Acute Stress among Nurses in Sweden during the COVID-19 Pandemic.

Acute Stress among Nurses in Sweden during the COVID-19 Pandemic.
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DOI:
10.1016/j.ejtd.2022.100283
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发表时间:
2022-09
影响因子:
2.1
通讯作者:
Cardena, Etzel
Cardena, Etzel
中科院分区:
其他
文献类型:
--
作者:
Palmborg, Asa;Lotvall, Rebecka;Cardena, Etzel

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瑞典在2019冠状病毒病大流行初期遭受重创,人均死亡人数在欧洲名列前茅。疫情令人倍感压力,尤其对照顾COVID-19患者的医护人员而言。各种研究评估了护理这些患者的护士是否有更高水平的急性应激,但通常使用较旧的DSM-IV急性应激障碍(ASD)标准或急性应激的一般措施。我们从瑞典的COVID-19专科病房(ICU)、急诊室(ER)和其他病房(Other)招募了一批在线样本(N = 101)护士,并要求他们回顾性地回答瑞典感染高峰期的问卷。我们旨在评估:1)将斯坦福大学急性应激反应量表-II(SASRQ-II,遵循DSM-5 ASD标准)翻译成瑞典语的心理测量特性,2)COVID-19单位的护士是否比其他单位的护士经历了更多的急性应激,以及3)潜在急性应激障碍的程度。SASRQ-II具有良好的结构、聚合效度和发散效度,以及良好的信度。结果显示,ICU护士报告的急性压力明显高于其他两组,这种差异无法用人口统计学或其他变量来解释。使用SASRQ-II对ASD进行回顾性诊断表明,60%的护士可能符合ASD标准,但未发现各组之间的差异。
Sweden was hit hard in the beginning of the COVID-19 pandemic with deaths per capita among the highest in Europe. The pandemic was a stressful time especially for healthcare workers caring for COVID-19 patients. Various studies have evaluated whether nurses caring for these patients had higher levels of acute stress, but typically with measures that either used older DSM-IV criteria for Acute Stress Disorder (ASD) or general measures of acute stress. We recruited an online sample (N = 101) of nurses in Sweden from COVID-19 specialized units (ICU), Emergency (ER), and other units (Other), and asked them to answer questionnaires retrospectively to the peak of infections in Sweden. We aimed to evaluate: 1) the psychometric properties of the translation of the Stanford Acute Stress Reaction Questionnaire-II (SASRQ-II, which follows DSM-5 criteria for ASD) into Swedish, 2) whether nurses in COVID-19 units had experienced more acute stress than nurses in other units, and 3) the extent of potential acute stress disorder. The SASRQ-II evidenced good construct, convergent and divergent validity, and good reliability. It showed that ICU nurses reported significantly more acute stress than the other two groups, a difference that could not be accounted for by demographic or other variables. A retrospective diagnosis of ASD using the SASRQ-II suggested that 60% of nurses might have fulfilled ASD criteria, but no differences across groups were found.
焦虑,抑郁,与创伤有关的医疗保健工作者中,在COVID-19大流行期间:系统评价和荟萃分析。
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