Li Fan, Gu Haiping, Tokac Umit, Werner Kimberly, Fish Anne F, Lou Qingqing
College of Nursing, University of Missouri-St. Louis, St. Louis, MO, USA.
Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, China.
SAGE Open Nurs. 2024 Jan 8;10:23779608231215580. doi: 10.1177/23779608231215580. eCollection 2024 Jan-Dec.
During the COVID-19 outbreak, China applied a unique volunteerism system in which nurses and physicians traveled to the epicenter to care for patients. During the same period, another group, nurse and physician nonvolunteers, stayed at their home hospitals outside of the epicenter and cared for patients without COVID-19. Yet only one Chinese study examined psychological responses comparing these groups.
To explore whether relationships among compassion satisfaction, general health, attitude toward life, satisfaction with life, perceived stress, and posttraumatic stress disorder (PTSD) symptomatology differ between volunteers and nonvolunteers. Attitude toward life is examined for the first time in COVID-19 research.
A cross-sectional study was conducted (259 nurse and physician volunteers, 330 nurse and physician nonvolunteers). Online survey data were analyzed using multisample path analysis.
There was no significant difference between volunteer and nonvolunteer models. In the volunteer model, paths significantly related to PTSD symptomatology included compassion satisfaction (total effect, = -0.12), general health (total effect, = -0.09), attitude toward life (direct effect, = -0.30; total effect, = -0.30), and perceived stress (direct effect, = 0.30; total effect, = 0.30), and in nonvolunteers included general health (direct effect, = -0.11; total effect, = -0.11) and attitude toward life (direct effect, = -0.47; total effect, = -0.47).
No significant difference between models means both groups could benefit from psychological intervention. Within each model, significant paths were identified. For volunteers, counselors might focus on compassion satisfaction and perceived stress and, for both volunteers and nonvolunteers, on health and attitude toward life. Delivering counseling based on key indicators in China may help prevent or mitigate PTSD. Globally, researchers could identify factors to target and determine to whom long-term counseling might be directed. Findings about attitude toward life lay the groundwork for future research.
在新冠疫情爆发期间，中国采用了一种独特的志愿服务体系，护士和医生前往疫情中心照顾患者。同一时期，另一组人员，即非志愿的护士和医生，留在疫情中心以外的自家医院照顾非新冠患者。然而，仅有一项中国研究比较了这两组人员的心理反应。
探讨志愿者和非志愿者在同情满足感、总体健康状况、生活态度、生活满意度、感知压力和创伤后应激障碍（PTSD）症状学之间的关系是否存在差异。生活态度在新冠疫情研究中首次得到考察。
开展了一项横断面研究（259名护士和医生志愿者，330名护士和医生非志愿者）。使用多样本路径分析对在线调查数据进行分析。
志愿者模型和非志愿者模型之间没有显著差异。在志愿者模型中，与PTSD症状学显著相关的路径包括同情满足感（总效应，=-0.12）、总体健康状况（总效应，=-0.09）、生活态度（直接效应，=-0.30；总效应，=-0.30）和感知压力（直接效应，=0.30；总效应，=0.30），在非志愿者中包括总体健康状况（直接效应，=-0.11；总效应，=-0.11）和生活态度（直接效应，=-0.47；总效应，=-0.47）。
模型之间无显著差异意味着两组人员都可从心理干预中受益。在每个模型中，都确定了显著路径。对于志愿者，咨询师可能应关注同情满足感和感知压力，而对于志愿者和非志愿者两者，都应关注健康状况和生活态度。基于关键指标在中国提供咨询服务可能有助于预防或减轻PTSD。在全球范围内，研究人员可以确定需要关注的因素，并确定可能需要接受长期咨询服务的对象。关于生活态度的研究结果为未来研究奠定了基础。
