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新冠疫情期间护理人员的复杂悲伤及其相关因素:一项横断面研究。

Complicated grief and related factors among nursing staff during the Covid-19 pandemic: a cross-sectional study.

机构信息

Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.

Department of Community Health Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

BMC Psychiatry. 2023 Jan 26;23(1):73. doi: 10.1186/s12888-023-04562-w.

Abstract

BACKGROUND

The challenging working conditions during the Covid-19 pandemic created a perfect storm that can seriously impact nurses' physical and psychological well-being. Our study aimed to investigate complicated grief and its related factors among nursing staff during the Covid-19 pandemic.

METHODS

This is a cross-sectional study. The participants comprised 375 nurses selected by the convenience sampling method from designated wards for patients with Covid-19 in 3 hospitals in Tabriz, Iran. Participants completed a survey containing demographic and clinical questions, the Inventory of Complicated Grief, and the Multidimensional Scale of Perceived Social Support. Multiple regression analysis was used to identify the associates of nurses' grief. The STROBE guidelines were followed in reporting the study's findings.

RESULTS

A significant proportion of participants (57.6%) were found to be suffering from complicated grief. Gender, educational background, type of ward, type of nursing role, type of working shift, years of nursing work experience, and experience working in the Covid-19 settings remained the significant associates of nurses' grief in the regression analysis.

CONCLUSION

Due to frequent exposure to patients' deaths, healthcare providers are at increased risk of suffering from complicated grief during the Covid-19 and post-pandemic. If it remains unresolved, complicated grief can result in significant health problems and the experience of burnout among nurses. Governments, health authorities, and nursing managers should support nurses who work in Covid-19 settings to reduce the adverse impact of the pandemic on nurses' health and well-being.

摘要

背景

新冠疫情期间充满挑战的工作环境形成了完美风暴,可能会严重影响护士的身心健康。我们的研究旨在调查新冠疫情期间护理人员的复杂悲伤及其相关因素。

方法

这是一项横断面研究。参与者为 375 名护士,采用便利抽样法从伊朗大不里士 3 家医院的新冠指定病房中选取。参与者完成了一份包含人口统计学和临床问题、复杂悲伤量表和多维感知社会支持量表的调查问卷。采用多元回归分析来确定护士悲伤的相关因素。本研究按照 STROBE 指南报告研究结果。

结果

研究发现,相当一部分参与者(57.6%)患有复杂悲伤。性别、教育背景、病房类型、护理角色类型、工作班次类型、护理工作年限以及在新冠疫情环境中的工作经验是回归分析中与护士悲伤相关的显著因素。

结论

由于频繁接触患者死亡,医护人员在新冠疫情及疫情后期间面临更高的复杂悲伤风险。如果得不到解决,复杂悲伤可能会导致护士出现严重的健康问题和职业倦怠。政府、卫生当局和护理管理人员应支持在新冠疫情环境中工作的护士,以减轻大流行对护士健康和福祉的不利影响。

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Witnesses and Victims Both: Healthcare Workers and Grief in the Time of COVID-19.见证者与受害者:COVID-19 大流行时期的医护人员与悲痛
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