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援鄂护士心理健康结局与韧性:中国新冠肺炎疫情爆发一年后。

Mental health outcome and resilience among aiding Wuhan nurses: One year after the COVID-19 outbreak in China.

机构信息

Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.

Department of Psychiatry, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China; The Key Laboratory of Mental Disorder's Management of Zhejiang Province, Hangzhou 310003, China; Brain Research Institute of Zhejiang University, Hangzhou 310003, China.

出版信息

J Affect Disord. 2022 Jan 15;297:348-352. doi: 10.1016/j.jad.2021.10.050. Epub 2021 Oct 25.

Abstract

OBJECTIVE

This study aimed to explore whether aiding Wuhan experience of nurses was associated with adverse mental health outcome one year after the COVID-19 outbreak in China.

METHODS

In this study, 100 nurses with and 100 nurses without aiding Wuhan experience a year ago were enrolled from February 1, 2021 to March 31, 2021 in Zhejiang Province, China. Depression, anxiety, insomnia, distress and psychological resilience of participants was assessed and analyzed.

RESULTS

A total of 100 participants from 112 aiding Wuhan nurses completed the survey, with a response rate of 89.3%. Another 100 nurses from the same hospitals without aiding Wuhan experience were enrolled as controls. In both groups, a considerable proportion of participants reported symptoms of depression (46.0% for the aiding Wuhan group vs. 49.0% for the controls, similarly hereinafter), anxiety (40.0% vs. 38.0%), and PTSD (61.0% vs. 56.0%). Aiding Wuhan nurses were more likely to suffer from insomnia (41.0% vs. 29.0%, P = 0.041). Multivariable logistic regression analysis showed that aiding Wuhan experience was not associated with depression (adjusted OR (AOR) 0.22; 95%CI, 0.05-1.01), anxiety (AOR 0.53; 95%CI, 0.12-2.43), insomnia (AOR 1.52; 95%CI, 0.76-3.02), PTSD (AOR 0.50; 95%CI, 0.19-1.34), or resilience (AOR 1.59; 95%CI, 0.78-3.26). Resilience was negatively correlated with depression, anxiety, insomnia, and PTSD.

CONCLUSIONS

This survey indicated that aiding Wuhan experience a year ago did not cause additional adverse mental health outcomes in nurses, expect for insomnia. The psychological status of nurses in general calls for more attention.

摘要

目的

本研究旨在探讨一年前援助武汉的经历是否与中国新冠肺炎疫情爆发后护士的不良心理健康结局有关。

方法

本研究于 2021 年 2 月 1 日至 2021 年 3 月 31 日在浙江省招募了 100 名一年前有和 100 名无援助武汉经验的护士。评估并分析了参与者的抑郁、焦虑、失眠、困扰和心理弹性。

结果

共有 112 名援助武汉护士中的 100 名完成了调查,应答率为 89.3%。另外 100 名来自同一医院、无援助武汉经验的护士被纳入对照组。在两组中,相当一部分参与者报告有抑郁症状(援助武汉组为 46.0%,对照组为 49.0%,以下类似)、焦虑(40.0% vs. 38.0%)和创伤后应激障碍(61.0% vs. 56.0%)。援助武汉护士更有可能失眠(41.0% vs. 29.0%,P=0.041)。多变量逻辑回归分析显示,援助武汉经历与抑郁(调整后的比值比(AOR)0.22;95%CI,0.05-1.01)、焦虑(AOR 0.53;95%CI,0.12-2.43)、失眠(AOR 1.52;95%CI,0.76-3.02)、创伤后应激障碍(AOR 0.50;95%CI,0.19-1.34)或韧性(AOR 1.59;95%CI,0.78-3.26)无关。韧性与抑郁、焦虑、失眠和创伤后应激障碍呈负相关。

结论

本调查表明,一年前援助武汉的经历并未给护士带来额外的不良心理健康后果,除了失眠。一般来说,护士的心理状况需要更多关注。

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