Changchun Maternity Hospital, Changchun, Jilin, China.
Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, Jilin, China.
Medicine (Baltimore). 2021 Dec 30;100(52):e28070. doi: 10.1097/MD.0000000000028070.
To investigate the mental health status of obstetric nurses and its influencing factors during the novel coronavirus epidemic period, so as to provide theoretical reference for hospital decision-makers and managers.From February 25 to March 20, 2020, we conducted a cross-sectional survey through online questionnaire, and selected obstetric nurses from Jilin and Heilongjiang Provinces as the research objects by convenience sampling.Three hundred eighteen valid questionnaires were collected; the results of Symptom Checklist 90 showed that the scores of "obsessive-compulsive", "depression", "anxiety", "hostility", "phobia", and "psychosis" were higher than the Chinese norm (P < .01). There were 107 people whose total score of Symptom Checklist 90 was more than 160, and 83 people whose number of positive items was more than 43. Logistic regression results showed that married, temporary employment, lack of support and communication from family and relatives, onerous task, and unbearable responsibility were independent risk factors for mental disorder.There is a great psychological burden for obstetric nurses during the epidemic period. Decision makers should focus on necessary psychological intervention for those that are married, temporarily employed, and those lacking family supports including communication. At the same time, managers should distribute tasks reasonably to avoid psychological burdens caused by overwork.
为了调查新型冠状病毒流行期间产科护士的心理健康状况及其影响因素，为医院决策者和管理者提供理论参考。本研究于 2020 年 2 月 25 日至 3 月 20 日采用横断面调查方法，便利选取吉林省和黑龙江省的产科护士作为研究对象，共收集有效问卷 318 份；症状自评量表 90 的结果显示，“强迫”“抑郁”“焦虑”“敌对”“恐怖”“精神病性”得分均高于中国常模（P<0.01）。有 107 人症状自评量表 90 总分超过 160 分，83 人阳性项目数超过 43 项。Logistic 回归结果显示，已婚、临时聘用、缺乏家庭和亲属的支持与沟通、任务繁重和难以承受的责任是精神障碍的独立危险因素。在疫情期间，产科护士承受着巨大的心理压力。决策者应重点关注已婚、临时聘用和缺乏家庭支持（包括沟通）的护士进行必要的心理干预。同时，管理者应合理分配任务，避免因过度劳累而造成心理负担。
