), whereas quarantine was associated with moderate/severe depression (OR = 2.68; p < .001). High levels of family functioning, resilience and spirituality predicted two- to sixfold lower odds of moderate/severe stress, anxiety or depression. High resilience, spirituality and family functioning appear to be good coping mechanisms for nurses against stress, anxiety and depression during the pandemic.
探讨 COVID-19 大流行期间影响护士心理健康的各种因素的影响。
在线横断面研究。
2020 年 4 月 20 日至 5 月 10 日,美国南加州一所护理学校的注册护士参加了这项研究(N=320)。采用 Kendall's tau 相关分析和多变量 logistic 回归程序,以压力、焦虑和抑郁为结局变量。
大多数护士报告中度/高度压力(80.1%),而 43%和 26%分别报告中度/严重焦虑和抑郁。COVID-19 患者护理与中度/严重高压力(OR=2.25;p=.012)和中度/严重焦虑(OR=3.04;p<.001)呈正相关,而隔离与中度/严重抑郁(OR=2.68;p<.001)相关。家庭功能、适应力和精神性水平较高预示着中度/严重压力、焦虑或抑郁的几率降低两到六倍。高适应力、精神性和家庭功能似乎是护士在大流行期间应对压力、焦虑和抑郁的良好应对机制。