COVID ICU, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Psychiatry, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Nurs Crit Care. 2023 Mar;28(2):272-280. doi: 10.1111/nicc.12685. Epub 2021 Sep 28.
Frontline nurses dealing with the coronavirus disease-2019 (COVID-19) pandemic face various mental health challenges ranging from excessive stress and anxiety to severe depression.
To study the comparative prevalence of anxiety and depression, and their contributing factors, between nurses working in intensive care units (ICU) with COVID-19 patients (COVID ICU) and nurses working in ICU with patients admitted for other reasons (non-COVID ICU).
Quantitative comparative cross-sectional study.
All frontline nurses working in COVID and non-COVID ICUs at a tertiary care university hospital in Nepal were included. The data were collected using Google Forms. The groups were evaluated and compared in terms of various relevant variables with self-designed socio-demographic questionnaire, the validated Nepali version of the Hospital Anxiety and Depression Scale (HADS), and the General Health Questionnaire 12 (GHQ-12).
The response rate was 100%. Of the 99 nurses who met the inclusion criteria, three were excluded. Out of the 96 nurses included, psychiatric caseness was present in 82 (85.4%). There was no statistically significant difference in the prevalence of psychiatric caseness, anxiety, and depression between the COVID ICU and non-COVID ICU nurses (caseness of 90.4% vs 79.5%, P = .134; anxiety of 36.5% vs 27.3%, P = .587; and depression of 21.2% vs 9.1%, P = .214, respectively). Among the factors that could potentially lead to psychiatric caseness, anxiety, and depression, statistically significant differences were observed only in relation to sleep disturbances, confidence in caring for patients with COVID-19 and intentions to discontinue current job, all being significantly higher in COVID ICU nurses.
Anxiety and depression are common in nurses working in both the COVID and non-COVID ICUs, although the difference is not statistically significant.
Early assessment of anxiety and depression in nurses working in all ICUs and their active medical and behavioural interventions are important in protecting this vital work force dealing with the pandemic.
应对 2019 年冠状病毒病（COVID-19）大流行的一线护士面临着各种心理健康挑战，从过度压力和焦虑到严重抑郁不等。
研究在 COVID-19 患者（COVID ICU）和因其他原因（非 COVID ICU）住院的 ICU 中工作的护士之间，焦虑和抑郁的患病率及其相关因素。
定量比较性横断面研究。
纳入尼泊尔一家三级护理大学医院的 COVID 和非 COVID ICU 一线护士。使用 Google 表格收集数据。使用自我设计的社会人口学问卷、经过验证的尼泊尔版医院焦虑和抑郁量表（HADS）和一般健康问卷 12 项（GHQ-12）对两组进行评估和比较。
应答率为 100%。在符合纳入标准的 99 名护士中，有 3 名被排除在外。在纳入的 96 名护士中，有 82 名（85.4%）存在精神病例。COVID ICU 和非 COVID ICU 护士之间的精神病例、焦虑和抑郁患病率无统计学差异（病例率分别为 90.4%和 79.5%，P=0.134；焦虑分别为 36.5%和 27.3%，P=0.587；抑郁分别为 21.2%和 9.1%，P=0.214）。在可能导致精神病例、焦虑和抑郁的因素中，仅在睡眠障碍、对 COVID-19 患者护理的信心和辞职意愿方面存在统计学差异，COVID ICU 护士的这些差异显著更高。
COVID ICU 和非 COVID ICU 护士中都普遍存在焦虑和抑郁，尽管差异无统计学意义。
对所有 ICU 护士进行焦虑和抑郁的早期评估，并对其进行积极的医疗和行为干预，对于保护这支应对大流行的重要劳动力至关重要。
