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新型冠状病毒肺炎对急诊科和发热门诊护士焦虑、压力及应对方式的影响:一项横断面调查

Impact of COVID-19 on Anxiety, Stress, and Coping Styles in Nurses in Emergency Departments and Fever Clinics: A Cross-Sectional Survey.

作者信息

Cui Shasha, Jiang Yujun, Shi Qianyu, Zhang Lei, Kong Dehua, Qian Meijuan, Chu Jing

机构信息

Department of Nursing, Nantong Health College of Jiangsu Province, Nantong City, Jiangsu Province, People's Republic of China.

Department of Gynecology, The Affiliated Hospital of Qingdao University, Qingdao City, Shandong Province, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2021 Feb 15;14:585-594. doi: 10.2147/RMHP.S289782. eCollection 2021.

DOI:10.2147/RMHP.S289782
PMID:33623449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7894802/
Abstract

BACKGROUND

During the Coronavirus Disease 2019 (COVID-19) pandemic, emergency departments and fever clinics nurses acted as gatekeepers to the health care system. To manage the psychological problems that these nurses experience, we should develop appropriate training and intervention programs.

OBJECTIVE

To identify the impact of COVID-19 on the psychology of Chinese nurses in emergency departments and fever clinics and to identify associated factors.

METHODS

This online cross-sectional study recruited participants through snowball sampling between 13 February and 20 February 2020. Nurses self-administered the online questionnaires, including a general information questionnaire, the Self-Rating Anxiety Scale, the Perceived Stress Scale-14, and the Simplified Coping Style Questionnaire.

RESULTS

We obtained 481 responses, of which 453 were valid, an effective response rate of 94.18%. Participants who had the following characteristics had more mental health problems: female gender, fear of infection among family members, regretting being a nurse, less rest time, more night shifts, having children, lack of confidence in fighting transmission, not having emergency protection training, and negative professional attitude.

CONCLUSION

Effective measures are necessary to preserve mental health of nurses in emergency departments and fever clinics. These include strengthening protective training, reducing night shifts, ensuring adequate rest time, and timely updating the latest pandemic situation.

摘要

背景

在2019冠状病毒病(COVID-19)大流行期间,急诊科和发热门诊护士充当了医疗系统的守门人。为了管理这些护士所经历的心理问题,我们应该制定适当的培训和干预计划。

目的

确定COVID-19对中国急诊科和发热门诊护士心理的影响,并确定相关因素。

方法

这项在线横断面研究于2020年2月13日至20日通过滚雪球抽样招募参与者。护士自行填写在线问卷,包括一般信息问卷、自评焦虑量表、感知压力量表-14和简易应对方式问卷。

结果

我们获得了481份回复,其中453份有效,有效回复率为94.18%。具有以下特征的参与者存在更多心理健康问题:女性、家庭成员担心感染、后悔成为护士、休息时间少、夜班多、有孩子、对抗击传播缺乏信心、未接受应急防护培训以及职业态度消极。

结论

有必要采取有效措施维护急诊科和发热门诊护士的心理健康。这些措施包括加强防护培训、减少夜班、确保充足休息时间以及及时更新最新疫情情况。

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