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COVID-19 大流行期间护士心理健康不良的预测因素。

Predictors of poor mental health among nurses during COVID-19 pandemic.

机构信息

School of Nursing, Point Loma Nazarene University, San Diego, CA, USA.

出版信息

Nurs Open. 2021 Mar;8(2):900-907. doi: 10.1002/nop2.697. Epub 2020 Nov 20.

Abstract

AIMS

To examine the impact of various factors affecting nurses' mental health during the COVID-19 pandemic.

DESIGN

An online cross-sectional study.

METHODS

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.

RESULTS

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.

摘要

目的

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。

设计

在线横断面研究。

方法

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。

结果

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/70c3/7877144/cb48d0f641c5/NOP2-8-900-g001.jpg

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