背景

冠状病毒病是国际关注的突发公共卫生事件，已经给世界各地的护士带来了痛苦经历。然而，在这种公共危机中，护士的抑郁和焦虑症状的患病率以及心理社会因素如何影响护士尚不得而知

目标

确定COVID-19对爆发期间中国护士的心理健康以及焦虑和抑郁症状的患病率的影响

设计

横断面研究

设置和参与者

通过便利抽样，从四川省和武汉市招募了3228名护士。2020年1月27日至2月3日期间，所有参与者均被邀请通过微信填写问卷

方法

使用抑郁和焦虑的自我报告调查表匿名收集数据。使用二元和多元逻辑回归探索影响焦虑和抑郁的心理社会因素和感知健康的因素

结果

在COVID-19爆发期间，抑郁症和焦虑症的总发生率（34.3％），低于在SARS爆发期间的总发生率；然而，在本研究中，抑郁症的发生率很高（47.1％），与最近的一项关于中国暴露于COVID-19的医护人员的研究中（50.4％）相似。结果表明，与COVID-19相关的压力、家庭的关系质量以及人口统计学特征与抑郁、焦虑和感知健康状况相关。此外，在低风险的COVID-19病房工作的护士抑郁症的患病率与在高风险的COVID-19病房工作的护士相似（OR，1.078；95％CI，0.784–1.481）

结论

我们的研究表明，在COVID-19爆发期间，护士抑郁和焦虑的患病率很高。COVID-19因素和社会心理因素与护士的心理健康有关。结果表明，医院应实施以职业安全和家庭支持为重点的有效精神健康促进计划，以改善护士的健康状况

 

 

Abstract

Background

Coronavirus disease 2019 (COVID-19) is a public health emergency of international concern and has caused traumatic experience for nurses worldwide. However, the prevalence of depression and anxiety symptoms in nurses, and how psychosocial factors influence nurses in this public crisis are unknown.

Objectives

To determine the effect of COVID-19 on the mental health of nurses and the prevalence of anxiety and depression symptoms among nurses in China during the outbreak.

Design

A cross-sectional study.

Settings and participants

A total of 3,228 nurses in Sichuan Province and Wuhan City were selected by convenience sampling. All participants were invited to complete the questionnaire through WeChat from January 27 to February 3, 2020.

Methods

A self-reported questionnaire combining depression and anxiety scale was used to collect data anonymously. Binary and multivariate logistic regression was applied to measure the odds of psychosocial factors of anxiety and depression and perceived health, respectively.

Results

The total incidence of depression (34.3%) and anxiety (18.1%) during the COVID-19 outbreak was lower than that during the SARS outbreak; however, the rate of depression in our study (47.1%) was high and similar in a recent study (50.4%) about the health care workers exposed to COVID-19 in China. The results indicated that COVID-19-related stress, relationship quality with family, and demographic characteristics were associated with depression, anxiety, and perceived health status. Furthermore, the prevalence of depression was similar between nurses working in low-risk COVID-19 wards was as high as working in high-risk COVID-19 wards (OR, 1.078; 95% CI, 0.784–1.481).

Conclusions

Our study revealed the high prevalence of depression and anxiety among nurses during the outbreak of COVID-19. COVID-19 factors and psychosocial factors were associated with mental health of nurses. The results suggest that hospitals should implement effective mental health promotion programs focused on occupational safety and family support to improve the well-being of nurses.

原文链接：

https://www.sciencedirect.com/science/article/pii/S0020748920302959#!