Doo Eun-Young, Kim Miyoung, Lee Soyoung, Lee Su Young, Lee Ka Young
Nursing Department, Myongji Hospital, Goyang-si, South Korea.
College of Nursing, Ewha Womans University, Seoul, South Korea.
J Clin Nurs. 2021 Jul;30(13-14):1990-2000. doi: 10.1111/jocn.15752. Epub 2021 Mar 23.
This study aimed to compare anxiety, resilience, and depression between COVID-19 unit (confirmed patients and suspected patients) and non-COVID-19 unit nurses and assess their effects on depression.
Nurses working during the global pandemic are known to be physically and psychologically exhausted, and experience severe anxiety and depression. However, there is a lack of studies comparing anxiety and depression between COVID-19 and non-COVID-19 unit nurses.
Descriptive research study.
This study was conducted on 64 nurses who directly worked for more than a month in a COVID-19 unit of a general hospital with nationally designated negative-pressure isolation beds and 64 nurses working in a non-COVID-19 unit. Data were collected through questionnaires and were analysed using SPSS 25.0. Reporting of this research adheres to the STROBE guidelines.
Anxiety and depression were significantly higher in nurses working with patients suspected to have COVID-19 rather than nurses working with confirmed COVID-19 patients and non-COVID-19 patients. Resilience was significantly lower in suspected patient unit nurses than in COVID-19 unit nurses. Anxiety was the major factor predicting depression in both COVID-19 unit (confirmed patients and suspected patients) and non-COVID-19 unit nurses with 76.6%, 80.7%, and 63.6% explanatory power, respectively.
Among nurses working in COVID-19 units, suspected patients unit nurses had higher depression than confirmed patients unit nurses due to an unsafe facility environment, insufficient personal protective equipment, and unknown conditions of the patients. Thus, interventions which have a high impact on depression need to be provided to relieve anxiety.
The nursing organisation must provide comprehensive support including coordinated shifts, internal motivation, incentives, up-to-date information, and clear infection prevention guidelines to relieve anxiety caused by exhaustive workload, uncertainty of infectious diseases, and lack of human and material resources.
本研究旨在比较新冠病毒疾病（COVID - 19）病房（确诊患者和疑似患者）护士与非COVID - 19病房护士之间的焦虑、心理弹性和抑郁情况，并评估它们对抑郁的影响。
众所周知，在全球大流行期间工作的护士身心俱疲，经历严重的焦虑和抑郁。然而，缺乏关于比较COVID - 19病房和非COVID - 19病房护士焦虑和抑郁情况的研究。
描述性研究。
本研究对64名在设有国家指定负压隔离病床的综合医院COVID - 19病房直接工作超过一个月的护士以及64名在非COVID - 19病房工作的护士进行。通过问卷调查收集数据，并使用SPSS 25.0进行分析。本研究报告遵循STROBE指南。
与确诊COVID - 19患者和非COVID - 19患者的护士相比，护理疑似COVID - 19患者的护士焦虑和抑郁水平显著更高。疑似患者病房护士的心理弹性显著低于COVID - 19病房护士。焦虑是预测COVID - 19病房（确诊患者和疑似患者）和非COVID - 19病房护士抑郁的主要因素，解释力分别为76.6%、80.7%和63.6%。
在COVID - 19病房工作的护士中，由于设施环境不安全、个人防护设备不足以及患者情况不明，疑似患者病房护士的抑郁程度高于确诊患者病房护士。因此，需要提供对抑郁有高度影响的干预措施以缓解焦虑。
护理组织必须提供全面支持，包括协调轮班、内部激励、奖励、最新信息以及明确的感染预防指南，以缓解因工作量过大、传染病不确定性以及人力和物力资源不足导致的焦虑。
