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2022 - 2023年新冠疫情期间台湾南部护士心理健康影响评估:一项描述性研究

Assessment of psychological health effects of nurses during 2022-2023 of the COVID-19 pandemic: a descriptive study in Southern Taiwan.

作者信息

Lin Hui-Ru, Lee Yung-Kuo, Chang Chen-Lin, Kuo Ching-Hui, Ho Hsin-Yun, Wu Chi-Jen, Chen Yi-Qian, Wu Cheng-Chun, Ho Yu-Cheng, Chu Tian-Huei, Chuang Cheng-Hsin, Ko Chou-Yuan

机构信息

Nursing Department, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.

Institute of Medical Science and Technology, National Sun Yat-sen University, Kaohsiung, Taiwan.

出版信息

Ann Med. 2025 Dec;57(1):2447405. doi: 10.1080/07853890.2024.2447405. Epub 2025 Jan 20.

Abstract

BACKGROUND

Nurses on the frontlines of the pandemic have increased workloads, burnout, and virus exposure, leading to mental health challenges and a lack of resources for patient care. Mental health support for nurses during the COVID-19 outbreak has become a priority. This study evaluated psychological health outcomes of among nurses during the 2022-2023 COVID-19 pandemic in Taiwan, focusing on personal and work-related fatigue as key contributors to emotional distress.

METHODS

A cross-sectional questionnaire was distributed to 200 nurses in a southern Taiwan hospital between 2022 and 2023. Emotional distress and mental health were assessed using the BSRS-5 (Brief Symptom Rating Scale) and CHQ-12 (Chinese Health Questionnaire). Correlation and regression analyses were conducted to identify factors influencing emotional distress and mental health outcomes.

RESULTS

Nurses aged 40-59 (52.85,  = 0.01), those in emergency departments (56.71,  = 0.001), and those caring for COVID-19 patients (50,  = 0.007) reported higher personal exhaustion. Significant differences in work-related fatigue levels were observed based on working environments (52.78,  < 0.001), no beliefs regarding religion (46.53,  = 0.036), care for COVID-19 patients (47,  < 0.001) and previously diagnosed with COVID-19 (46.58,  = 0.005). Key factors influencing emotional distress included marital status, number of children, and workplace ( < 0.05), while mental health variations were noted  in age, marital status, number of children, workplace, and years of experience ( < 0.05). During the COVID-19 pandemic, nurses' emotional distress and mental health were significantly correlated with specific stressors such as age, workplace, care for confirmed COVID-19 patients, and previous COVID-19 diagnoses ( < 0.001).

CONCLUSIONS AND IMPLICATIONS FOR NURSING MANAGEMENT

This study highlights the stressors affecting nurses' mental health during the 2022-2023 COVID-19 pandemic, emphasizing the need for stress-specific mental health support. Understanding these stress-specific factors is important for figuring out what nurses need to improve their mental health, which can lead to better care for patients.

摘要

背景

疫情前线的护士工作量增加、身心俱疲且面临病毒暴露风险,这导致了心理健康问题以及患者护理资源的短缺。在新冠疫情期间为护士提供心理健康支持已成为当务之急。本研究评估了2022 - 2023年台湾地区新冠疫情期间护士的心理健康状况,重点关注个人及工作相关疲劳这两个导致情绪困扰的关键因素。

方法

2022年至2023年期间,对台湾南部一家医院的200名护士进行了横断面问卷调查。使用简明症状量表(BSRS - 5)和中文版健康问卷(CHQ - 12)评估情绪困扰和心理健康状况。进行相关性和回归分析以确定影响情绪困扰和心理健康状况的因素。

结果

年龄在40 - 59岁的护士(52.85,P = 0.01)、急诊科护士(56.71,P = 0.001)以及护理新冠患者的护士(50,P = 0.007)报告的个人疲惫程度更高。基于工作环境(52.78,P < 0.001)、无宗教信仰(46.53,P = 0.036)、护理新冠患者(47,P < 0.001)以及曾被诊断感染新冠(46.58,P = 0.005),观察到工作相关疲劳水平存在显著差异。影响情绪困扰的关键因素包括婚姻状况、子女数量和工作场所(P < 0.05),而在年龄、婚姻状况、子女数量、工作场所和工作年限方面观察到心理健康存在差异(P < 0.05)。在新冠疫情期间,护士的情绪困扰和心理健康与年龄、工作场所、护理确诊新冠患者以及既往新冠诊断等特定压力源显著相关(P < 0.001)。

结论及对护理管理的启示

本研究凸显了2022 - 2023年新冠疫情期间影响护士心理健康的压力源,强调了针对特定压力提供心理健康支持之必要性。了解这些特定压力因素对于明确护士改善心理健康所需条件至关重要,这有助于为患者提供更好的护理。

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