Mustikasari Mustikasari, Fadhillah Harif, Sunadi Apri, Nursalam Nursalam, Mediawati Ati Surya, Adam Muhammad
Faculty of Nursing, Universitas Indonesia, Jakarta, Indonesia.
Faculty of Health Science, Muhammadiyah University of Jakarta, Jakarta, Indonesia.
Front Psychiatry. 2022 Jul 26;13:895788. doi: 10.3389/fpsyt.2022.895788. eCollection 2022.
Nurses are on the front line and are at high risk of experiencing a mental health crisis during the pandemic due to the psychological impact and stigma. The aim of this study was to identify the role of psychological status and social stigma in anxiety, fear, depression, and mental health crises during the pandemic.
A cross-sectional design during December 2020-August 2021. A total of 2,156 nurses who work in health facilities, either hospitals, or communities based on the criteria of nurses who interact directly with COVID-19 patients, work at least 3 months, age 20-54 years, are literate, have internet access, and have the ability to access the electronic form. The eligible participants filled in online questionnaires that were sent to them via WhatsApp. Data were analyzed using Spearman rho correlation test with statistically significant value < 0.05.
A total of 2,156 respondents responded to the questionnaire, and the response rate was 100%. The psychological status of nurses was 78.4% moderate, 18.5% experienced social stigma, 44.0% showed an anxiety response, 53.5% fear, 64.5% depression in the very severe category, and 63.5% fell into a mental health crisis. The results of the inferential analysis showed that all < 0.05 which indicated that psychological status and social stigma had a significant relationship with anxiety, fear, depression, and mental health crisis in nurses.
The psychological status and social stigma experienced by nurses during the COVID-19 pandemic indicate a bad situation and lead to a mental health emergency crisis.
护士处于抗疫一线,在疫情期间因心理影响和污名化而面临心理健康危机的高风险。本研究旨在确定心理状态和社会污名化在疫情期间焦虑、恐惧、抑郁和心理健康危机中所起的作用。
采用2020年12月至2021年8月的横断面设计。共有2156名在医疗机构(医院或社区)工作的护士符合条件,这些护士需直接接触新冠患者、工作至少3个月、年龄在20至54岁之间、有读写能力、能上网且有能力访问电子表格。符合条件的参与者填写通过WhatsApp发送给他们的在线问卷。使用Spearman秩相关检验分析数据,统计学显著性值<0.05。
共有2156名受访者回复了问卷,回复率为100%。护士的心理状态为78.4%中等,18.5%经历社会污名化,44.0%表现出焦虑反应,53.5%恐惧,64.5%抑郁处于非常严重类别,63.5%陷入心理健康危机。推断性分析结果显示所有值<0.05,这表明心理状态和社会污名化与护士的焦虑、恐惧、抑郁和心理健康危机有显著关系。
新冠疫情期间护士所经历的心理状态和社会污名化表明情况不佳,并导致心理健康紧急危机。