Emergency stress management among nurses: A lesson from the COVID-19 outbreak in China-a cross-sectional study
Emergency stress management among nurses: A lesson from the COVID-19 outbreak in China-a cross-sectional study
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DOI：
10.1111/jocn.15553
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发表时间：
2020-11-19
影响因子：
4.2
通讯作者：
Liu, Yin
中科院分区：
文献类型：
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作者：
Liao, Changju;Guo, Linghong;Liu, Yin
目的与目的探讨新冠肺炎（COVID-19）爆发期间护士的应激反应水平、自我效能感和社会支持感知状况，并探讨影响其应激的潜在因素。背景临床护士的应激水平直接影响其身心健康和工作效率。本研究于2020年2月在自贡市第一人民医院选取临床护士进行调查。方法在中国新冠肺炎疫情高峰期，采用斯坦福大学急性应激反应问卷、一般自我效能感量表和领悟社会支持量表对临床护士进行测评。具体而言，护士分为三组：（a）支援武汉的护士;（B）我院治疗COVID-19患者的科室护士（防疫科）;及（c）我们医院没有COVID-19患者的综合科护士结果共调查1092名临床护士，其中武汉市94名护士，130名护士在我院治疗COVID-19患者，868名护士在不直接接触确诊的COVID-19患者的情况下工作。所有被调查护士的平均压力得分为33.15（SD：25.551）。不同部门之间的压力反应评分存在统计学显着差异。值得注意的是，支援武汉的护士比留在我院的护士表现出更弱的应激反应（平均值：19.98（武汉）vs.32.70（我院流行科）vs.34.64（我院非流行科））。此外，本发明还提供了一种方法，压力与一般自我效能感和领悟社会支持呈负相关。结论与确诊患者无直接接触的二线护士压力状况较与确诊患者有直接接触的一线护士严重。与临床实践相关性研究表明，二线护士的心理状况对临床工作的重要性。一线医护人员的工作。
Aims and objectives To assess the level of stress response, self-efficacy and perceived social support status of working nurses during the outbreak of the COVID-19 and investigate potential factors affecting their stress.Background The stress level of clinical nurses directly affects their physical and mental health and work efficiency.Design This study was a cross-sectional investigation, which was performed following the STROBE checklist. The current study was conducted in February 2020 by selecting clinical nurses from the Zigong First People's Hospital for investigation.Methods At the peak of the COVID-19 outbreak in China, we assessed clinical nurses with the Stanford Acute Stress Reaction Questionnaire, the General Self-Efficacy Scale and the Perceived Social Support Scale. Specifically, the nurses were divided into three groups: (a) nurses supporting Wuhan; (b) nurses in the department of treating the COVID-19 patients in our hospital (epidemic department); and (c) nurses in the general department without the COVID-19 patients in our hospital (non-epidemic department).Results A total of 1092 clinical nurses were surveyed with 94 nurses in Wuhan, 130 nurses treating COVID-19 patients in our hospital and 868 nurses working without direct contact with diagnosed COVID-19 patients. The mean stress score of all surveyed nurses was 33.15 (SD: 25.551). There was a statistically significant difference in stress response scores between different departments. Noticeably, the nurses who went to support in Wuhan showed a weaker stress response than the nurses who stayed in our hospital (mean: 19.98 (Wuhan) vs. 32.70 (epidemic department in our hospital) vs. 34.64 (non-epidemic department in our hospital)). In addition, stress was negatively correlated with general self-efficacy and perceived social support.Conclusion The present study suggested that the stress status of second-line nurse without direct contact with diagnosed COVID-19 patients was more severe than that of first-line nurses who had direct contact with COVID-19 patients.Relevance to clinical practice Our study indicated the importance of psychological status of second-line medical staff during the global pandemic.