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波兰第四次 COVID-19 大流行期间护士的心理健康。

Mental Health of Nurses during the Fourth Wave of the COVID-19 Pandemic in Poland.

机构信息

Department of Development of Nursing, Social and Medical Sciences, Faculty of Health Sciences, Medical University of Warsaw, Żwirki i Wigury 61, 02-091 Warszawa, Poland.

出版信息

Int J Environ Res Public Health. 2022 Feb 4;19(3):1785. doi: 10.3390/ijerph19031785.

Abstract

UNLABELLED

In the face of the current COVID-19 pandemic crisis, healthcare professionals, including nurses who provide direct care for patients, are at particular risk of mental health problems. The aim of the study was to evaluate the prevalence of symptoms of depression, anxiety, and stress among nurses working in healthcare facilities during the COVID-19 pandemic.

MATERIALS AND METHODS

This was a cross-sectional observational study. A total of 333 professionally active nurses participated in the study. Data was collected in the period from 10 November to 20 November 2021. We collected sociodemographic data and used the short form of Depression Anxiety Stress Scale (DASS-21) to assess the mental health among nurses.

RESULTS

Severe and very severe symptoms of depression were found in 23.1% of nurses, whereas moderate symptoms were detected in 30.3%. High to very high levels of anxiety were observed in 46.5% of respondents, while 25.8% of nurses showed a moderate level of anxiety. Moderate and high levels of stress were found in 35.4% and 14.1% of the respondents, respectively. Contact with a patient suspected of having SARS-CoV-2 infection was a significant predictor of depressive symptoms. Gender, workplace, and contact with patients suspected of SARS-CoV-2 infection and patients with COVID-19 were significant predictors of anxiety, whereas contact with patients suspected of being infected with SARS-CoV-2 and COVID-19 patients was a significant predictor of stress.

CONCLUSIONS

High scores for depressive symptoms, anxiety, and stress among Polish nurses during the fourth wave of the COVID-19 pandemic are indicative of a direct threat to the mental health of nurses. Targeted support strategies need to be developed and implemented to prevent the deterioration of mental health in this group.

摘要

目的

在当前 COVID-19 大流行危机中,包括为患者提供直接护理的护士在内的医疗保健专业人员面临心理健康问题的特殊风险。本研究旨在评估在 COVID-19 大流行期间在医疗机构工作的护士的抑郁、焦虑和压力症状的患病率。

材料与方法

这是一项横断面观察性研究。共有 333 名在职专业护士参与了这项研究。数据收集于 2021 年 11 月 10 日至 20 日期间。我们收集了社会人口统计学数据,并使用抑郁焦虑压力量表(DASS-21)的简短形式评估护士的心理健康状况。

结果

23.1%的护士出现严重和非常严重的抑郁症状,而 30.3%的护士出现中度抑郁症状。46.5%的受访者表现出高度至非常高度的焦虑,而 25.8%的护士表现出中度焦虑。35.4%和 14.1%的受访者分别表现出中度和高度的压力。与疑似 SARS-CoV-2 感染的患者接触是抑郁症状的显著预测因素。性别、工作场所、与疑似 SARS-CoV-2 感染和 COVID-19 患者接触是焦虑的显著预测因素,而与疑似 SARS-CoV-2 感染和 COVID-19 患者接触是压力的显著预测因素。

结论

在 COVID-19 大流行的第四波期间,波兰护士的抑郁、焦虑和压力症状评分较高,表明护士的心理健康受到直接威胁。需要制定和实施有针对性的支持策略,以防止该人群的心理健康恶化。

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