**标题**：首波 COVID-19 疫情对 ICU 护士心理健康的影响：一项全国性调查研究 **原文**：The impact of the first COVID-19 surge on the mental well-being of ICU nurses: A nationwide survey study.
The impact of the first COVID-19 surge on the mental well-being of ICU nurses: A nationwide survey study.
机构信息
Radboud University Medical Center, Radboud Institute for Health Sciences, Department Intensive Care, Nijmegen, the Netherlands.
Radboud University Medical Center, Radboud Institute for Health Sciences, Department Intensive Care, Nijmegen, the Netherlands.
出版信息
Intensive Crit Care Nurs. 2021 Aug;65:103034. doi: 10.1016/j.iccn.2021.103034. Epub 2021 Mar 20.
OBJECTIVES
To determine the impact of the first COVID-19 surge (March through June 2020) on mental well-being and associated risk factors among intensive care unit nurses.
RESEARCH METHODOLOGY
In September 2020, a nationwide cross-sectional survey study among Dutch intensive care nurses was carried out to measure prevalence rates of symptoms of anxiety, depression, posttraumatic stress disorder, and need for recovery (NFR), objectified by the HADS-A, HADS-D, IES-6 and NFR questionnaires, respectively. Associated risk factors were determined using multivariate logistic regression analyses.
RESULTS
Symptoms of anxiety, depression, and post traumatic stress disorder were reported by 27.0%, 18.6% and 22.2% of the 726 respondents, respectively. The NFR was positive, meaning not being recovered from work, in 41.7%. Working in an academic hospital, being afraid of infecting relatives and experiencing insufficient numbers of colleagues were associated with more mental symptoms, while having been on holiday was associated with reduced depression symptoms and need for recovery.
CONCLUSION
The first COVID-19 surge had a high impact on the mental well-being of intensive care nurses, increasing the risk for drop out and jeopardising the continuity of care. Effort should be made to optimize working conditions and decrease workload to guarantee care in the next months of the COVID-19 pandemic.
目的
确定 2020 年 3 月至 6 月的首次 COVID-19 疫情对重症监护病房护士的心理健康及其相关危险因素的影响。
研究方法
2020 年 9 月，对荷兰重症监护病房护士进行了一项全国性的横断面调查研究，使用 HADS-A、HADS-D、IES-6 和 NFR 问卷分别测量焦虑、抑郁、创伤后应激障碍和恢复需求（NFR）的症状发生率。使用多变量逻辑回归分析确定相关危险因素。
结果
726 名受访者中，分别有 27.0%、18.6%和 22.2%报告有焦虑、抑郁和创伤后应激障碍症状。NFR 呈阳性，意味着工作没有恢复，占 41.7%。在学术医院工作、担心感染亲属以及同事人数不足与更多的精神症状相关，而休假与抑郁症状和恢复需求减少相关。
结论
首次 COVID-19 疫情对重症监护病房护士的心理健康产生了重大影响，增加了离职风险，危及护理的连续性。应努力优化工作条件，减轻工作负担，以确保在 COVID-19 大流行的未来几个月提供护理。
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