College of Health Sciences, Nursing Department, Research Institute of Medical and Health Sciences, University Of Sharjah, Sharjah, United Arab Emirates.
Executive Management, Sheikh Khalifa General Hospital, Umm Alquwain, United Arab Emirates.
Int Nurs Rev. 2022 Sep;69(3):285-293. doi: 10.1111/inr.12734. Epub 2021 Dec 8.
To assess the extent of posttraumatic stress disorder (PTSD) symptoms and severity, factors motivating work continuation, and factors influencing PTSD development among frontline nurses caring for patients with COVID-19.
The COVID-19 pandemic has an emotional toll on nurses. Exposure to traumatic events associated with the pandemic places frontline nurses at risk for developing PTSD.
Cross-sectional study.
Frontline nurses (n = 370) who cared for COVID-19 patients in three governmental hospitals in the United Arab Emirates were recruited from November 2020 to January 2021. The self-reported Posttraumatic Diagnostic Scale (PDS) was used to assess PTSD. The motivational factors for work continuation explored were: work-related factors (e.g., availability of personal protective equipment and management recognition), family support, and obligation to care. We used correlation and multiple regression analyses to investigate factors that influenced PDS score, including sociodemographic characteristics (e.g., gender, age, exercising status, and general health status), work factors (e.g., hospital type [COVID vs non-COVID], prior work experience, and encountering deaths), and factors motivating work continuation. The reporting of this study was consistent with STROBE guidelines.
In total, 36.2% participants had a probable PTSD diagnosis (PDS score ≥28) with most reporting unwanted memories. Family support (95.9%) and management recognition (90.8%) were the most frequently reported motivating factors. Factors significantly associated with higher PDS score were smoking, lack of management recognition, not exercising, and encountering COVID-19 deaths; the correlation and regression coefficients (b) were significant (p < 0.05).
CONCLUSIONS AND IMPLICATIONS FOR NURSING/HEALTH POLICY: Policy makers must expand healthcare policies to address frontline nurses' mental health as a priority during the pandemic. Nurse leaders must be involved in health policy development to protect nurses in anticipation of and during global health emergencies.
评估照顾 COVID-19 患者的一线护士创伤后应激障碍（PTSD）症状和严重程度、继续工作的动机因素以及 PTSD 发展的影响因素。
COVID-19 大流行对护士造成了情绪上的影响。与大流行相关的创伤事件使一线护士面临 PTSD 的风险。
横断面研究。
从 2020 年 11 月至 2021 年 1 月，在阿拉伯联合酋长国的三家政府医院招募了照顾 COVID-19 患者的一线护士（n=370）。使用自我报告的创伤后诊断量表（PDS）评估 PTSD。探索的继续工作的动机因素包括：与工作相关的因素（例如，个人防护设备的可用性和管理层的认可）、家庭支持和照顾义务。我们使用相关性和多元回归分析来研究影响 PDS 评分的因素，包括社会人口统计学特征（例如，性别、年龄、锻炼状态和一般健康状况）、工作因素（例如，医院类型[COVID 与非 COVID]、先前的工作经验和遇到死亡）以及激励工作的因素。本研究的报告符合 STROBE 指南。
共有 36.2%的参与者有 PTSD 诊断的可能（PDS 评分≥28），大多数报告有不想要的记忆。家庭支持（95.9%）和管理层认可（90.8%）是最常报告的激励因素。与较高 PDS 评分显著相关的因素是吸烟、缺乏管理层认可、不锻炼和遇到 COVID-19 死亡；相关性和回归系数（b）具有统计学意义（p<0.05）。
结论和对护理/卫生政策的影响：政策制定者必须扩大医疗保健政策，将大流行期间一线护士的心理健康作为优先事项。护士领导者必须参与卫生政策的制定，以保护护士，为全球卫生紧急情况做好准备。
