Hong Jihoon, Park C Hyung Keun, Kim Harin, Hong Youjin, Ahn Junseok, Jun Jin Yong, Park Jangho, Kim Jeong Hye, Bang Young Rong, Chung Seockhoon
University of Ulsan College of Medicine, Seoul, Republic of Korea.
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Psychiatry Investig. 2023 Apr;20(4):374-381. doi: 10.30773/pi.2022.0375. Epub 2023 Apr 20.
We aimed to explore whether nursing professionals' psychological states affect their grief response for a patient's death in the coronavirus disease-2019 (COVID-19) inpatients' ward.
Survey was conducted among frontline nursing professionals working in COVID-19 inpatients wards at three tertiary-level affiliated hospitals of the University of Ulsan during April 7-26, 2022. Participants' information such as age, years of employment, or marital status were collected, and their responses to rating scales including Pandemic Grief Scale (PGS) for healthcare workers, Stress and Anxiety to Viral Epidemics-9 items (SAVE-9), Patient Health Questionnaire-9 (PHQ-9), Loneliness and Social Isolation Scale, and Insomnia Severity Scale (ISI) were collected.
All 251 responses were analyzed. We observed that 34% reportedly suffered from depression. The linear regression analysis showed that a high PGS score was expected by high SAVE-9 (β=0.12, p=0.040), high PHQ-9 (β=0.25, p<0.001), high loneliness (β=0.17, p=0.006), and high ISI score (β=0.16, p=0.006, F=20.05, p<0.001). The mediation analysis showed that the depression of nursing professionals directly influenced their pandemic grief reaction, and their work-related stress and viral anxiety, insomnia severity, and loneliness partially mediated the association.
We confirm that frontline nursing professionals' depression directly influenced their grief reaction, and their work-related stress and viral anxiety, insomnia severity, and loneliness partially mediated the association. We hope to establish a psychological and social support system for the mental health of nurses working in the COVID-19 wards.
我们旨在探讨护理专业人员的心理状态是否会影响他们对2019冠状病毒病（COVID-19）住院病房中患者死亡的悲伤反应。
2022年4月7日至26日，对蔚山大学三所三级附属医院COVID-19住院病房的一线护理专业人员进行了调查。收集了参与者的年龄、工作年限或婚姻状况等信息，并收集了他们对包括医护人员大流行悲伤量表（PGS）、病毒流行压力与焦虑-9项量表（SAVE-9）、患者健康问卷-9（PHQ-9）、孤独与社会隔离量表以及失眠严重程度量表（ISI）在内的评定量表的回答。
对所有251份回复进行了分析。我们观察到，据报告有34%的人患有抑郁症。线性回归分析显示，SAVE-9得分高（β=0.12，p=0.040）、PHQ-9得分高（β=0.25，p<0.001）、孤独感高（β=0.17，p=0.006）以及ISI得分高（β=0.16，p=0.006，F=20.05，p<0.001）时，预计PGS得分会高。中介分析表明，护理专业人员的抑郁直接影响了他们的大流行悲伤反应，而他们的工作相关压力、病毒焦虑、失眠严重程度和孤独感部分介导了这种关联。
我们证实，一线护理专业人员的抑郁直接影响了他们的悲伤反应，而他们的工作相关压力、病毒焦虑、失眠严重程度和孤独感部分介导了这种关联。我们希望为在COVID-19病房工作的护士的心理健康建立一个心理和社会支持系统。
