COVID-19 大流行对卫生专业人员压力、韧性和抑郁的影响：一项横断面研究。
Impact of the COVID-19 pandemic on stress, resilience and depression in health professionals: a cross-sectional study.
机构信息
Epilepsy Unit, Department of Neurology, Hospital Clínic de Barcelona, Barcelona, Spain.
Institut d'Investigacions Biomediques August Pi i Sunyer (IDIBAPS, Barcelona, Spain.
出版信息
Int Nurs Rev. 2021 Dec;68(4):461-470. doi: 10.1111/inr.12693. Epub 2021 Jun 7.
AIM
To describe the impact of the COVID-19 pandemic on stress, resilience and depression in health professionals from a public hospital in Barcelona, Spain after the first peak of pandemic.
BACKGROUND
The COVID-19 pandemic in Spain has pushed boundaries in health systems and, especially, for health professionals. Analysis of resilience as an individual resource and it is essential to understand the mechanisms that make staff react unfavourably to stressors caused by the pandemic.
DESIGN
A descriptive cross-sectional study was designed.
PARTICIPANTS
Health professionals supervised by the nursing department, including registered nurses, health care assistants, health technicians, final year nurse student nurses, foreign nurses, and other nurse-related health workers.
METHODS
The study complies with the STROBE checklist for cross-sectional studies. An online survey was administered to all health professionals supervised by the nursing department between 6 and 27 May 2020. The survey included the ER-14 Resilience Scale, the widely-used PHQ-9 depression scale, the Spanish version of the Nursing Stress Scale, and an ad-hoc questionnaire to obtain sociodemographic and occupational variables.
RESULTS
A total of 686 participants answered the survey. Resilience was high or very high in health professionals, with an inverse correlation with stress and depression scores. Personal on fixed shifts showed better resilience. The most stressed health professionals were full-time registered nurses, followed by health care assistants. Up to 25% of nursing professionals had depression.
CONCLUSION
Our study showed a high degree of resilience among nurse professionals despite the overwhelming nature of the COVID-19 pandemic. Relevant signs of depression and stress were detected among participants. Occupational factors heavily influenced nurses' resilience, stress and depression.
IMPLICATIONS FOR NURSING & HEALTH POLICY: Government policy shifts are needed in Spain to improve nurses' workforce conditions, enhance the ratio of nurses to patient numbers, and avoid workforce losses. Maintaining the resilience of health professionals would assist in improving their health and their capacity to possible future emergency situations.
目的
描述西班牙巴塞罗那一家公立医院的卫生专业人员在经历 COVID-19 大流行第一波高峰后，压力、韧性和抑郁的变化。
背景
西班牙 COVID-19 大流行对卫生系统造成了压力，尤其是对卫生专业人员。分析作为个体资源的韧性至关重要，因为了解使员工对大流行引起的压力源产生不利反应的机制非常重要。
设计
设计了一项描述性的横断面研究。
参与者
由护理部门监督的卫生专业人员，包括注册护士、护理助理、卫生技术人员、护理专业的应届毕业生、外国护士和其他与护理相关的卫生工作者。
方法
该研究符合 STROBE 横断面研究检查表。2020 年 5 月 6 日至 27 日，对由护理部门监督的所有卫生专业人员进行了在线调查。调查包括 ER-14 韧性量表、广泛使用的 PHQ-9 抑郁量表、西班牙语版护理压力量表以及专门的问卷调查获取社会人口学和职业变量。
结果
共有 686 名参与者回答了调查。卫生专业人员的韧性较高或非常高，与压力和抑郁评分呈负相关。固定班次的个人表现出更好的韧性。压力最大的卫生专业人员是全职注册护士，其次是护理助理。多达 25%的护理专业人员患有抑郁症。
结论
尽管 COVID-19 大流行的性质具有压倒性，但我们的研究显示了护士专业人员高度的韧性。研究参与者出现了相关的抑郁和压力迹象。职业因素严重影响护士的韧性、压力和抑郁。
对护理和卫生政策的影响
西班牙需要调整政府政策，改善护士的劳动力条件，增加护士与患者人数的比例，并避免劳动力流失。保持卫生专业人员的韧性将有助于改善他们的健康状况和应对未来可能的紧急情况的能力。
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