Rahman Ashikur
Dhaka Medical College Hospital (DMCH), Ministry of Health and Family Welfare, Dhaka-1000, Bangladesh.
National Institute of Preventive and Social Medicine (NIPSOM), Mohakhali, Dhaka-1212, Bangladesh.
Int J Nurs Sci. 2022 Apr;9(2):259-267. doi: 10.1016/j.ijnss.2022.02.008. Epub 2022 Mar 8.
The entire mental health hazard among the nurses dealing with COVID-19 is just the tip of the iceberg. The goal of this study was to find acceptable and adaptive coping techniques for nurses in order to keep the healthcare system resilient during and after the COVID-19 pandemic.
The scoping review search took place from January 2020 to May 2021 published articles, and the results were saved in Endnote software. For data synthesis and review, the Joanna Briggs Institute manual and PRISMA-ScR principles were followed. Following backward and forward screening to exclude redundant, irrelevant, and ineligible studies, 13 studies (3,613 nurses) were finally selected for this review.
The majorities of participants in these studies were female and had children, and worked in departments of critical care, emergency, and fever clinics. Safety concerns for family or colleagues, as well as a lack of safe working environment, were the primary causes of the mental illness. Professional responsibility attitude, COVID-19 training, workplace safety, team spirit, and a few relaxation activities such as deep breathing, reading books, watching movies, and praying, on the other hand, were found to be beneficial for stress coping among nurses.
Mentally fit nurses are more capable and flexible in the face of any life-threatening outbreak, even if it is very contagious. Several coping strategies were found to be effective for nurses during the COVID-19 pandemic, whereas problem-specific intervention trials might yield even better results. We should not delay specific mental health interventions to keep them viable and more efficient during a pandemic battlefield, whereas Post-Traumatic Stress Disorder and suicide rates can destroy the entire health care system.
应对新冠疫情的护士所面临的整体心理健康风险只是冰山一角。本研究的目的是为护士找到可接受且适应性强的应对技巧，以便在新冠疫情期间及之后保持医疗系统的韧性。
检索了2020年1月至2021年5月发表的文章进行范围综述，并将结果保存在Endnote软件中。数据合成与综述遵循乔安娜·布里格斯研究所手册和PRISMA-ScR原则。经过前后筛选以排除冗余、不相关和不合格的研究后，最终选择了13项研究（3613名护士）进行本综述。
这些研究中的大多数参与者为女性且育有子女，工作于重症监护、急诊和发热门诊等科室。对家人或同事的安全担忧以及缺乏安全的工作环境是导致精神疾病的主要原因。另一方面，专业责任态度、新冠培训、工作场所安全、团队精神以及一些放松活动，如深呼吸、读书、看电影和祈祷，被发现有助于护士应对压力。
心理健康的护士在面对任何危及生命的疫情爆发时更有能力且更灵活，即使疫情传染性很强。在新冠疫情期间，发现几种应对策略对护士有效，而针对具体问题的干预试验可能会产生更好的结果。我们不应延迟特定的心理健康干预措施，以便在疫情战场上使其保持可行且更有效，因为创伤后应激障碍和自杀率可能会摧毁整个医疗系统。
