Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
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DOI：
10.1016/j.jpsychires.2020.09.007
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发表时间：
2020-12-01
影响因子：
4.8
通讯作者：
Wang, Gaohua
中科院分区：
文献类型：
--
作者：
Cai, Zhongxiang;Cui, Qin;Wang, Gaohua
背景资料：2019年新冠肺炎疫情期间，医护人员，尤其是一线护士面临着巨大的挑战。目的：评估武汉市疫情中心护士的心理状况及其相关危险因素。方法：在本研究中，我们招募了武汉大学人民医院的护士。调查问卷的设计目的是获取被试的基本信息，包括四个心理评估量表。我们在两个不同的时间点发放了调查问卷。我们在1月29日至2月2日（爆发期）进行了第一次调查，收到709份合格答复，并在2月26日至2月28日（稳定期）进行了第二次调查，收到621份合格答复。结果：疫情期间，超过三分之一的护士存在抑郁、焦虑、失眠等症状。爆发期护士抑郁、焦虑、创伤后应激障碍（PTSD）症状发生率显著高于稳定期（P < 0.01）。方舱医院护士心理问题发生率明显高于其他一线和非一线护士（P均< 0.001），尤其是失眠（38.3%严重失眠）。前线护士的身体状况较差，对疫情的担忧不确定，更容易出现心理问题。因此，在线心理信息和充分的保护条件是帮助减轻心理困扰的有效干预措施。结论：新冠肺炎疫情期间，尤其是疫情高峰期奋战在一线的护士，其心理健康状况需要得到更多关注。
Background: Health care workers, especially frontline nurses, faced great challenges during the coronavirus disease 2019 (COVID-19) outbreak.Aims: To assess the magnitude of the psychological status and associated risk factors among nurses in the pandemic center in Wuhan, China.Methods: In this study, we enrolled nurses from Renmin Hospital of Wuhan University. The questionnaire was designed to obtain basic information of the participants, and included four psychological assessment scales. We issued the questionnaires at two different points of time. We conducted the first survey on January 29 to February 2 (outbreak period) with 709 eligible responses, and the second survey on February 26 to February 28 (stable period) with 621 eligible responses. The nurses from Wuchang Fangcang shelter hospital were also enrolled in the second survey.Results: During the pandemic, over one-third of nurses suffered from depression, anxiety, and insomnia. In the outbreak period, the nurses showed significantly higher risks for depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms than those in the stable period (P < 0.01). Notably, the nurses from the Fangcang shelter hospitals were more likely to present psychological problems than those from other frontline or non-frontline (all P < 0.001) units, especially for insomnia (38.3% with severe insomnia). The nurses from the frontline, with worse physical condition and uncertain concerns about this pandemic as compared to the others, were more likely to bear psychological problems. Thus, online psychological information and sufficient protection conditions were effective interventions to help mitigate psychological distress. The nurses from Fangcang shelter hospitals suffered a significantly higher risk of psychological problems than those from other units.Conclusion: The psychological status of nurses needs more attention during the COVID-19 pandemic, especially for those who fought in the frontline during the peak of the outbreak.