Zhang Xiaoning, Jiang Xue, Ni Pingping, Li Haiyang, Li Chong, Zhou Qiong, Ou Zhengyan, Guo Yuqing, Cao Junli
School of Nursing, Xuzhou Medical University, Xuzhou, China.
School of Nursing, Capital Medical University, Beijing, China.
Int J Ment Health Nurs. 2021 Aug;30(4):939-954. doi: 10.1111/inm.12847. Epub 2021 Apr 23.
The outbreak of coronavirus disease 2019 (COVID-19) is having a dramatic effect on the mental health of healthcare workers (HCWs). Upon the emergence of the COVID-19 pandemic, the Chinese government dispatched about 42 000 HCWs to Wuhan City and Hubei Province to fight this pandemic. This study briefly examines front-line nurses who experienced burnout, with the main objective of investigating the mediating roles of positive and negative affect in the relationship between resilience and burnout in Wuhan hospitals at the peak of the COVID-19 pandemic. A total of 180 front-line nurses voluntarily participated via a social media group. They completed the online questionnaires, including the Maslach Burnout Inventory-General Survey (MBI-GS), the Positive and Negative Affect Schedule (PANAS), the Connor-Davidson Resilience Scale (CD-RISC), demographics, and work-related characteristics. Structural equation modelling (SEM) analysis was used to examine the mediating effect of positive and negative affect on the relationship between resilience and burnout. The total prevalence of burnout was 51.7%, of which 15.0% were severe burnout. These preliminary results revealed that positive and negative affect fully mediated the effects of resilience on burnout, emotional exhaustion, depersonalization, and reduced personal accomplishment of front-line nurses. It is necessary to know the impact of resilience on HCWs with burnout through the positive and negative affect of individual backgrounds and situations, and how policymakers can deploy resilience interventions to support front-line HCWs.
2019年冠状病毒病（COVID-19）疫情对医护人员的心理健康产生了巨大影响。COVID-19大流行出现后，中国政府派遣了约4.2万名医护人员前往武汉市和湖北省抗击疫情。本研究简要考察了经历职业倦怠的一线护士，主要目的是调查在COVID-19大流行高峰期，武汉医院中积极情绪和消极情绪在心理韧性与职业倦怠关系中的中介作用。共有180名一线护士通过一个社交媒体群组自愿参与。他们完成了在线问卷，包括马氏职业倦怠量表通用版（MBI-GS）、正负性情绪量表（PANAS）、康纳-戴维森心理韧性量表（CD-RISC）、人口统计学信息以及与工作相关的特征。采用结构方程模型（SEM）分析来检验积极情绪和消极情绪在心理韧性与职业倦怠关系中的中介作用。职业倦怠的总患病率为51.7%，其中重度职业倦怠占15.0%。这些初步结果表明，积极情绪和消极情绪完全中介了心理韧性对一线护士职业倦怠、情感耗竭、去个性化以及个人成就感降低的影响。有必要通过个体背景和情境的积极情绪和消极情绪来了解心理韧性对患有职业倦怠的医护人员的影响，以及政策制定者如何部署心理韧性干预措施来支持一线医护人员。
