Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol 3041, Cyprus.
Faculty of Nursing, University of Alberta, Edmonton, AB T6G 1C9, Canada.
Int J Environ Res Public Health. 2022 Sep 3;19(17):11049. doi: 10.3390/ijerph191711049.
Nurses may be at a higher risk of experiencing work-related traumatic stress response during the COVID-19 pandemic compared to other clinicians. This study aimed to investigate the correlations between work-related trauma symptoms and demographic factors, psychosocial hazards and stress response in a census sample of nurses working in COVID-19 settings in Cyprus. In this nationwide descriptive and cross-sectional study, data were collected between April and May 2020 using a questionnaire that included sociodemographic, educational and employment and work-related variables, as well as a modified version of the Secondary Traumatic Stress Scale (STSS) for the assessment of work-related trauma symptoms during the pandemic. Overall, 233 nurses participated (with a response rate of 61.3%) and 25.7% of them reported clinical work-related trauma symptoms (STSS-M > 55; actual scale range: 17-85). The mean value for emotional exhaustion was 7.3 (SD: 2.29; visual scale range: 1-10), while the value for distress that was caused by being avoided due to work in COVID-19 units was 6.98 (SD: 2.69; visual scale range: 1-10). Positive associations were noted between trauma symptoms and both emotional exhaustion and distress from being avoided by others due to work in a COVID-19 setting and a negative association was also found between trauma symptoms and satisfaction from organizational support variables (all < 0.002). Working in COVID-19 settings during the pandemic is a stressful experience that has been linked to psychologically traumatic symptoms Thus, supportive measures are proposed for healthcare personnel, even in countries with low COVID-19 burden.
护士在 COVID-19 大流行期间经历与工作相关的创伤性应激反应的风险可能比其他临床医生更高。本研究旨在调查在塞浦路斯 COVID-19 环境中工作的护士的人口统计学因素、心理社会危害和应激反应与工作相关创伤症状之间的相关性。在这项全国性描述性和横断面研究中，于 2020 年 4 月至 5 月期间使用问卷收集数据，问卷包括社会人口统计学、教育和就业以及与工作相关的变量，以及用于评估大流行期间工作相关创伤症状的二级创伤应激量表（STSS）的修订版。共有 233 名护士参与（响应率为 61.3%），其中 25.7%报告了临床工作相关创伤症状（STSS-M > 55；实际量表范围：17-85）。情绪疲惫的平均值为 7.3（SD：2.29；视觉量表范围：1-10），而因在 COVID-19 病房工作而被回避所导致的痛苦值为 6.98（SD：2.69；视觉量表范围：1-10）。创伤症状与情绪疲惫和因在 COVID-19 环境中工作而被他人回避所导致的痛苦呈正相关，而创伤症状与组织支持变量的满意度呈负相关（均<0.002）。在大流行期间在 COVID-19 环境中工作是一种压力体验，与心理创伤症状有关。因此，即使在 COVID-19 负担较低的国家，也为医护人员提出了支持措施。
