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“风暴后的曙光”:香港第五波新冠疫情期间护士群体中创伤后成长的社会心理关联因素

"The light after the storm": Psychosocial correlates of adversarial growth among nurses in Hong Kong amid the fifth wave of the COVID-19 pandemic.

作者信息

Yeung Nelson C Y, Tang Jeremy L T, Hui Kam Hei, Lau Stephanie T Y, Cheung Annie W L, Wong Eliza L Y

机构信息

Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong.

Centre for Health Systems and Policy Research, Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong.

出版信息

Psychol Trauma. 2024 Sep;16(6):989-998. doi: 10.1037/tra0001535. Epub 2023 Jun 26.

DOI:10.1037/tra0001535
PMID:37358550
Abstract

OBJECTIVE

Healthcare professionals are highly susceptible to adverse psychological outcomes amid the COVID-19 pandemic due to their job duties. As the largest part of the healthcare workforce, growing attention has been paid to nurses' adjustments to the pandemic. Despite the distress, recent studies found that nurses could still experience positive changes (i.e., adversarial growth, AG) during the pandemic. Research on the general populations has indicated that individuals' stress responses, coping resources, and coping strategies are associated with their AG during the pandemic. This study examined how sociodemographic characteristics, secondary traumatic and posttraumatic stress, coping resources, and coping strategies were associated with AG among nurses in Hong Kong amid the fifth wave (i.e., the most disastrous wave) of the COVID-19 pandemic.

METHOD

Recruited through local nursing associations between May 24 and June 13, 2022, 209 nurses in Hong Kong completed an online questionnaire measuring the abovementioned variables.

RESULTS

Hierarchical regression results found that those affiliating with a religion, having participated in mental health-related workshops, higher levels of secondary traumatic stress (STS), social support, job satisfaction, plus more frequent emotional processing were associated with higher AG (βs ranging from 0.15 to 0.31, s < .01).

CONCLUSIONS

Nurses did report AG during the fifth wave of the COVID-19 pandemic in Hong Kong. To promote AG among those nurses, future interventions should enhance nurses' understanding about the potential impact of STS on their well-being, solicit their interpersonal and work-related coping resources, plus facilitate their use of effective coping strategies. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

在新冠疫情期间,医护人员因其工作职责极易出现不良心理后果。作为医护人员队伍的最大组成部分,护士对疫情的适应情况日益受到关注。尽管存在困扰,但近期研究发现,护士在疫情期间仍可能经历积极变化(即逆境成长,AG)。对普通人群的研究表明,个体的应激反应、应对资源和应对策略与他们在疫情期间的逆境成长有关。本研究考察了在新冠疫情第五波(即最严重的一波)期间,香港护士的社会人口学特征、继发性创伤和创伤后应激、应对资源以及应对策略与逆境成长之间的关联。

方法

2022年5月24日至6月13日通过当地护理协会招募了209名香港护士,他们完成了一份测量上述变量的在线问卷。

结果

分层回归结果发现,信奉宗教、参加过心理健康相关工作坊、继发性创伤应激(STS)水平较高、社会支持、工作满意度较高,以及更频繁地进行情绪处理的护士,其逆境成长水平更高(β值范围为0.15至0.31,p < .01)。

结论

在香港新冠疫情的第五波期间,护士确实报告了逆境成长情况。为了促进这些护士的逆境成长,未来的干预措施应增强护士对继发性创伤应激对其幸福感潜在影响的认识,争取他们的人际和工作相关应对资源,并促进他们使用有效的应对策略。(《心理学文摘数据库记录》(c)2024美国心理学会,保留所有权利)

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