Alzahrani Naif S, Almarwani Abdulaziz Mofdy, Asiri Saeed A, Alharbi Hanan F, Alhowaymel Fahad M
Department of Medical Surgical Nursing, College of Nursing, Taibah University, Medina, Saudi Arabia.
Department of Psychiatric Nursing, College of Nursing, Taibah University, Medina, Saudi Arabia.
Front Psychiatry. 2022 Aug 3;13:912157. doi: 10.3389/fpsyt.2022.912157. eCollection 2022.
The emergency department (ED) is a highly stressful environment, which exposes nurses to infection. ED nurses handle life-threatening conditions, endure long working hours, and deal with anxious patients and their families.
This study aimed to examine factors, which may influence anxiety and depression levels among ED nurses during the coronavirus disease 2019 (COVID-19) pandemic.
A cross-sectional design was used with 251 participants from six hospitals in Saudi Arabia (mean age = 32.7 ± 6.59, range = 21-54 years, 70.5% females). Data were collected using the Hospital Anxiety and Depression Scale (HADS), and the analysis was conducted using structural equation modeling (SEM).
Based on the HADS scores, 29.1 and 25.5% of ED nurses were identified as doubtful cases for depression and anxiety, respectively. Additionally, 34.7 and 43.3% of ED nurses were identified as definite cases for depression and anxiety, respectively. Higher anxiety levels were observed among female nurses, nurses with lower physical activity levels, and nurses who worked in urban areas. Low physical activity levels and more than 6 years of work experience correlated with a higher level of depression. None of the hypothesized paths in the anxiety and depression models were significant, except for two observed variables-namely, work location and physical exercise in the anxiety model and physical exercise in the depression model.
Emergency department nurses expressed high levels of anxiety and depression during the COVID-19 pandemic, which may negatively affect their performance and reduce care quality. Therefore, health care leaders should implement specialized mental health education programs focused on nursing occupational safety and support to improve ED nurses' psychological well-being. Specific attention should be paid to ED female nurses who work in urban areas, especially those with more than 6 years of experience.
急诊科是一个压力极大的环境，这使护士面临感染风险。急诊科护士要应对危及生命的状况，忍受长时间工作，并与焦虑的患者及其家属打交道。
本研究旨在探讨在2019冠状病毒病（COVID - 19）大流行期间可能影响急诊科护士焦虑和抑郁水平的因素。
采用横断面设计，研究对象为来自沙特阿拉伯六家医院的251名参与者（平均年龄 = 32.7 ± 6.59岁，年龄范围 = 21 - 54岁，女性占70.5%）。使用医院焦虑抑郁量表（HADS）收集数据，并采用结构方程模型（SEM）进行分析。
根据HADS评分，分别有29.1%和25.5%的急诊科护士被确定为抑郁和焦虑的可疑病例。此外，分别有34.7%和43.3%的急诊科护士被确定为抑郁和焦虑的确诊病例。女性护士、身体活动水平较低的护士以及在城市地区工作的护士焦虑水平较高。身体活动水平低和工作经验超过6年与较高的抑郁水平相关。焦虑和抑郁模型中假设的路径均无显著意义，但焦虑模型中的工作地点和体育锻炼以及抑郁模型中的体育锻炼这两个观测变量除外。
在COVID - 19大流行期间，急诊科护士表现出较高的焦虑和抑郁水平，这可能会对他们的工作表现产生负面影响并降低护理质量。因此，医疗保健领导者应实施专门针对护理职业安全和支持的心理健康教育项目，以改善急诊科护士的心理健康状况。应特别关注在城市地区工作的急诊科女护士，尤其是那些工作经验超过6年的护士。
Zotero 插件