COVID-19 疫情期间，有和无创伤后应激症状的护士的抑郁、焦虑和自杀意念。
Depression, anxiety, and suicidal ideation in nurses with and without symptoms of secondary traumatic stress during the COVID-19 outbreak.
机构信息
Department of Psychology, Malayer University, Malayer, Iran.
Department of Psychology, Faculty of Education and Psychology, Alzahra University, Tehran, Iran.
出版信息
Arch Psychiatr Nurs. 2022 Apr;37:76-81. doi: 10.1016/j.apnu.2021.05.005. Epub 2021 May 25.
BACKGROUND
Nurses tend to experience a lot of Secondary Traumatic Stress (STS) during the outbreak of the COVID-19. This study aimed to evaluate the prevalence of STS and comparing depression, anxiety, and Suicidal Ideation (SI) in nurses with and without STS symptoms during the COVID-19 outbreak.
METHOD
The research method of this study was descriptive-comparative. The statistical sample consisted of 315 nurses working in hospitals of Malayer city, western Iran, selected through census method. Data were collected using the STS Scale, Beck's Depression Inventory (BDI-13), Anxiety Inventory (BAI), and SI scale. Data were analyzed using the independent t-test, multivariate analysis of variance (MANOVA), and multivariate analysis of covariance (MANCOVA).
RESULTS
This study showed that 161 nurses (51.11%) had symptoms of STS. The prevalence of STS symptoms in nurses in emergency, ICU/CCU, medical emergencies, and other wards was 62.27%, 62.02%, 51.61%, and 26.32%, respectively. The results of the MANCOVA showed that the nurses with STS symptoms received higher scores in depression, anxiety, and SI than the ones without STS symptoms (p < 0.01).
CONCLUSION
Hospital authorities and nursing psychiatrists should pay more attention to the STS symptoms in nurses during the COVID-19 outbreak, and its effects on depression, anxiety, and SI.
背景
在 COVID-19 疫情爆发期间，护士往往会经历大量的二次创伤应激（STS）。本研究旨在评估 STS 的流行率，并比较 COVID-19 疫情期间有和没有 STS 症状的护士的抑郁、焦虑和自杀意念（SI）。
方法
本研究采用描述性比较研究方法。统计样本由 315 名在伊朗西部马拉耶尔市医院工作的护士组成，采用普查法选取。使用 STS 量表、贝克抑郁量表（BDI-13）、焦虑量表（BAI）和 SI 量表收集数据。采用独立 t 检验、多元方差分析（MANOVA）和多元协方差分析（MANCOVA）进行数据分析。
结果
本研究表明，161 名护士（51.11%）有 STS 症状。急诊、ICU/CCU、医疗急救和其他病房护士 STS 症状的发生率分别为 62.27%、62.02%、51.61%和 26.32%。MANCOVA 的结果表明，有 STS 症状的护士在抑郁、焦虑和 SI 方面的得分高于没有 STS 症状的护士（p<0.01）。
结论
在 COVID-19 疫情期间，医院管理部门和护理精神病学家应更加关注护士的 STS 症状及其对抑郁、焦虑和 SI 的影响。
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