主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (2): 227-232.doi: 10.3969/j.issn.1672-1756.2021.02.015

• 新冠肺炎专题 • 上一篇    下一篇

新型冠状病毒肺炎定点医院临床护士焦虑状况及影响因素研究

谭敏 苏霖 汪淼芹   

  1. 川北医学院附属医院护理部,637000 四川省南充市
  • 出版日期:2021-02-15 发布日期:2021-02-15
  • 通讯作者: 汪淼芹,本科,主任护师,护理部副主任,E-mail:844109156@qq.com
  • 作者简介:谭敏,硕士,副主任护师,内科总护士长
  • 基金资助:
    2020年南充市科技计划项目(20YFZJ0102)

Anxiety of nurses working at the government-designated hospitals during COVID-19 epidemic: a cross-sectional study

TAN Min, SU Lin, WANG Miaoqin   

  1. Nursing Department, Affiliated Hospital of North Sichuan Medical College, Nanchong, Sichuan province, 637000, China
  • Online:2021-02-15 Published:2021-02-15
  • Contact: E-mail:844109156@qq.com

摘要: 目的:调查新型冠状病毒肺炎定点医院临床护士的焦虑状况及影响因素。方法:采用便利抽样法,使用焦虑自评量表、领悟社会支持量表和特质应对问卷对四川、重庆和湖北15个新型冠状病毒肺炎定点收治医疗机构的1?749名临床一线护士进行问卷调查和分析。结果:临床护士SAS得分为(44.46±10.05)分,与中国常模比较差异有统计学意义(P<0.01);26.7%的护士SAS分值≥50分,感染隔离病房的护士焦虑发生率最高(40.77%)。消极应对与焦虑自评得分呈正相关(P<0.05),积极应对、社会支持与焦虑自评得分呈负相关(P<0.05)。多重线性回归分析结果提示消极应对,处于感染隔离病房、重点防疫科室、管理岗位、武汉前线以及工龄长是焦虑发生的重要因素,而积极应对、外源支持和应急经历可以负向调节焦虑情绪。结论:新型冠状病毒肺炎定点医院的护士焦虑情绪明显,尤其是直接接触和高风险接触此类患者的一线护士、中高年资护士和护士长。管理者应采取系统化的支持方案减轻一线医护人员的心理应激反应,并加强对机动护士库的筹建及培训管理。

关键词: 新型冠状病毒肺炎;护士;焦虑;横断面调查

Abstract: Objective: To investigate the anxiety of nurses working at the government-designated hospitals during COVID-19 epidemic and analyze its influencing factors. Methods: A cross-sectional survey using the Self-rating Anxiety Scale, Perceived Social Support Scale and Trait Coping Style Questionnaire was performed for nurses working at the government-designated hospitals of Sichuan, Chongqing, and Hubei Province. Results: A total of 1749 nurses were surveyed. The average score of SAS was 44.46 ± 10.05, which were significantly higher than that of the Chinese norm (P<0.01). Using the total standard score ≥ 50 as the cutpoint, the prevalence of anxiety symptoms in these nurses was 26.7%, with the highest incidence of anxiety in the nurses working at the isolation wards. Negative coping style score was positively correlated with SAS score, while positive coping style and social support were negatively correlated with SAS score (P<0.05). Multivariate liner regression analysis showed main factors associated with anxiety symptoms were negative coping style, being in the isolation wards and other high infection risk departments, being in the management position, being in the front line of Wuhan, and longer length of service, while positive coping, external social support and having work experience in emergency events could alleviate anxiety. Conclusion: The nurses working at the government-designated hospitals during the COVID-19 epidemic had obvious anxiety symptoms, especially the front-line nurses, senior nurses and head nurses who were in close contact with patients. Managers should establish comprehensive programs to help medical professionals cope with these stressors. Moreover, more nurses should be prepared and trained for these emergency events.

Key words: COVID-19; nurse; anxiety; cross-sectional survey

中图分类号: 

  • R47