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COVID-19 卫生应急期间护士抑郁的预测因素;韧性的中介作用:一项横断面研究。

Predictors of Depression in Nurses During COVID-19 Health Emergency; the Mediating Role of Resilience: A Cross-Sectional Study.

机构信息

Universidad Peruana Unión, Lima, Perú.

Universidad Señor de Sipán, Chiclayo, Perú.

出版信息

J Prim Care Community Health. 2022 Jan-Dec;13:21501319221097075. doi: 10.1177/21501319221097075.

DOI:10.1177/21501319221097075
PMID:35549758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9109278/
Abstract

BACKGROUND

Nurses are susceptible to several mental problems, such as fear, stress, and depression due to the COVID-19 pandemic, which affects their emotional well-being. However, resilience plays an important role in mitigating the effects of COVID-19.

OBJECTIVE

This study was to examine the mediating role of resilience in the relation between fear, stress, and depression of nurses during COVID-19 health emergencies.

METHODS

A cross-sectional-predictive study was carried out. The variables analyzed were fear, resilience, stress, and depression. A total of 286 nurses from 2 hospitals in the cities of Juliaca and Puno, Peru. Data analyses were performed using structural equation modeling (SEM).

RESULTS

Analyses showed that the variables were significantly related ( < .01). In addition, a confirmatory analysis of the hypothesized model using structural equation modeling shows that fear and stress are predictors of depression, and that resilience plays a role in mediating the effect of fear on stress ( = 534.69, gl = 372,  = .000; TLI = .902, CFI = .910, RMSEA = .039 [95% CI = 0.032-0.046], and SRMR = .065).

CONCLUSION

Nurses tend to develop fear, stress, and depression. Resilience reduces the impact of these psychological variables. Hospital management should provide psychological support and training for nurses in coping strategies.

摘要

背景

由于 COVID-19 大流行,护士容易出现恐惧、压力和抑郁等心理问题,这影响了他们的情绪健康。然而,韧性在减轻 COVID-19 影响方面起着重要作用。

目的

本研究旨在探讨韧性在 COVID-19 卫生应急期间护士恐惧、压力和抑郁关系中的中介作用。

方法

进行了一项横断面预测研究。分析的变量包括恐惧、韧性、压力和抑郁。共有来自秘鲁胡利亚卡和普诺市的 2 家医院的 286 名护士参加了研究。使用结构方程模型(SEM)进行数据分析。

结果

分析表明,这些变量之间存在显著相关性( < 0.01)。此外,使用结构方程模型对假设模型进行验证性分析表明,恐惧和压力是抑郁的预测因素,韧性在调节恐惧对压力的影响方面发挥作用( = 534.69,gl = 372, = 0.000;TLI = 0.902,CFI = 0.910,RMSEA = 0.039[95%CI = 0.032-0.046],SRMR = 0.065)。

结论

护士容易出现恐惧、压力和抑郁。韧性减轻了这些心理变量的影响。医院管理部门应为护士提供应对策略方面的心理支持和培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c62/9109278/b70b31b5691b/10.1177_21501319221097075-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c62/9109278/b53820155822/10.1177_21501319221097075-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c62/9109278/b70b31b5691b/10.1177_21501319221097075-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c62/9109278/b53820155822/10.1177_21501319221097075-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c62/9109278/b70b31b5691b/10.1177_21501319221097075-fig2.jpg

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