COVID-19疫情期间从事核酸采样的一线护士的睡眠质量与抑郁-焦虑-压力状态：一项横断面研究
Sleep Quality and the Depression-Anxiety-Stress State of Frontline Nurses Who Perform Nucleic Acid Sample Collection During COVID-19: A Cross-Sectional Study.
作者信息
Chen Xiang, Liu Ping, Lei Guang-Feng, Tong Li, Wang Hui, Zhang Xue-Qing
机构信息
Department of Nursing, The First People's Hospital of Changde City, Changde, 415000, Hunan Province, People's Republic of China.
出版信息
Psychol Res Behav Manag. 2021 Nov 26;14:1889-1900. doi: 10.2147/PRBM.S338495. eCollection 2021.
OBJECTIVE
To explore the sleep quality and depression-anxiety-stress state of frontline nurses in high-risk areas who conduct nucleic acid sampling testing for COVID-19 to provide a basis for formulating intervention programs in crisis management.
METHODS
From August 22 to 30, 2021, a convenient sampling method was used in Zhangjiajie City, Hunan Province, China. A total of 248 frontline nurses who performed nucleic acid sample collection were selected. The following tests were used: the general information questionnaire, Pittsburgh Sleep Quality Questionnaire (PSQI), and Depression-Anxiety Stress Scale (DASS-21).
RESULTS
A total of 236 nurses completed the survey; 88.14% (n = 208) were women, the average age was 33.02±6.81, the PSQI score was 15 (13-17), and 231 (97.88%) nurses had sleep disorders during the period in Zhangjiajie, 219 nurses (81.36%) had anxiety, 135 nurses (45.76%) had depression, and 112 nurses (42.59%) felt stressed. Spearman correlation analysis was used to associate the PSQI with the DASS-21. The results showed that the use of hypnotic drugs was negatively correlated with DASS-21 (P<0.05), while the rest were positively correlated. The results of the multivariate analysis of sleep disorders showed that depression, anxiety, and stress were related to sleep quality (P<0.05), and there was no statistical difference in the other variables.
CONCLUSION
During the COVID-19 pandemic, the sleep quality and depression-anxiety-stress state of the frontline nurses performing nucleic acid testing were adversely affected. Sleep disturbance is a serious problem among nurses testing for the delta strain during the pandemic. Anxiety, stress, and depression are associated with sleep disorders. It is necessary to take corresponding measures and conduct crisis management interventions to improve sleep quality and mental health adjustment during public health emergencies.
目的
探讨为新冠肺炎进行核酸采样检测的高风险地区一线护士的睡眠质量及抑郁-焦虑-压力状态，为危机管理中制定干预方案提供依据。
方法
2021年8月22日至30日，在中国湖南省张家界市采用便利抽样法。共选取248名进行核酸样本采集的一线护士。使用了以下测试：一般信息问卷、匹兹堡睡眠质量问卷（PSQI）和抑郁-焦虑-压力量表（DASS-21）。
结果
共有236名护士完成调查；88.14%（n = 208）为女性，平均年龄为33.02±6.81岁，PSQI评分为15（13 - 17），在张家界期间231名（97.88%）护士存在睡眠障碍，219名护士（81.36%）有焦虑情绪，135名护士（45.76%）有抑郁情绪，112名护士（42.59%）感到有压力。采用Spearman相关性分析将PSQI与DASS-21进行关联。结果显示，使用催眠药物与DASS-21呈负相关（P<0.05），其余均呈正相关。睡眠障碍的多因素分析结果显示，抑郁、焦虑和压力与睡眠质量有关（P<0.05），其他变量无统计学差异。
结论
在新冠肺炎疫情期间，进行核酸检测的一线护士的睡眠质量及抑郁-焦虑-压力状态受到不利影响。睡眠障碍是疫情期间参与德尔塔毒株检测的护士中的一个严重问题。焦虑、压力和抑郁与睡眠障碍有关。有必要采取相应措施并进行危机管理干预，以在突发公共卫生事件期间改善睡眠质量和心理健康调节。
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