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影响 COVID-19 疫情期间武汉隔离病房护士工作中断的因素。

Factors Influencing Nurses' Work Interruption in Wuhan Isolation Wards During the COVID-19 Pandemic.

机构信息

Department of Geriatrics, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China (mainland).

Department of Neurosurgery, The Seventh Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China (mainland).

出版信息

Med Sci Monit. 2021 Jun 28;27:e929851. doi: 10.12659/MSM.929851.

Abstract

BACKGROUND Through January 2021, the novel coronavirus (COVID-19) continued to create significant pressure on medical staff who have worked to treat patients with the disease and control its spread. This study aimed to increase understanding of the situation and influencing factors of nurses' work interruption in Wuhan's isolation ward during the COVID-19 pandemic. MATERIAL AND METHODS A self-designed general situation questionnaire and work interruption questionnaire were used to survey 160 nurses from Beijing, Chongqing, and Jilin who worked during the COVID-19 pandemic in Wuhan in March 2020. The questionnaire could only be answered once by each nurse via a WeChat account. The submitted answers were verified by 2 researchers. RESULTS The results showed that the rate of interruption of work among nurses in the isolation ward was 25%, and the rate of nurses experiencing a negative experience was 96.9%. The results of univariate analysis showed that the following factors were related to the work interruption of the nurses in the isolation ward (all P<0.05): emergency public incident training; emergency public incident treatment experience; knowledge of COVID-19 pneumonia; hours worked per shift in the quarantine area; and negative physiologic experience. Logistic regression analysis showed that negative experience, hours worked per shift, and emergency public incident training were the independent factors influencing work interruption among nurses in the isolation wards. CONCLUSIONS The incidence of interruption of work among nurses in the isolation ward was 25%. Negative experiences, long working hours per shift, and lack of emergency public incident training made the nurses more prone to work interruption.

摘要

背景

截至 2021 年 1 月,新型冠状病毒(COVID-19)继续给治疗患者和控制其传播的医护人员带来巨大压力。本研究旨在提高对 COVID-19 大流行期间武汉隔离病房护士工作中断情况及其影响因素的认识。

材料和方法

2020 年 3 月,使用自行设计的一般情况问卷和工作中断问卷,对在北京、重庆和吉林参与 COVID-19 疫情援助工作的 160 名武汉隔离病房护士进行调查。每位护士只能通过微信账户回答一次问卷。由 2 位研究人员对提交的答案进行验证。

结果

结果显示,隔离病房护士的工作中断率为 25%,经历负面体验的护士比例为 96.9%。单因素分析结果显示,以下因素与隔离病房护士的工作中断有关(均 P<0.05):突发公共卫生事件培训;突发公共卫生事件处理经验;COVID-19 肺炎知识;隔离区每班工作时间;负面生理体验。Logistic 回归分析显示,负面体验、每班工作时间和突发公共卫生事件培训是隔离病房护士工作中断的独立影响因素。

结论

隔离病房护士的工作中断发生率为 25%。负面体验、长工作时间和缺乏突发公共卫生事件培训使护士更容易发生工作中断。

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