Department of Psychology, The University of Memphis, Memphis, Tennessee, USA.
Center for Anxiety & Related Disorders, Department of Psychological and Brain Sciences, Boston University, Boston, Massachusetts, USA.
J Trauma Stress. 2023 Apr;36(2):421-432. doi: 10.1002/jts.22920. Epub 2023 Mar 14.
This study examined the association of three specific COVID-19-related workplace stressors (percentage of nursing work with COVID-positive [COVID+] patients, number of COVID-19-related patient deaths witnessed, and living separately from family for safety) and their associations with posttraumatic stress symptoms (PTSS) and symptoms of major depressive disorder (MDD) and generalized anxiety disorder (GAD) among 391 nurses (93.6% White, 93.4% utilize she/her pronouns). Cross-sectional data were collected via an online survey. Institutional betrayal (i.e., the perception that an institution failed to protect a member who depends on and trusts it) was examined as a moderator of these associations. Although institutional betrayal was not a significant moderator in the three individual models, it held small-to-medium-sized positive main effects with PTSS and symptoms of GAD and MDD in both the individual and combined models. In the individual models, the percentage of nursing work with COVID+ patients was significantly positively associated with all three mental health conditions, f = .019-.195, whereas it only showed a significant effect with PTSS in the combined model, f = .138. Living separately from family was significantly positively associated with PTSS and MDD symptoms in both the individual, f = .037 and .015, respectively, and combined models, f = .025 and .013, respectively. Number of patient deaths held a significant positive association with PTSS alone, f = .022, in the individual model only. The findings are discussed in light of ways in which health care settings can better support and prioritize mental health among nursing staff.
这项研究调查了三种与 COVID-19 相关的特定工作场所压力源(护理 COVID+ 患者的比例、目睹的 COVID-19 相关患者死亡人数以及为安全而与家人分开居住)与创伤后应激症状(PTSS)以及重度抑郁障碍(MDD)和广泛性焦虑障碍(GAD)之间的关联,研究对象为 391 名护士(93.6%为白人,93.4%使用她/她的代词)。通过在线调查收集了横断面数据。机构背叛(即,机构未能保护一个依赖和信任它的成员的感知)被视为这些关联的调节因素。尽管机构背叛在三个个体模型中不是一个显著的调节因素,但它在个体和综合模型中对 PTSS 和 GAD 和 MDD 的症状都有小到中等大小的正效应。在个体模型中,护理 COVID+ 患者的比例与所有三种心理健康状况呈显著正相关,f =.019-.195,而在综合模型中仅与 PTSS 呈显著相关,f =.138。与家人分开居住与个体模型中的 PTSS 和 MDD 症状呈显著正相关,f =.037 和.015,分别,和综合模型,f =.025 和.013,分别。患者死亡人数与单独的 PTSS 呈显著正相关,f =.022,仅在个体模型中。研究结果结合医疗保健环境如何更好地支持和优先考虑护理人员的心理健康进行了讨论。