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社交距离介导临床工作与抑郁:新冠疫情对护士的影响

Social distancing mediates clinical work and depression: impact of the COVID-19 pandemic on nurses.

作者信息

Chen Shu-Chen, Lee Tony Szu-Hsien, Chao En

机构信息

Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan.

Tri-Service General Hospital Songshan Branch, Taipei, Taiwan.

出版信息

Front Public Health. 2024 Nov 22;12:1437766. doi: 10.3389/fpubh.2024.1437766. eCollection 2024.

DOI:10.3389/fpubh.2024.1437766
PMID:39651476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11620995/
Abstract

BACKGROUND

The psychological well-being of nurses, during the COVID-19 pandemic has become a critical area of concern. This study examines the psychological impact of the pandemic on nurses, focusing on the mediating role of perceived social distance between work units and depression.

METHODS

This study employed a cross-sectional design with respondent driven sampling. Anonymous questionnaire consisting of demographics, perceived social distancing and depression were distributed through email, Facebook, LINE, and other online platforms by key informants of nurses. A total of 1,064 volunteered questionnaires were collected, consisting of 1,032 females and 32 males.

RESULTS

Data showed that 517 (48.9%) nurses may have depression. Results from the structure equation modeling indicated that perception of social distancing mediates between individuals in units of care and depression, while unit and tenure of nursing work were negatively associated with depression.

CONCLUSION

The study findings support that perceived social distancing due to COVID-19 pandemic from others toward nurses may have influential impact on elevated depression, especially for nurses worked in the acute critical care. Thus, emotional support should be emphasized, and avenues for stress relief should be provided as well as creating a supportive workplace environment is crucial to nurses and patient safety.

摘要

背景

在新冠疫情期间,护士的心理健康已成为一个关键的关注领域。本研究考察了疫情对护士的心理影响,重点关注工作单位间感知到的社会距离与抑郁之间的中介作用。

方法

本研究采用应答者驱动抽样的横断面设计。由护士关键信息提供者通过电子邮件、脸书、LINE和其他在线平台分发包含人口统计学、感知到的社会距离和抑郁情况的匿名问卷。共收集到1064份自愿填写的问卷,其中女性1032人,男性32人。

结果

数据显示,517名(48.9%)护士可能患有抑郁症。结构方程模型的结果表明,社会距离的感知在护理单元中的个体与抑郁之间起中介作用,而护理工作的单元和任期与抑郁呈负相关。

结论

研究结果支持,新冠疫情导致他人对护士的社会距离感知可能对抑郁情绪的升高有影响,尤其是对从事急性重症护理工作的护士。因此,应强调情感支持,提供减压途径,营造支持性的工作场所环境对护士和患者安全至关重要。

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本文引用的文献

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Nurses' perception of work and life under COVID-19 pandemic conditions: a qualitative study.护士对 COVID-19 大流行期间工作和生活的看法:一项定性研究。
Front Public Health. 2023 Dec 15;11:1292664. doi: 10.3389/fpubh.2023.1292664. eCollection 2023.
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[The Psychological Distress of First-Line Nurses Caring for COVID-19 Patients: A Systematic Review].[一线护士护理新冠患者的心理困扰:一项系统综述]
Hu Li Za Zhi. 2023 Dec;70(6):58-73. doi: 10.6224/JN.202312_70(6).08.
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Social Distance Factor Related to the Level of Mental Health Awareness Among the Clinicians.
社会距离因素与临床医生心理健康意识水平相关。
Psychiatr Danub. 2023 Oct;35(Suppl 2):347-352.
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Psychological Distress and COVID-19: Evidence-Based Interventions for Frontline Health Care Workers-A Literature Review.心理困扰与 COVID-19:一线医护人员的循证干预措施——文献综述。
Dimens Crit Care Nurs. 2023;42(2):53-62. doi: 10.1097/DCC.0000000000000565.
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Experiences of COVID-19-Related Stigma: A Qualitative Study on Nurses Caring for Patients With COVID-19.新冠疫情相关污名的体验:一项针对照顾新冠患者的护士的定性研究。
J Nurs Res. 2022 Dec 1;30(6):e241. doi: 10.1097/jnr.0000000000000528.
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Early indicators of vulnerability to depression: The role of rumination and heart rate variability.抑郁易感性的早期指标:沉思和心率变异性的作用。
J Affect Disord. 2022 Sep 1;312:217-224. doi: 10.1016/j.jad.2022.06.049. Epub 2022 Jun 24.
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Exploring the Experience of Nurses in Providing Care to Patients With COVID-19: A Qualitative Study.探索护士在为 COVID-19 患者提供护理方面的体验:一项定性研究。
J Nurs Res. 2022 Aug 1;30(4):e217. doi: 10.1097/jnr.0000000000000498.
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Factors associated with stress, anxiety and depression in nursing professionals in the hospital context.与医院环境中护理专业人员的压力、焦虑和抑郁相关的因素。
Rev Bras Enferm. 2022 Feb 25;75Suppl 3(Suppl 3):e20210263. doi: 10.1590/0034-7167-2021-0263. eCollection 2022.
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COVID-19 stigma associates with burnout among healthcare providers: Evidence from Taiwanese physicians and nurses.COVID-19 污名与医护人员倦怠有关:来自台湾医生和护士的证据。
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