School of Nursing, Yangzhou University, Yangzhou, China.
School of Nursing, Yangzhou University, Yangzhou, China; The First People's Hospital of Jiangxia District, Wuhan City, Hubei, China.
Arch Psychiatr Nurs. 2022 Dec;41:341-347. doi: 10.1016/j.apnu.2022.09.007. Epub 2022 Sep 16.
To explore anxiety, sleep quality, and mindfulness of frontline nurses at the initial epicenter of the pandemic, to examine the mediating effects of mindfulness.
COVID-19 was first identified in Wuhan, China in January 2020. Nurses were at the forefront of care and treatment across hospitals in response to the pandemic.
Single site cross-sectional survey conducted in Wuhan province (China) between March and April in 2020. Quantitative analysis of survey data from N118 nurses working in the frontline COVID response. Questionnaires included: The general information questionnaire, the Self-Anxiety Scale, the Short Inventory of Mindfulness, and the Pittsburgh Sleep Quality Index.
Front-line nurses' anxiety was positively associated with sleep quality and mindfulness was negatively associated with anxiety and sleep quality. Mindfulness had a mediating role on anxiety and sleep quality, with intermediary adjustment effects (ES = 0.136, 95 % CI 0.02 to 0.26), accounting for 21.9 % of the total effect ratio.
Anxiety causes a reduction in sleep quality and mindfulness can help with anxiety. Mindfulness strategies may help during periods of higher anxiety in the workplace; however, other factors must be considered. Further research is required on strategies for assisting nurses during periods of extreme anxiety.
探讨疫情初期一线护士的焦虑、睡眠质量和正念水平，并检验正念的中介作用。
2020 年 1 月，中国武汉首次发现 COVID-19。疫情期间，护士在各医院的护理和治疗中处于前沿位置。
2020 年 3 月至 4 月，在中国湖北省的一个地点进行横断面调查。对参与一线 COVID-19 应对的 118 名护士的调查数据进行定量分析。问卷包括：一般信息问卷、焦虑自评量表、简明正念量表和匹兹堡睡眠质量指数。
一线护士的焦虑与睡眠质量呈正相关，正念与焦虑和睡眠质量呈负相关。正念在焦虑和睡眠质量之间具有中介作用，中介调整效应（ES=0.136，95%CI 0.02-0.26），占总效应比的 21.9%。
焦虑导致睡眠质量下降，正念可以缓解焦虑。在工作场所焦虑较高时，正念策略可能会有所帮助；但还需考虑其他因素。需要进一步研究在极度焦虑期间帮助护士的策略。
