Liu Xinru, Dong Wei, Zhang Jianguo, Cui Yi, Deng Wenxi, Du Zhipeng, Zhang Gongke, Huang Zongwang, Xu Zanhui, Li Ziqiang, Mao Xiaofei, Hou Tianya
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China.
Faculty of Psychology, Second Military Medical University, Shanghai, China.
Sci Rep. 2025 Feb 27;15(1):7047. doi: 10.1038/s41598-025-91435-9.
The occurrence of public health emergency in China often makes nurses more susceptible to anxiety. The present study aimed to investigate the prevalence of anxiety among Chinese nurses during the public health emergency and explore the association between family function and anxiety and its underlying mechanisms. Family care index questionnaire, Connor-Davidson Resilience scale, physical activity rating scale and 7-item Generalized Anxiety Disorder Scale were employed to measure family function, resilience, physical activity and anxiety among 779 Chinese nurses during public health emergency. The prevalence of anxiety among nurses during public health emergency was 29.9%. Resilience partially mediated the association of anxiety with family function. Physical activity moderated the direct and indirect effects of family function on anxiety. The direct effect became insignificant when the standard scores of physical activity were 0.629 and over. In contrast, the indirect effect of family function on anxiety through resilience was stronger when the levels of physical activity increased. The present study suggested for nurses with low levels of physical activity, intervention enhancing family function should be designed to prevent anxiety. For those with higher levels of physical activity, programs aimed at strengthening family function and supporting resilience should be developed to manage anxiety.
中国突发公共卫生事件的发生往往使护士更容易产生焦虑情绪。本研究旨在调查中国护士在突发公共卫生事件期间焦虑症的患病率，并探讨家庭功能与焦虑之间的关联及其潜在机制。采用家庭关怀指数问卷、康纳-戴维森韧性量表、身体活动评分量表和7项广泛性焦虑障碍量表，对779名中国护士在突发公共卫生事件期间的家庭功能、韧性、身体活动和焦虑状况进行测量。突发公共卫生事件期间护士焦虑症的患病率为29.9%。韧性部分介导了焦虑与家庭功能之间的关联。身体活动调节了家庭功能对焦虑的直接和间接影响。当身体活动标准分数达到0.629及以上时，直接效应变得不显著。相反，随着身体活动水平的提高，家庭功能通过韧性对焦虑的间接效应更强。本研究表明，对于身体活动水平较低的护士，应设计增强家庭功能的干预措施以预防焦虑。对于身体活动水平较高的护士，应制定旨在加强家庭功能和支持韧性的方案以管理焦虑。
