Department of Health Sciences, Public University of Navarre, Navarra, Spain.
IdiSNA, Navarra Institute for Health Research, Navarra, Spain.
Int Nurs Rev. 2022 Dec;69(4):538-545. doi: 10.1111/inr.12764. Epub 2022 Jun 11.
To explore the impact of the COVID-19 pandemic on the mental health of nurses working in primary, secondary, and tertiary healthcare centers in Navarre (Spain).
Healthcare workers, especially nurses, are at high risk for developing mental health problems during the COVID-19 pandemic.
Spain ranks among the European countries with the highest incidence of and mortality from COVID-19 and has a 31% deficit in the number of nurses compared with the average for the European Union.
This was a cross-sectional study involving 800 Registered Nurses in Navarre, Spain. Four standardized instruments, along with a self-administered online questionnaire, were used to measure the impact in terms of depression, anxiety, insomnia, and posttraumatic stress disorder. The STROBE checklist for cross-sectional studies was used to report this study.
Of the 800 nurses, 68% had some level of depression, anxiety, insomnia, and distress, and of these, 38% had moderate or severe symptoms. Those who worked in hospital COVID units and in nursing homes showed a higher impact on their mental health.
The sustained pressure that nurses have experienced in their work during the COVID-19 pandemic has negatively affected their mental health.
This study found that nurses who worked in hospital COVID units and in nursing homes during the pandemic had worse mental health outcomes.
IMPLICATIONS FOR NURSING/POLICY: Recommendations for nursing policy include the need to implement coaching and emotional programs to support nurses on the frontlines of the pandemic. There is also an urgent need for the implementation of national training programs to strengthen health emergency preparedness, improve response capacity, and increase the resilience of nurses to disasters.
探讨 COVID-19 大流行对纳瓦拉（西班牙）初级、二级和三级保健中心工作护士心理健康的影响。
在 COVID-19 大流行期间，医护人员，尤其是护士，面临心理健康问题的风险较高。
西班牙是欧洲 COVID-19 发病率和死亡率最高的国家之一，与欧盟平均水平相比，护士人数短缺 31%。
这是一项涉及西班牙纳瓦拉 800 名注册护士的横断面研究。使用了四个标准化工具以及一份自我管理的在线问卷，以衡量抑郁、焦虑、失眠和创伤后应激障碍的影响。使用 STROBE 横断面研究清单报告本研究。
在 800 名护士中，68%的护士有一定程度的抑郁、焦虑、失眠和困扰，其中 38%有中度或重度症状。那些在医院 COVID 病房和养老院工作的护士对其心理健康的影响更大。
在 COVID-19 大流行期间，护士在工作中持续承受的压力对他们的心理健康产生了负面影响。
本研究发现，在大流行期间在医院 COVID 病房和养老院工作的护士心理健康状况较差。
对护理/政策的影响：护理政策建议包括需要实施辅导和情感计划，以支持处于大流行前线的护士。还迫切需要实施国家培训计划，以加强卫生应急准备，提高应对能力，并增强护士对灾害的恢复力。
