College of Nursing, Ewha Womans University, Seoul, Korea.
College of Nursing, Konyang University, Daejeon, Korea.
Int Nurs Rev. 2021 Jun;68(2):256-265. doi: 10.1111/inr.12679. Epub 2021 Apr 24.
To identify the factors affecting fear, anxiety and depressive symptoms among frontline nurses working with COVID-19 patients or are in charge of COVID-19 screening in Korea.
Nurses are at a higher risk of COVID-19 infection because they are in closer, longer-duration contact with patients. These situations can negatively affect the mental health of nurses.
This study analysed data from COVID-19 module in the Korean Nurses' Health Study. Data from 906 participants were analysed. To identify the factors influencing mental health, descriptive statistics, Pearson's correlation and hierarchical multiple regression analyses were performed.
Caring for patients who are COVID-19-positive increased levels of fear, anxiety and depressive symptoms of nurses. The hospital safety climate influenced mental well-being among nurses.
Caring for patients with COVID-19 had a negative impact on fear, anxiety and depressive symptoms. However, the higher was the perceived hospital safety climate, the lower were the nurses' psychological symptoms. Further research on the mental health of nurses is warranted.
Institutions should manage human resources to enable periodic rotation of nurses' work and working periods related to COVID-19. In addition, hospital managers should provide sufficient personal protective equipment, related education, and safety climate.
识别在韩国与 COVID-19 患者一起工作或负责 COVID-19 筛查的一线护士出现恐惧、焦虑和抑郁症状的影响因素。
由于护士与患者接触时间更长、更密切，因此感染 COVID-19 的风险更高。这些情况可能会对护士的心理健康产生负面影响。
本研究分析了韩国护士健康研究中 COVID-19 模块的数据。对 906 名参与者的数据进行了分析。为了确定影响心理健康的因素，进行了描述性统计、皮尔逊相关和分层多元回归分析。
照顾 COVID-19 阳性患者的护士会增加其恐惧、焦虑和抑郁症状。医院安全氛围会影响护士的心理健康。
照顾 COVID-19 患者对护士的恐惧、焦虑和抑郁症状产生负面影响。然而，感知到的医院安全氛围越高，护士的心理症状越低。有必要对护士的心理健康进行进一步研究。
医疗机构应管理人力资源，使护士的工作和与 COVID-19 相关的工作周期能够定期轮换。此外，医院管理人员应提供足够的个人防护设备、相关教育和安全氛围。
