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不同防护状态对新冠疫情期间护士心理疲劳的影响

Influence of Different Protection States on the Mental Fatigue of Nurses During the COVID-19 Pandemic.

作者信息

Jin Haizhe, Xiao Meng, Gong Zibo, Zhao Yinan

机构信息

Department of Industrial Engineering, School of Business Administration, Northeastern University, Shenyang, People's Republic of China.

School of Business Administration, Northeastern University, Shenyang, People's Republic of China.

出版信息

Risk Manag Healthc Policy. 2022 Oct 12;15:1917-1929. doi: 10.2147/RMHP.S377936. eCollection 2022.

Abstract

BACKGROUND

COVID-19 has brought greater workload pressures to the medical field, such as medical staff being required to wear personal protective equipment (PPE). While PPE can protect the safety of staff during the pandemic, it can also accelerate the accumulation of fatigue among operators.

OBJECTIVE

This study explores the influence of different protection states on the mental fatigue of nurses.

METHODS

In this study, 10 participants (5 males and 5 females) were randomly selected among applicants to monitor mental fatigue during the nurses' daily work in four different PPE states (low temperature and low protection; low temperature and high protection; high temperature and low protection; high temperature and high protection). The NASA subjective mental fatigue scale was used for subjective evaluation. Reaction time, attention concentration, attention distribution, memory, and main task completion time were used for objective evaluation.

RESULTS

The results demonstrated a significant difference in the effects of different protection states on mental fatigue. The state of high temperature and high protection had the greatest influence on mental fatigue, the state of low temperature and low protection had the least, and states of high (low) temperature and low (high) protection had intermediate effects on mental fatigue. Furthermore, the correlation between the subjective and objective fatigue indices was analyzed using a multiple regression model.

CONCLUSION

This study clarified the influence of different protection states on the mental fatigue of nurses, and verified that nurses require more time and energy to complete the same work as before under high protection states. It provides a basis for evaluating the mental fatigue of nurses in the unique period of the COVID-19 pandemic and specific ideas for optimizing the nursing process.

摘要

背景

新型冠状病毒肺炎给医疗领域带来了更大的工作量压力,比如要求医护人员穿戴个人防护装备(PPE)。虽然个人防护装备在疫情期间能保护工作人员的安全,但也会加速操作人员疲劳的累积。

目的

本研究探讨不同防护状态对护士精神疲劳的影响。

方法

在本研究中,从申请者中随机选取10名参与者(5名男性和5名女性),在护士处于四种不同个人防护装备状态(低温低防护;低温高防护;高温低防护;高温高防护)下的日常工作期间监测其精神疲劳。采用美国国家航空航天局主观精神疲劳量表进行主观评估。反应时间、注意力集中度、注意力分配、记忆力和主要任务完成时间用于客观评估。

结果

结果表明不同防护状态对精神疲劳的影响存在显著差异。高温高防护状态对精神疲劳的影响最大,低温低防护状态影响最小,高温(低温)低(高)防护状态对精神疲劳的影响居中。此外,使用多元回归模型分析了主观和客观疲劳指标之间的相关性。

结论

本研究阐明了不同防护状态对护士精神疲劳的影响,并证实护士在高防护状态下完成与之前相同的工作需要更多时间和精力。它为评估新型冠状病毒肺炎疫情特殊时期护士的精神疲劳提供了依据,并为优化护理流程提供了具体思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48cf/9578785/4b2b0fa454bf/RMHP-15-1917-g0001.jpg

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