Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
A Better Start-National Science Challenge University of Auckland, New Zealand.
Nurs Forum. 2022 Jan;57(1):87-93. doi: 10.1111/nuf.12660. Epub 2021 Oct 2.
Nurses are a critical component of any healthcare system. The novel coronavirus pandemic has resulted in an increased workload for nurses and heightened stress.
To assess the psychological health over time of nurses working during the COVID-19 pandemic and to examine the factors associated with stress, anxiety, and psychological wellbeing.
Nurses enrolled in the study between 2 July and 26 August 2020 andcompleted questionnaires about stress, anxiety, and psychological wellbeing at baseline and at a second time point T2 12 weeks later. A paired sample t-test was used to examine whether changes in stress, anxiety, and psychological wellbeing were significantly different between baseline and T2. Linear regression models examined factors associated with psychological health outcomes.
Of the 600 nurses initially enrolled, 484 (80.7%) completed psychological health measures at T2. Stress, anxiety, and poor psychological wellbeing scores were high at baseline. Unexpectedly, stress and psychological wellbeing significantly improved between baseline and T2, while anxiety levels increased. Younger nurses had higher baseline stress and anxiety scores.
This study demonstrates the potential beneficial effect of effective public health management of the COVID-19 pandemic on nurses' stress and psychological wellbeing and highlights the importance of longitudinal research to understand psychological health in nurses.
护士是任何医疗体系的重要组成部分。新冠疫情大流行导致护士的工作量增加，压力也随之增大。
评估在新冠疫情大流行期间工作的护士的心理健康随时间的变化情况，并探讨与压力、焦虑和心理健康相关的因素。
2020 年 7 月 2 日至 8 月 26 日期间，护士参与了这项研究，并在基线和 12 周后的第二次时间点 T2 完成了关于压力、焦虑和心理健康的问卷。采用配对样本 t 检验来检验基线和 T2 之间压力、焦虑和心理健康的变化是否有显著差异。线性回归模型则用于检验与心理健康结果相关的因素。
最初纳入的 600 名护士中，有 484 名（80.7%）在 T2 时完成了心理健康测量。基线时，压力、焦虑和较差的心理健康评分都很高。出乎意料的是，压力和心理健康在基线和 T2 之间显著改善，而焦虑水平则有所上升。年轻的护士在基线时有更高的压力和焦虑评分。
这项研究表明，新冠疫情大流行期间有效的公共卫生管理对护士的压力和心理健康可能具有有益的影响，并强调了进行纵向研究以了解护士心理健康的重要性。
