Radboud University Medical Center, Radboud Institute for Health Sciences, Department Intensive Care, Nijmegen, The Netherlands.
Radboud University Medical Center, Radboud Institute for Health Sciences, Department Intensive Care, Nijmegen, The Netherlands.
Intensive Crit Care Nurs. 2023 Feb;74:103313. doi: 10.1016/j.iccn.2022.103313. Epub 2022 Aug 22.
To determine the impact of the second surge of the COVID-19 pandemic (October 2020 to June 2021) on mental well-being of intensive care unit nurses and factors associated with mental health outcomes.
An online survey was available for Dutch intensive care unit nurses in October 2021, measuring mental health symptoms; anxiety, depression (Hospital Anxiety and Depression Scale), and post-traumatic stress disorder (Impact of Event Scale-6). Additionally, work-related fatigue was measured using the Need For Recovery-11 questionnaire. Previous data from the first surge (March until June 2020) were used to study mental well-being longitudinally in a subgroup of intensive care unit nurses. Logistic regression analyses were performed to determine factors associated with mental health symptoms.
In total, 589 nurses (mean age 44.8 [SD, 11.9], 430 [73.8 %] females) participated, of whom 164 also completed the questionnaire in 2020. After the second surge, 225/589 (38.2 %) nurses experienced one or more mental health symptoms and 294/589 (49.9 %) experienced work-related fatigue. Compared to the first measurement, the occurrence of mental health symptoms remained high (55/164 [33.5 %] vs 63/164 [38.4 %], p = 0.36) and work-related fatigue was significantly higher (66/164 [40.2 %] vs 83/164 [50.6 %], p = 0.02). Granted holidays as requested (aOR, 0.54; 95 % CI, 0.37-0.79), being more confident about the future (aOR, 0.59; 95 % CI, 0.37-0.93) and a better perceived work-life balance (aOR, 0.42; 95 % CI, 0.27-0.65) were significantly associated with less symptoms.
The second surge of the COVID-19 pandemic further drained the mental reserves of intensive care unit nurses, resulting in more work-related fatigue.
确定 COVID-19 大流行第二波（2020 年 10 月至 2021 年 6 月）对重症监护病房护士的心理健康的影响，以及与心理健康结果相关的因素。
2021 年 10 月，为荷兰重症监护病房护士提供了一份在线调查，测量心理健康症状；焦虑、抑郁（医院焦虑和抑郁量表）和创伤后应激障碍（事件影响量表-6）。此外，使用需要恢复-11 问卷测量与工作相关的疲劳。先前的第一波数据（2020 年 3 月至 6 月）用于在重症监护病房护士的亚组中进行心理健康的纵向研究。进行逻辑回归分析以确定与心理健康症状相关的因素。
共有 589 名护士（平均年龄 44.8 [SD，11.9]，430 [73.8%] 名女性）参与，其中 164 名护士也在 2020 年完成了问卷。第二波疫情后，589 名护士中有 225 名（38.2%）出现一种或多种心理健康症状，589 名护士中有 294 名（49.9%）出现与工作相关的疲劳。与第一次测量相比，心理健康症状的发生仍然很高（55/164 [33.5%] 与 63/164 [38.4%]，p=0.36），与工作相关的疲劳显著增加（66/164 [40.2%] 与 83/164 [50.6%]，p=0.02）。按要求批准休假（优势比，0.54；95%CI，0.37-0.79）、对未来更有信心（优势比，0.59；95%CI，0.37-0.93）和更好的工作生活平衡感（优势比，0.42；95%CI，0.27-0.65）与症状减少显著相关。
COVID-19 大流行的第二波进一步耗尽了重症监护病房护士的心理储备，导致更多的与工作相关的疲劳。
