School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Curr Med Sci. 2021 Feb;41(1):31-38. doi: 10.1007/s11596-021-2314-5. Epub 2021 Feb 13.
The outbreak of coronavirus disease 2019 (COVID-19) posed an unprecedented threat to health care providers (HCPs) in Wuhan, China, especially for nurses who were frequently exposed to infected or suspected patients. Limited information was available about the working experience of nurses in fighting against the pandemic. To learn the physical and psychological responses of nurses during the pandemic and explore the potential determinants, we conducted a large-scale survey in Wuhan. This multicenter cross-sectional study enrolled 5521 nurses who worked in designated hospitals, mobile cabins, or shelters during the pandemic. A structured online questionnaire was distributed to assess the physical discomforts, emotional distress and cognitive reactions of nurses at work, and the log-binomial regression analysis was performed to explore potential determinants. A considerable proportion of nurses had symptoms of physical discomforts [3677 (66.6%)] and emotional distress [4721 (85.5%)]. Nurses who were directly involved in the care of patients (i.e., care for severe patients: RR, 2.35; 95% CI, 1.95-2.84), with irregular work schedules (RR, 2.36; 95% CI, 1.95-2.87), and working overtime (RR, 1.34; 95% CI, 1.08-1.65) were at a higher risk for physical discomforts. Nurses who were directly involved in the care of patients (i.e., care for severe patients: RR, 1.78; 95% CI, 1.40-2.29), with irregular work schedules (RR, 3.39; 95% CI, 2.43-4.73), and working overtime (RR, 1.51; 95% CI, 1.12-2.04) were at a higher risk for emotional distress. Therefore, formulating reasonable work schedules and improving workforce systems are necessary to alleviate the physical and emotional distress of nurses during the pandemic.
2019 年冠状病毒病（COVID-19）的爆发对中国武汉的医护人员（HCPs）构成了前所未有的威胁，尤其是经常接触感染或疑似患者的护士。关于护士在抗击大流行中的工作经验，信息有限。为了了解护士在大流行期间的身心反应，并探讨潜在的决定因素，我们在武汉进行了一项大规模调查。这项多中心横断面研究纳入了在大流行期间在指定医院、移动小屋或避难所工作的 5521 名护士。我们通过在线问卷调查评估了护士在工作中的身体不适、情绪困扰和认知反应，并通过对数二项式回归分析来探索潜在的决定因素。相当一部分护士出现了身体不适症状[3677（66.6%）]和情绪困扰[4721（85.5%）]。直接参与患者护理的护士（即，照顾重症患者：RR，2.35；95%CI，1.95-2.84）、工作时间不规律的护士（RR，2.36；95%CI，1.95-2.87）和加班的护士（RR，1.34；95%CI，1.08-1.65）更容易出现身体不适。直接参与患者护理的护士（即，照顾重症患者：RR，1.78；95%CI，1.40-2.29）、工作时间不规律的护士（RR，3.39；95%CI，2.43-4.73）和加班的护士（RR，1.51；95%CI，1.12-2.04）更容易出现情绪困扰。因此，制定合理的工作时间表和完善劳动力制度对于减轻护士在大流行期间的身心压力是必要的。
