School of Nursing, University of Sao Paulo, Sao Paulo 05403-000, Brazil.
Faculty of Nursing, Federal University of Mato Grosso, Cuiabá 78068-600, Brazil.
Int J Environ Res Public Health. 2022 Aug 29;19(17):10766. doi: 10.3390/ijerph191710766.
The COVID-19 pandemic has had an important negative psychological impact on people worldwide, especially nursing professionals who seem to be more vulnerable to the development of psychopathological symptoms. To analyze relationships between variables from the social and clinical contexts with psychopathological symptoms in nursing professionals from different geographic regions of Brazil during the COVID-19 pandemic. Cross-sectional study carried out with 1737 nursing professionals from the five regions of Brazil. Data collection was carried out online with a questionnaire made available via Google Forms containing sociodemographic, occupational, and clinical questions, and the Symptom Assessment Scale-40-R, for the assessment of psychopathological symptoms. Differences between mean scores for the severity of psychopathological symptoms were assessed using the Mann-Whitney and Kruskall-Wallis tests. There was a significant difference in the psychoticism domain scores according to Brazilian geographic region, with greater severity among professionals from the North and Northeast regions when compared with those from the South region. Social context variables (gender, age group, and marital status) and clinical variables (psychological and psychiatric follow-up; psychological or emotional support by the institution; family member, friend, neighbor, or co-worker with COVID-19, and death among them; use of psychiatric medication without a medical prescription; and taking steps to take care of their mental health) were significantly related to psychopathological symptoms. The results point to the importance of mental health promotion strategies for professionals through psychological or emotional support, as evidence indicates that this support can be a predictor of reduced psychological distress.
新型冠状病毒肺炎大流行对全世界人民的心理健康产生了重要的负面影响，尤其是护理专业人员，他们似乎更容易出现精神病理症状。 分析巴西不同地理区域的护理专业人员在 COVID-19 大流行期间，从社会和临床背景的变量与精神病理症状之间的关系。 这是一项在巴西五个地区进行的 1737 名护理专业人员的横断面研究。通过 Google Forms 提供的在线问卷收集数据，问卷包含社会人口学、职业和临床问题，以及用于评估精神病理症状的症状评估量表-40-R。使用 Mann-Whitney 和 Kruskall-Wallis 检验评估精神病理症状严重程度的平均得分差异。 根据巴西地理区域，精神病态领域的评分存在显著差异，与南部地区的专业人员相比，北部和东北部地区的专业人员严重程度更高。社会背景变量（性别、年龄组和婚姻状况）和临床变量（心理和精神病学随访；机构提供的心理或情感支持；家庭成员、朋友、邻居或同事患有 COVID-19 以及其中有人死亡；未经医嘱使用精神科药物；以及采取措施照顾他们的心理健康）与精神病理症状显著相关。 研究结果表明，通过心理或情感支持为专业人员提供心理健康促进策略非常重要，因为有证据表明，这种支持可以预测减少心理困扰。
