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新冠疫情早期不确定背景下加拿大护士的心理健康评估及其影响因素:一项横断面研究

Canadian Nurses' Psychological Health Assessment and Its Determinants During the Uncertain Context of the Early COVID-19 Pandemic: A Cross-Sectional Study.

作者信息

Benyamina Douma Nabiha, Gosselin Émilie, Marceau Mélanie, Mailhot-Bisson Didier, Lavoie Stéphane, Provost Josiane, Ledoux Isabelle

机构信息

Health Sciences Department, Université du Québec en Abitibi-Témiscamingue, Rouyn-Noranda, Canada.

School of Nursing, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Canada.

出版信息

Policy Polit Nurs Pract. 2025 Aug;26(3):195-207. doi: 10.1177/15271544251338813. Epub 2025 May 15.

DOI:10.1177/15271544251338813
PMID:40370324
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12214292/
Abstract

Quebec's (Canada) nurses experienced a major reorganization of care during the first wave of the COVID-19 pandemic. This study aimed at investigating nurses' psychological health and its determinants during this highly uncertain time, with a particular focus on posttraumatic stress disorder (PTSD), anxiety, and depression. In 2020, a web-based cross-sectional survey was completed by a large sample of Quebec nurses ( = 1,773). High prevalence of PTSD (14.3%), anxiety (39.4%), and depression (46.7%) was observed. Overcommitment at work was associated with higher prevalence of PTSD, anxiety, and depression. More years since licensure, feeling safe with protective measures and increased social support were associated with lower prevalence of PTSD, anxiety, and/or depression. Our study identified modifiable personal and workplace factors that could be targeted by healthcare organizations and policymakers to promote nurses' well-being and enhance the resilience of healthcare systems to resist future global health crises or pandemics. Future research is needed to better understand the potential long-term consequences of the COVID-19 pandemic on nurses' psychological health.

摘要

在加拿大魁北克省,护士们在新冠疫情的第一波期间经历了护理工作的重大重组。本研究旨在调查在这个高度不确定时期护士的心理健康及其决定因素,特别关注创伤后应激障碍(PTSD)、焦虑和抑郁。2020年,魁北克省的大量护士(n = 1773)完成了一项基于网络的横断面调查。观察到创伤后应激障碍(14.3%)、焦虑(39.4%)和抑郁(46.7%)的高患病率。工作过度投入与创伤后应激障碍、焦虑和抑郁的较高患病率相关。获得执照后的年限越长、对防护措施感到安全以及社会支持增加与创伤后应激障碍、焦虑和/或抑郁的较低患病率相关。我们的研究确定了可改变的个人和工作场所因素,医疗保健组织和政策制定者可以针对这些因素来促进护士的福祉,并增强医疗保健系统抵御未来全球健康危机或大流行的复原力。需要未来的研究来更好地了解新冠疫情对护士心理健康的潜在长期影响。

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