Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Psychiatric Nursing and mental health Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Nurs Crit Care. 2023 Mar;28(2):177-183. doi: 10.1111/nicc.12708. Epub 2021 Aug 31.
The coronavirus disease 2019 (COVID-19) pandemic directly affects the psychological well-being of critical care nurses. Several studies had investigated the psychological impact of the pandemic on nurses caring for patients with COVID-19, but few were conducted to identify the predictors of this impact.
The objective of this study is to identify the predictors of critical care nurses' stress, anxiety, and depression in response to the COVID-19 pandemic.
A cross-sectional survey was conducted in five intensive care units in five hospitals in Alexandria, Egypt.
An online questionnaire was distributed. It included socio-demographic and work-related data and the depression, anxiety, and stress scale scores of the nurses under study. A multiple linear regression model was developed to identify the predictors of critical care nurses' stress, anxiety, and depression in response to the COVID-19 pandemic.
Two hundred (64%) of 308 nurses completed the electronic questionnaire. Significant predictors of stress included the number of infected colleagues (P < .001) and availability of hospital resources (P = .01). Significant predictors of anxiety were age, gender, satisfactory income (P < .001), years of experience, time spent caring for patients with COVID-19 (P = .04), continuous training, number of infected colleagues (P = .01), and availability of hospital resources (P = .02). Finally, significant predictors of depression included gender, history of physical problems (P = .04), educational attainment, availability of hospital resources, history of psychological problems (P < .001), and number of infected colleagues (P = .001).
The hospital's lack of human and physical resources and the number of colleagues infected with COVID-19 were the strongest predictors of stress, anxiety, and depression among nurses.
Identifying the predictors of stress, anxiety, and depression among nurses who care for patients with COVID-19 is a vital step in developing mental health promotion strategies to support nurses during this pandemic.
2019 年冠状病毒病（COVID-19）大流行直接影响重症监护护士的心理健康。有几项研究调查了大流行对护理 COVID-19 患者的护士的心理影响，但很少有研究旨在确定这种影响的预测因素。
本研究旨在确定重症监护护士应对 COVID-19 大流行时压力、焦虑和抑郁的预测因素。
在埃及亚历山大的五家医院的五个重症监护病房进行了横断面调查。
发放了在线问卷。它包括护士的社会人口统计学和工作相关数据以及他们的抑郁、焦虑和压力量表评分。建立了一个多元线性回归模型，以确定重症监护护士应对 COVID-19 大流行时压力、焦虑和抑郁的预测因素。
在 308 名护士中，有 200 名（64%）完成了电子问卷。压力的显著预测因素包括感染同事的数量（P<0.001）和医院资源的可用性（P=0.01）。焦虑的显著预测因素包括年龄、性别、满意的收入（P<0.001）、工作年限、照顾 COVID-19 患者的时间（P=0.04）、持续培训、感染同事的数量（P=0.01）和医院资源的可用性（P=0.02）。最后，抑郁的显著预测因素包括性别、身体问题史（P=0.04）、教育程度、医院资源的可用性、心理问题史（P<0.001）和感染同事的数量（P=0.001）。
医院缺乏人力和物力资源以及感染 COVID-19 的同事数量是护士压力、焦虑和抑郁的最强预测因素。
确定护理 COVID-19 患者的护士的压力、焦虑和抑郁的预测因素是制定大流行期间促进护士心理健康的策略的重要步骤。
