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护理感染和未感染SARS-CoV-2病毒患者的护士的压力与应对策略

Stress and Coping Strategies of Nurses Working with Patients Infected with and Not Infected with SARS-CoV-2 Virus.

作者信息

Puto Grażyna, Jurzec Maria, Leja-Szpak Anna, Bonior Joanna, Muszalik Marta, Gniadek Agnieszka

机构信息

Institute of Nursing and Midwifery, Faculty of Health Sciences, Jagiellonian University Medical College, 31-501 Krakow, Poland.

Department of Medical Physiology, Faculty of Health Sciences, Jagiellonian University Medical College, 31-126 Krakow, Poland.

出版信息

Int J Environ Res Public Health. 2021 Dec 24;19(1):195. doi: 10.3390/ijerph19010195.

Abstract

INTRODUCTION

Working during the COVID-19 pandemic is a particular challenge for nurses because, while performing their daily routines, they are exposed to physical and social consequences of the SARS-CoV-2 virus, which is accompanied by intensified stress. The aim of this study was to assess the intensity of stress and coping strategies applied by nurses working with both infected and non-infected patients with SARS-CoV-2 virus during the COVID-19 pandemic.

MATERIALS AND METHODS

The study was conducted between January and March 2021. Due to the epidemiological situation, the questionnaire was posted on Facebook in nurses' groups and sent out via the "Messenger" and "WhatsApp" applications. Stress intensity was assessed by means of the Perceived Stress Scale (PSS-10), whereas coping strategies were assessed using the Mini-COPE stress coping inventory.

RESULTS

Among 151 surveyed nurses, more than half (52.3%) worked with infected patients and the remaining ones (47.7%) worked with non-infected patients. The level of stress perceived by nurses working with infected patients was higher than among nurses working with patients without SARS-CoV-2 infection (22.22 ± 5.94 vs. 20.21 ± 5.68, = 0.03). The nurses working with infected patients were most likely to choose coping strategies focused on the problem (2.00 ± 0.62) and emotions (2.01 ± 0.69), whereas those working with non-infected patients usually chose strategies focused only on the problem (2.11 ± 0.58).

CONCLUSIONS

During the COVID-19 pandemic, nurses working with SARS-CoV-2 patients experienced more intense stress than those working with non-infected patients. Nurses working with SARS-CoV-2 patients tended to cope with stress using strategies focused on the problem and on emotions, while those working with non-infected patients were more likely to choose strategies focused only on the problem.

摘要

引言

在新冠疫情期间工作对护士来说是一项特殊挑战,因为在履行日常职责时,他们会面临严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒带来的身体和社会影响,同时压力也会加剧。本研究的目的是评估在新冠疫情期间,照顾感染和未感染SARS-CoV-2病毒患者的护士所感受到的压力强度以及应对策略。

材料与方法

该研究于2021年1月至3月进行。由于疫情形势,问卷发布在脸书上的护士群组中,并通过“信使”和“瓦次艾普”应用程序发送。压力强度通过感知压力量表(PSS-10)进行评估,而应对策略则使用简易应对方式问卷进行评估。

结果

在151名接受调查的护士中,超过一半(52.3%)照顾感染患者,其余(47.7%)照顾未感染患者。照顾感染患者的护士所感受到的压力水平高于照顾未感染SARS-CoV-2病毒患者的护士(22.22±5.94对20.21±5.68,P=0.03)。照顾感染患者的护士最常选择聚焦问题(2.00±0.62)和聚焦情绪(2.01±0.69)的应对策略,而照顾未感染患者的护士通常只选择聚焦问题的策略(2.11±0.58)。

结论

在新冠疫情期间,照顾SARS-CoV-2患者的护士比照顾未感染患者的护士经历了更强烈的压力。照顾SARS-CoV-2患者的护士倾向于使用聚焦问题和聚焦情绪的策略来应对压力,而照顾未感染患者的护士更有可能只选择聚焦问题的策略。

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