Piras Ilenia, Usai Vanessa, Contu Paolo, Galletta Maura
Clinical Trials Sector, Medical Directorate, Microcythemia Hospital "A. Cao", ASL Cagliari, Italy.
Intensive Care Unit, Santissima Trinità Hospital, ASL Cagliari, Italy.
AIMS Public Health. 2024 Oct 17;11(4):1071-1081. doi: 10.3934/publichealth.2024055. eCollection 2024.
The COVID-19 outbreak played a significant psychological impact on nurses, as they coped with intense emotional and cognitive demands, in a context in which the Health System was not prepared to face the emergency. Literature showed that pandemics influenced the nurses' stress and psychosocial health due to poor rest, high work overloads, a lack of control over the patient flows, and a frequent isolation from family. Under these circumstances, nurses experienced severe psychological and mental stressors that generated mental health problems. Recent literature showed that coping strategies, especially those that were positive, promoted mental health in workers and helped them to face stressors.
The study aimed to investigate the relationship between vicarious traumas and the impact of traumatic events on nurses' mental health. In addition, we analyzed the role of coping strategies in moderating the effect of vicarious traumas on mental health.
The study was performed in November 2020, during the first wave of the COVID-19 pandemic. A self-reported structured questionnaire was administered via an online method to reduce face-to-face contact. Logistic regressions were conducted to analyze the relationship between both vicarious traumas and the impact of traumatic events impact and mental health. An interaction analysis with the PROCESS macro was performed to analyze the role of coping strategies in moderating the relationship between vicarious traumas and mental health.
A total of 183 nurses answered to the questionnaire. A moderation analysis showed that positive coping strategies such as physical activity, reading/music, and yoga/meditation showed to be protective in reducing the effect of vicarious traumas on the nurses' mental health problems. Conversely, negative coping strategies strengthened that relationship and may compromise their quality of working life.
These findings provide further support for considering positive coping strategies as an important resource to alleviate psychological distress, thus helping the professional to reduce the negative effects of stress.
新冠疫情对护士产生了重大的心理影响，因为他们在应对强烈的情感和认知需求时，卫生系统并未做好应对这一紧急情况的准备。文献表明，由于休息不足、工作负担过重、无法控制患者流量以及经常与家人隔离，疫情影响了护士的压力和心理健康。在这种情况下，护士经历了严重的心理和精神压力源，从而产生了心理健康问题。近期文献显示，应对策略，尤其是积极的应对策略，能促进员工的心理健康，并帮助他们面对压力源。
本研究旨在调查替代性创伤与创伤事件对护士心理健康的影响之间的关系。此外，我们分析了应对策略在调节替代性创伤对心理健康影响方面的作用。
该研究于2020年 November进行，处于新冠疫情的第一波期间。通过在线方式发放一份自我报告的结构化问卷，以减少面对面接触。进行逻辑回归分析替代性创伤与创伤事件影响以及心理健康之间的关系。使用PROCESS宏进行交互分析，以分析应对策略在调节替代性创伤与心理健康之间关系方面的作用。
共有183名护士回答了问卷。一项调节分析表明，诸如体育活动、阅读/听音乐以及瑜伽/冥想等积极应对策略在减轻替代性创伤对护士心理健康问题的影响方面具有保护作用。相反，消极应对策略则强化了这种关系，并可能损害他们的工作生活质量。
这些发现为将积极应对策略视为缓解心理困扰的重要资源提供了进一步的支持，从而帮助专业人员减少压力的负面影响。
Zotero 插件
