不确定性容忍度对一线护理专业人员对 2019 年冠状病毒病关注的影响：寻求安慰行为和遵守身体距离的中介作用。
Influence of Intolerance of Uncertainty on Preoccupation With Coronavirus Disease 2019 Among Frontline Nursing Professionals: Mediating Role of Reassurance-Seeking Behavior and Adherence to Physical Distancing.
机构信息
Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
University of Ulsan College of Medicine, Seoul, Korea.
出版信息
J Korean Med Sci. 2023 Sep 11;38(36):e282. doi: 10.3346/jkms.2023.38.e282.
BACKGROUND
This study investigated the relationship between preoccupation with coronavirus disease 2019 (COVID-19), reassurance-seeking behavior, viral anxiety, intolerance of uncertainty, and adherence to physical distancing among frontline nursing professionals working in COVID-19 inpatient wards. Additionally, the study aimed to determine whether the commitment to physical distancing mediates the influence of intolerance of uncertainty on viral anxiety.
METHODS
Frontline healthcare professionals working in the COVID-19 inpatient wards at three tertiary-level affiliated hospitals in Korea were surveyed between April 7 and 26, 2022. The survey included scales-such as the Obsession with COVID-19 Scale, Coronavirus Reassurance-Seeking Behaviors Scale, Fear of COVID-19 Scale, and Intolerance of Uncertainty Scale-12 and a questionnaire on adherence to physical distancing. A total of 256 responses were analyzed after excluding inappropriate or incomplete responses.
RESULTS
Pearson's correlation analysis found that age was significantly associated with the Obsession with COVID-19 Scale ( = -0.12, < 0.05) and adherence to physical distancing ( = 0.27, < 0.01). Linear regression analysis ascertained that age (β = -0.07, = 0.002), Coronavirus Reassurance-Seeking Behaviors Scale (β = 0.35, < 0.001), and Fear of COVID-19 Scale (β = 0.24, < 0.001) were predictors of obsession with COVID-19 (Adjusted R² = 0.60, F = 78.1, < 0.001). The indirect pathway by mediation analysis showed that reassurance-seeking and viral anxiety mediated the effect of intolerance of uncertainty on the preoccupation with COVID-19.
CONCLUSION
During the pandemic, there may be a strong association between reassurance-seeking behavior, viral anxiety, and a heightened preoccupation with COVID-19 among frontline healthcare workers. Thus, from the early stages of infectious disease, a psychological support team for medical staff responding to the disease should be established, and periodic evaluations should be conducted to identify high-risk groups.
背景
本研究旨在调查 2019 冠状病毒病（COVID-19）关注、寻求安慰行为、病毒焦虑、不确定性容忍度与一线护理专业人员在 COVID-19 住院病房内遵守保持身体距离之间的关系。此外，该研究旨在确定不确定性容忍度对病毒焦虑的影响是否可由遵守保持身体距离来介导。
方法
2022 年 4 月 7 日至 26 日，在韩国的三家三级附属医院的 COVID-19 住院病房工作的一线医护人员接受了调查。该调查包括对 COVID-19 关注度量表、冠状病毒寻求安慰行为量表、对 COVID-19 的恐惧量表和不确定性容忍度量表 12 以及遵守保持身体距离的问卷的评估。在排除不适当或不完整的答复后，共分析了 256 份答复。
结果
Pearson 相关分析发现，年龄与对 COVID-19 的关注度（ = -0.12， < 0.05）和遵守保持身体距离（ = 0.27， < 0.01）显著相关。线性回归分析确定年龄（β = -0.07， = 0.002）、冠状病毒寻求安慰行为量表（β = 0.35， < 0.001）和对 COVID-19 的恐惧量表（β = 0.24， < 0.001）是对 COVID-19 关注的预测因子（调整后的 R² = 0.60，F = 78.1， < 0.001）。中介分析的间接途径表明，寻求安慰和病毒焦虑介导了不确定性容忍度对 COVID-19 关注的影响。
结论
在大流行期间，一线医护人员的寻求安慰行为、病毒焦虑和对 COVID-19 的强烈关注之间可能存在很强的关联。因此，从传染病的早期阶段开始，就应为应对疾病的医务人员建立一个心理支持团队，并定期进行评估，以确定高风险群体。
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