Yi Hongmei, Wei Sha, Xiao Mingzhao, Zhao Qinghua, Chen Liang, Zhai Jian, Song Jingyan
Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Prev Med Rep. 2023 Dec 10;37:102554. doi: 10.1016/j.pmedr.2023.102554. eCollection 2024 Jan.
To understand the level of post-traumatic growth (PTG) and influencing factors among front-line healthcare workers (HCWs) working in mobile cabin hospitals treating patients with Coronavirus Disease 2019 (COVID-19) under the Normalized Epidemic Prevention and Control Requirements adopted in China. A random sampling method was used to select 540 HCWs of the Chongqing-aid-Shanghai medical team from April to May 2022 as the study participants. Participants completed a general information questionnaire, the Post-traumatic Growth Inventory-Chinese version (PTGI-C), the Chinese version of the Connor-Davidson Resilience Scale (CD-RISC) and the Chinese Event Related Rumination Inventory (C-ERRI). Among the 540 included HCWs, 83.15 % were nurses and 78.89 % were women. The average scores for PTG (62.25 ± 16.73) and psychological resilience (64.22 ± 15.38) were at moderate levels, and the average score for rumination was low (21.62 ± 10.77). Pearson correlation analysis showed that CD-RISC and C-ERRI scores were positive with the PTGI-C score (r = 0.528, 0.316, P < 0.001). Multiple linear regression analysis identified psychological training or intervention during the COVID-19 epidemic (β = 2.353, P = 0.044), psychological resilience (β = 0.525, P < 0.001) and deliberate rumination (β = 0.732, P < 0.001) as factors significantly associated with the PTG of front-line HCWs, which together explained 36.8 % of the total variance in PTG (F[5,539] = 63.866, P < 0.001). In general, psychological resilience and deliberate rumination can promote PTG among HCWs and can be improved by strengthening psychological training and interventions for HCWs working under the Normalized Epidemic Prevention and Control Requirements.
为了解在中国常态化疫情防控要求下,在方舱医院救治新型冠状病毒肺炎(COVID-19)患者的一线医护人员的创伤后成长(PTG)水平及影响因素。采用随机抽样方法,选取2022年4月至5月重庆援沪医疗队的540名医护人员作为研究对象。研究对象完成了一般情况问卷、中文版创伤后成长问卷(PTGI-C)、中文版康纳-戴维森心理韧性量表(CD-RISC)和中文版事件相关反刍量表(C-ERRI)。在纳入的540名医护人员中,83.15%为护士,78.89%为女性。PTG平均得分(62.25±16.73)和心理韧性平均得分(64.22±15.38)处于中等水平,反刍平均得分较低(21.62±10.77)。Pearson相关分析显示,CD-RISC和C-ERRI得分与PTGI-C得分呈正相关(r = 0.528,0.316,P < 0.001)。多元线性回归分析确定,COVID-19疫情期间的心理培训或干预(β = 2.353,P = 0.044)、心理韧性(β = 0.525,P < 0.001)和刻意反刍(β = 0.732,P < 0.001)是与一线医护人员PTG显著相关的因素,这三个因素共同解释了PTG总变异的36.8%(F[5,539] = 63.866,P < 0.001)。总体而言,心理韧性和刻意反刍可促进医护人员的PTG,通过加强对在常态化疫情防控要求下工作的医护人员的心理培训和干预可改善这一情况。