Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto
Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto
复制标题
DOI：
10.1097/01.psy.0000145673.84698.18
复制
发表时间：
2004-11-01
影响因子：
3.3
通讯作者：
Fones, CSL
中科院分区：
文献类型：
--
作者：
Maunder, RG;Lancee, WJ;Fones, CSL
目的：进行一项调查，以测量医院工作人员的心理压力，并测量可能介导急性创伤反应的因素。方法：于2003年5 - 6月对多伦多三所医院的1557名医护人员进行自述调查。采用事件影响量表测量心理应激。通过对76个探查对严重急性呼吸综合征态度的项目进行因子分析，得出反映疫情态度的量表。采用方差分析检验事件量表得分与工作角色、接触严重急性呼吸综合征患者的相关性。态度量表的组间差异采用多变量方差分析进行检验。通过线性回归检验态度量表作为影响严重急性呼吸综合征患者接触和工作角色与事件量表总影响的中介因素。结果：与严重急性呼吸综合征患者有接触的护士和医护人员对事件量表得分的影响较高。这些群体对事件影响量表得分的关系是由三个因素介导的：健康恐惧、社会孤立和工作压力。结论：尽管护士和护理严重急性呼吸综合征患者的人员在应对严重急性呼吸综合征暴发时的压力更大，但这些关系可以通过中介变量来解释，这些中介变量可能可用于干预，以减少未来暴发时的压力。具体而言，数据表明，干预的目标应包括工作压力、社会孤立和健康恐惧。
Objectives: A survey was conducted to measure psychological stress in hospital workers and measure factors that may have mediated acute traumatic responses. Methods: A self-report survey was completed by 1557 healthcare workers at three Toronto hospitals in May and June 2003. Psychological stress was measured with the Impact of Event Scale. Scales representing attitudes to the outbreak were derived by factor analysis of 76 items probing attitudes to severe acute respiratory syndrome. The association of Impact of Event Scale scores to job role and contact with severe acute respiratory syndrome patients was tested by analysis of variance. Between-group differences in attitudinal scales were tested by multivariate analysis of variance. Attitudinal scales were tested as factors mediating the association of severe acute respiratory syndrome patient contact and job role with total Impact of Event Scale by linear regression. Results: Higher Impact of Event Scale scores are found in nurses and healthcare workers having contact with patients with severe acute respiratory syndrome. The relationship of these groups to the Impact of Event Scale score is mediated by three factors: health fear, social isolation, and job stress. Conclusions: Although distress in response to the severe acute respiratory syndrome outbreak is greater in nurses and those who care for patients with severe acute respiratory syndrome, these relationships are explained by mediating variables that may be available for interventions to reduce stress in future outbreaks. In particular, the data suggest that the targets of intervention should include job stress, social isolation, and health fear.