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新冠疫情前线西班牙护士的心理护理:一项关于症状、职业倦怠和心理变量的前瞻性研究

Psychological Care in Spanish Nurses at the Frontline of the COVID-19 Pandemic: A Prospective Study on Symptoms, Burnout and Psychological Variables.

作者信息

Peñacoba-Puente Cecilia, García-Hedrera Fernando José, Gómez-Del-Pulgar García-Madrid Mercedes, Carmona-Monge Francisco Javier, Gil-Almagro Fernanda

机构信息

Health Sciences Faculty, Department of Psychology, Psychology, Rey Juan Carlos University, Av. de Atenas, s/n, 28922 Alcorcón, Madrid, Spain.

Nurse Intensive Care Unit, Hospital Universitario Fundación Alcorcón, Budapest, 1, 28922 Alcorcón, Madrid, Spain.

出版信息

Healthcare (Basel). 2025 May 9;13(10):1108. doi: 10.3390/healthcare13101108.

DOI:10.3390/healthcare13101108
PMID:40427945
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12111169/
Abstract

(1) Background: Previous studies have highlighted the emotional symptoms experienced throughout the COVID-19 pandemic by nurses and their consequences. It would be of interest to analyze the extent to which healthcare workers (HCWs), in the context of the psychological health crisis, have sought (and received) psychological care. Likewise, it would be highly relevant to analyze the profile of these professionals, both in terms of the sociodemographic and occupational characteristics as well as the emotional symptoms they presented, and the percentage of nurses who requested psychological help during the COVID-19 pandemic, their sociodemographic and occupational characteristics as well as their levels of associated symptoms. Additionally, one could study the associated psychological personality variables, including both risk factors and protective variables, as this is of special interest for the design of appropriate interventions. (2) Methods: An observational, descriptive, prospective longitudinal study with three data collection periods was carried out. At the first time point, anxiety, insomnia, self-efficacy, resilience and social support were assessed. Anxiety, insomnia, fear of COVID-19, cognitive fusion and burnout syndrome were assessed at the second time point. Finally, at the third time point, we assessed anxiety, insomnia and burnout syndrome. During the second and third time points, the nurses' requests for psychological help were assessed. (3) Results: Overall, 33.1% of the final sample requested psychological support, and 20.5% of them had sought psychological support by the first time point, of which 7.3% continued to in the final time measure. The request for psychological help was significantly related to higher means for anxiety ( = 0.003), insomnia ( = 0.001) and burnout ( < 0.05), as well as high levels of cognitive fusion ( = 0.001) and low levels of resilience ( = 0.009). Requests for psychological help were not significantly related to social support ( = 0.222) or fear of COVID-19 ( = 0.625). (4) Conclusions: The data suggest the need to promote measures for the implementation of psychological help among nurses aimed not only at reducing the consequences of the psycho-emotional affectation derived from a stressful work situation but also strengthening health-promoting traits such as self-efficacy or resilience.

摘要

(1) 背景:先前的研究强调了护士在新冠疫情期间所经历的情绪症状及其后果。分析医护人员在心理健康危机背景下寻求(并获得)心理护理的程度会很有意义。同样,分析这些专业人员的特征也具有高度相关性,包括社会人口统计学和职业特征以及他们所呈现的情绪症状,以及在新冠疫情期间请求心理帮助的护士比例、他们的社会人口统计学和职业特征以及相关症状水平。此外,可以研究相关的心理人格变量,包括风险因素和保护变量,因为这对于设计适当的干预措施特别有意义。(2) 方法:进行了一项具有三个数据收集期的观察性、描述性、前瞻性纵向研究。在第一个时间点,评估焦虑、失眠、自我效能感、心理韧性和社会支持。在第二个时间点,评估焦虑、失眠、对新冠的恐惧、认知融合和职业倦怠综合征。最后,在第三个时间点,评估焦虑、失眠和职业倦怠综合征。在第二个和第三个时间点,评估护士对心理帮助的请求。(3) 结果:总体而言,最终样本中有33.1%的人请求心理支持,其中20.5%的人在第一个时间点之前就已寻求心理支持,其中7.3%的人在最后一次测量时仍在继续。请求心理帮助与焦虑(p = 0.003)、失眠(p = 0.001)和职业倦怠(p < 0.05)的较高均值显著相关,以及与高水平的认知融合(p = 0.001)和低水平的心理韧性(p = 0.009)显著相关。请求心理帮助与社会支持(p = 0.222)或对新冠的恐惧(p = 0.625)没有显著关系。(4) 结论:数据表明需要推动在护士中实施心理帮助的措施,这不仅旨在减少因紧张工作状况产生的心理情绪影响的后果,还在于强化自我效能感或心理韧性等促进健康的特质。

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