Department of Emergency Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, Sichuan, China (mainland).
Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, Sichuan, China (mainland).
Med Sci Monit. 2023 Jul 1;29:e940175. doi: 10.12659/MSM.940175.
BACKGROUND The COVID-19 epidemic has caused a huge amount of occupational stress among emergency department (ED) nurses. They are not only at high risk of infection, but they are also more likely to experience mental health problems. This study aimed to investigate the factors associated with psychological distress and resilience among ED nurses. MATERIAL AND METHODS This was a multi-center, cross-sectional study using cluster sampling. The survey utilizing a general information questionnaire, Kessler Psychological Distress Scale (K10), and 10-item Connor-Davidson Resilience Scale (CD-RISC-10) was conducted with 374 ED nurses working in 3 women's and children's hospitals in Chengdu, Sichuan, China between November 20 and November 27, 2021. Descriptive analysis, single-factor analysis, and correlation analysis were performed on data. RESULTS The nurses' mean score for the K10 was 20.65±5.99. Three hundred (80.2%) nurses had K10 scores of 16 or above. The nurses' mean score for the CD-RISC-10 was 27.73±6.520. Work hours and work area were the factors associated with psychological distress (F=11.858, P<0.05; F=3.467, P<0.05). Age and work hours were the factors associated with resilience (F=3.231, P<0.05; t=11.937, P<0.05). The K10 score was negatively correlated with the CD-RISC-10 score (P<0.01, r=-0.453). CONCLUSIONS Of the 374 nurses, 80.2% had psychological distress. Nurse managers should consider the factors associated with psychological distress and resilience and take positive measures to relieve the nurses' psychological distress.
新冠疫情给急诊科护士带来了巨大的职业压力。他们不仅面临着更高的感染风险，而且更有可能出现心理健康问题。本研究旨在调查急诊科护士心理困扰和韧性的相关因素。
这是一项多中心、横断面研究，采用聚类抽样。2021 年 11 月 20 日至 11 月 27 日，在四川成都的 3 家妇女儿童医院，对 374 名急诊科护士进行了一般信息问卷、Kessler 心理困扰量表（K10）和 10 项 Connor-Davidson 韧性量表（CD-RISC-10）的调查。对数据进行描述性分析、单因素分析和相关性分析。
护士 K10 的平均得分为 20.65±5.99。300 名（80.2%）护士的 K10 得分在 16 分及以上。护士 CD-RISC-10 的平均得分为 27.73±6.520。工作时间和工作区域是心理困扰的相关因素（F=11.858，P<0.05；F=3.467，P<0.05）。年龄和工作时间是韧性的相关因素（F=3.231，P<0.05；t=11.937，P<0.05）。K10 得分与 CD-RISC-10 得分呈负相关（P<0.01，r=-0.453）。
在 374 名护士中，80.2%有心理困扰。护士管理者应考虑心理困扰和韧性的相关因素，并采取积极措施缓解护士的心理困扰。
