新型冠状病毒肺炎疫情下定点医院高风险科室护士焦虑现状及影响因素调查研究  

Investigation on status and influencing factors of anxiety of nurses from high-risk departments during pandemic period of novel coronavirus pneumonia

作　　者：赵艺璞 闫秀文[1] ZHAO Yipu;YAN Xiuwen(Five wards of the Department of Respiratory and Critical Care Medicine,Henan Provincial People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院呼吸与危重症医学科五病区,荷兰郑州450003

出　　处：《河南预防医学杂志》2020年第8期561-566,569,共7页Henan Journal of Preventive Medicine

摘　　要：目的了解新冠肺炎疫情期间高风险科室护士的焦虑现状及影响因素。方法横断面调查研究设计,便利抽样抽取门诊、急诊、呼吸科护士作为调查对象,采用自行设计的调查问卷及家庭关怀度指数(Family APGAR Index)、广泛性焦虑量表(GAD-7)、病人健康问卷(PHQ-9)进行调查。结果回收有效问卷380份,Family APGAR Index得分7.59±2.54分,家庭功能障碍者141名(37.1%);PHQ-9得分7.08±5.44分,抑郁者256名(67.4%);GAD-7得分4.59±4.59分,焦虑者195名(51.3%)。单因素分析显示是否独生子女、有无基础疾病、自觉健康状况、对新冠病毒传染性的恐惧程度、对医护人员感染人数增加的恐惧程度、对每天接触各种患者的恐惧程度、对病毒可能通过自己传染家人的恐惧程度、是否疫情期间主动服用未经证实有明确预防效果的药物、对医院培训的满意度、对医院应急预案、诊疗方案等的满意度、家庭关怀度指数和抑郁对护士焦虑有影响,差异有统计学意义(P<0.05)。多因素分析显示,是否有基础疾病、"您很满意与家人共度时光的方式"、睡眠障碍等抑郁症状为焦虑的影响因素。结论高风险科室的护士焦虑发生率高。护理管理者应重视突发公共卫生事件下护理人员的情绪及心理状态,及早进行危机干预和心理疏导。Objective To investigate the status and influencing factors of anxiety of nurses from high-risk departments during pandemic period of novel coronavirus pneumonia.Methods By cross-sectional study,a convenient sample consisted by nurses from clinic,emergency and respiratory department were surveyed by questionnaire including basic information,Family APGAR Index,Anxiety(GAD-7)and Depression(PHQ-9).Results Valid questionnaires were collected as total as 380.The average score of Family APGAR Index was 7.59±2.542,and 141 nurses had dysfunctional families.The average score of PHQ-9 was 7.08±5.443,and 256(67.4%)nurses were in depression.The average score of GAD-7 was 4.59±4.587,and 195(51.3%)nurses were in anxiety.Univariate analysis showed the status of anxiety of nurses was different in several characteristics:the only child,underlying diseases,perceived health status,the degree of concern of COVID-19,fear of infectivity of COVID-19,fear of the ascending number of infected nurses,fear of contacting different patients everyday,fear of families infected by virus spread by us,taking medicine whose effect was unknown,training and diagnose and treatment plan of the hospital,Family APGAR Index and depression,the differences were statistically significant(P<0.05).Multiple linear regression analysis showed underlying diseases,’You are satisfied with the time spent with your families’,symptoms of depression including sleep disorders were the factors affecting nurses’anxiety.Conclusions The status of anxiety of nurses was serious in this study.Nursing administrators should pay attention to the emotion and psychological health of nurses under public health emergency.Screening and intervention is needed as early as possible.

关 键 词：新型冠状病毒肺炎 护士 焦虑 

分 类 号：R749[医药卫生—神经病学与精神病学]