School of Health & Human Sciences, Southern Cross University, Bilinga, Queensland, Australia.
Northern New South, Wales Local Health District, Ballina, New South Wales, Australia.
Int J Ment Health Nurs. 2022 Feb;31(1):91-103. doi: 10.1111/inm.12938. Epub 2021 Oct 11.
Globally, the impact of COVID-19 on healthcare workers' mental health has been a major focus of recent research. However, Australian research involving nurses, particularly across the acute care sector, is limited. This cross-sectional research aimed to explore the impact of pandemic-related stress on psychological adjustment outcomes and potential protective factors for nurses (n = 767) working in the Australian acute care sector during the COVID-19 pandemic. Nurses completed an online questionnaire with psychometrically validated measures of pandemic-related stress, psychological adjustment outcomes (depression, anxiety, and subjective well-being), and protective factors (posttraumatic growth and self-compassion). Descriptive analyses revealed that pandemic-related stress was reported by 17.7% of the participants. Psychological adjustment outcome scores above normal for depression (27.5%) and anxiety (22.0%) were found, and 36.4% of the participants reported poor subjective well-being. Regression analyses suggest that pandemic-related stress predicted greater depression (B = 0.32, SE = 0.02, 95% confidence interval [0.28, 0.35]) and anxiety (B = 0.26, SE = 0.01, 95% confidence interval [0.24, 0.29]) and less subjective well-being (B = -0.14, SE = 0.01, 95% confidence interval [-0.16, -0.12]). Self-compassion weakened the relationship between pandemic-related stress and greater depression, however, exacerbated the relationship between pandemic-related stress and less subjective well-being. Posttraumatic growth reduced the negative relationship between pandemic-related stress and psychological adjustment outcomes. These findings will inform strategies to facilitate psychological resources that support nurses' psychological adjustment, enabling better pandemic preparedness at both an individual and organizational level.
从全球范围来看，COVID-19 对医护人员心理健康的影响一直是近期研究的重点。然而，澳大利亚涉及护士的研究，特别是在急性护理领域，数量有限。这项横断面研究旨在探讨与大流行相关的压力对护士（n=767）在 COVID-19 大流行期间在澳大利亚急性护理部门工作的心理调整结果和潜在保护因素的影响。护士使用具有心理测量学验证的与大流行相关的压力、心理调整结果（抑郁、焦虑和主观幸福感）和保护因素（创伤后成长和自我同情）的在线问卷完成了调查。描述性分析显示，17.7%的参与者报告了与大流行相关的压力。发现抑郁（27.5%）和焦虑（22.0%）的心理调整结果得分高于正常值，36.4%的参与者报告主观幸福感较差。回归分析表明，与大流行相关的压力预测了更大的抑郁（B=0.32，SE=0.02，95%置信区间[0.28，0.35]）和焦虑（B=0.26，SE=0.01，95%置信区间[0.24，0.29]）以及较少的主观幸福感（B=-0.14，SE=0.01，95%置信区间[-0.16，-0.12]）。自我同情减弱了与大流行相关的压力与更大的抑郁之间的关系，但加剧了与大流行相关的压力与较少的主观幸福感之间的关系。创伤后成长减轻了与大流行相关的压力与心理调整结果之间的负相关关系。这些发现将为制定策略提供信息，以促进支持护士心理调整的心理资源，从而在个人和组织层面更好地为大流行做准备。
