Department of Research and Development, Division of Mental Health, St Olav's University Hospital, 7006 Trondheim, Norway.
Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7091 Trondheim, Norway.
Int J Environ Res Public Health. 2021 Sep 16;18(18):9762. doi: 10.3390/ijerph18189762.
The COVID-19 pandemic has created great uncertainty around the world, and due to the pandemic, nurses have been exposed to an increase in highly stressful clinical situations. This study examines the relationships between perceived stress and emotional disorders among nurses who have provided direct patient care during the COVID-19 pandemic and explores the mediating role of resilience in these relationships. In an online cross-sectional design, we asked Spanish nurses ( = 214) to complete self-reported scales, and we performed correlation and mediation analyses between perceived stress (Perceived Stress Scale, PSS-4), resilience (Wagnild Resilience Scale, RS-14), wellbeing (World Health Organization Wellbeing Index, five items, WHO-5), anxiety (PHQ-2) and depression (GAD-2). The nurses self-reported moderate levels of perceived stress, considerable psychological distress and high resilience. We found resilience to be significantly negatively correlated with the reported levels of perceived stress, anxiety and depression ( < 0.001). The mediating analysis revealed that resilience played a protective role in the direct relationships of stress with depression, anxiety, and psychological distress. To conclude, our findings supported the hypothesis that resilience mediated the relationship between stress and mental health.
新型冠状病毒肺炎疫情在全球范围内造成了极大的不确定性，由于疫情的影响，护士们接触到了越来越多的高压力临床情况。本研究调查了在新型冠状病毒肺炎大流行期间直接照顾患者的护士的感知压力与情绪障碍之间的关系，并探讨了韧性在这些关系中的中介作用。采用在线横断面设计，我们要求西班牙护士（n=214）完成自我报告量表，并对感知压力（感知压力量表，PSS-4）、韧性（Wagnild 韧性量表，RS-14）、幸福感（世界卫生组织幸福感量表，五项目，WHO-5）、焦虑（PHQ-2）和抑郁（GAD-2）之间的关系进行了相关性和中介分析。护士报告的感知压力、心理困扰和韧性程度均处于中等水平。我们发现，韧性与报告的感知压力、焦虑和抑郁呈显著负相关（<0.001）。中介分析表明，韧性在压力与抑郁、焦虑和心理困扰的直接关系中发挥了保护作用。总之，我们的研究结果支持了韧性在压力与心理健康之间的关系中起中介作用的假设。
