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在纽约市第一波大流行期间照顾 COVID-19 患者对一线护士的心理社会影响。

The psychosocial impact on frontline nurses of caring for patients with COVID-19 during the first wave of the pandemic in New York City.

机构信息

Rory Meyers College of Nursing, New York University, New York, NY; Grossman School of Medicine, New York University, New York, NY.

College of Dentistry, New York University, New York, NY; School of Global Public Health, New York University, New York, NY.

出版信息

Nurs Outlook. 2021 Sep-Oct;69(5):744-754. doi: 10.1016/j.outlook.2021.03.019. Epub 2021 Apr 5.

Abstract

BACKGROUND

Infectious disease pandemics, such as COVID-19, have dramatically increased in the last several decades.

PURPOSE

To investigate the personal and contextual factors associated with the psychological functioning of nurses responding to COVID in the New York City area.

METHOD

Cross sectional data collected via a 95-item internet-based survey sent to an email list of the 7,219 nurses employed at four hospitals.

FINDINGS

2,495 nurses responded (RR 35%). The more that nurses cared for COVID patients as well as experienced home-work conflict and work-home conflict the higher the nurses' depression and anxiety. When asked what has helped the nurses to carry out their care of patients the most common responses were support from and to co-workers, training in proper PPE, and support from family/friends.

DISCUSSION

Understanding the potential triggers and vulnerability factors can inform the development of institutional resources that would help minimize their impact, reducing the risk of psychological morbidity.

摘要

背景

在过去几十年中,传染病大流行(如 COVID-19)急剧增加。

目的

调查与应对纽约市地区 COVID 的护士的心理功能相关的个人和背景因素。

方法

通过向四家医院的 7219 名护士的电子邮件列表发送的 95 项基于互联网的调查收集横截面数据。

发现

有 2495 名护士做出了回应(RR 35%)。护士照顾 COVID 患者以及经历家庭-工作冲突和工作-家庭冲突越多,护士的抑郁和焦虑程度就越高。当被问及什么最有助于护士照顾患者时,最常见的回答是同事的支持、适当 PPE 的培训以及家人/朋友的支持。

讨论

了解潜在的触发因素和脆弱性因素可以为机构资源的开发提供信息,这有助于将其影响降到最低,降低心理发病率的风险。

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