Altun Uğraş Gülay, Yüksel Serpil, Kettaş Dölek Elife, Erden Sevilay, Şirin Keziban
Department of Surgical Nursing, Mersin University, Faculty of Nursing, Mersin, Turkey.
Department of Surgical Nursing, Necmettin Erbakan University, Faculty of Nursing, Konya, Turkey.
Florence Nightingale J Nurs. 2022 Feb;30(1):55-63. doi: 10.5152/fnjn.2022.21002.
This study aimed to examine health problems and related reasons for stress including physiological, psychological, and patientcare-related stressors among intensive care unit (ICU) nurses during COVID-19 in Turkey.
This study was designed as a cross-sectional study. Data were collected between June and July 2020 and from 1140 ICU nurses who were actively working in the pandemic process from 65 provinces in Turkey. An online questionnaire was used consisting of questions regarding nurses' health problems, reasons for psychological, physiological, and patient care-related stress during the pandemic. Descriptive data were presented in mean, median, or number and percentage.
Only 15.6% of ICU nurses experienced health problems. Nurses had psychological symptoms such as anxiety, insomnia, and physiological symptoms such as respiratory, musculoskeletal symptoms. The majority of nurses experienced the following psychological stressors: fear of being a COVID-19 carrier and infecting loved ones, and getting sick with COVID-19. Reasons for physiological stress were mostly due to working with personal protective equipment (PPE), skipping toilet breaks, and inadequate hydration. Reasons for patient care-related stress included excessive sweating in PPE, fogging of goggles, and inability to select a venipuncture site with double gloves.
The findings of this study indicate that almost one-fifth of ICU nurses experience various health problems although most of them experience intense psychological, physiological, and patient care-related stress.
本研究旨在调查土耳其新冠肺炎疫情期间重症监护病房(ICU)护士的健康问题以及包括生理、心理和与患者护理相关应激源在内的压力相关原因。
本研究设计为横断面研究。于2020年6月至7月间收集数据,研究对象为来自土耳其65个省份、在疫情期间仍在积极工作的1140名ICU护士。采用在线问卷,内容包括护士的健康问题、疫情期间心理、生理及与患者护理相关压力的原因。描述性数据以均值、中位数或数量及百分比呈现。
仅有15.6%的ICU护士出现健康问题。护士存在焦虑、失眠等心理症状,以及呼吸、肌肉骨骼等生理症状。大多数护士经历了以下心理应激源:担心成为新冠病毒携带者并感染亲人,以及感染新冠病毒。生理压力的原因主要是穿戴个人防护装备(PPE)工作、无法上厕所及水分摄入不足。与患者护理相关压力的原因包括穿戴PPE时大量出汗、护目镜起雾以及戴双层手套时无法选择静脉穿刺部位。
本研究结果表明,尽管大多数ICU护士经历了强烈的心理、生理和与患者护理相关的压力,但几乎五分之一的护士仍出现了各种健康问题。