机构地区:[1]深圳市第三人民医院甲乳外科,广东深圳518000
出 处:《海南医学》2020年第16期2170-2173,共4页Hainan Medical Journal
摘 要:目的了解非传染科护士在新型冠状病毒肺炎(COVID-19)患者护理中的焦虑抑郁水平的动态变化趋势,并分析其影响因素。方法选择2020年1~2月深圳市第三人民医院外科病区58名非传染科护士作为研究对象,所有护士均参与462例COVID-19患者的护理,护理期间所有护士均予以管理干预措施。采用Zung氏焦虑自评量表(SAS)和Zung氏自评抑郁量表(SDS)纵向测评护理人员的心理状态,对比护士在护理COVID-19患者第1周和第4周的焦虑抑郁状况,以评价管理干预措施实施的效果,并分析影响护士SAS、SDS评分的相关因素。结果护士护理COVID-19患者第4周的SAS、SDS评分分别为(16.04±3.5)分、(13.06±3.38)分,明显低于护理第1周的(20.04±2.51)分、(19.06±2.38)分,差异均有统计学意义(P<0.05);单因素分析结果显示,不同生育情况、文化程度、工龄、COVID-19感染防控知识掌握程度、曾经参加过突发公共卫生事件处理、对目前工作量和时长的感受及自测被感染风险的护士的SAS、SDS评分比较差异均有统计学意义(P<0.05)。结论随着护理COVID-19患者时间的延长和管理干预措施的落实,护士的焦虑抑郁水平逐渐降低;不同生育情况、文化程度、工龄、COVID-19感染防控知识掌握程度、曾经参加过突发公共卫生事件处理、对目前工作量和时长的感受及自测被感染风险等是影响护士焦虑抑郁状况的因素,应提早加强对护士的心理干预和疏导。Objective To understand the dynamic changes of anxiety and depression levels of non-infectious nurses in the care of patients with coronavirus disease 2019(COVID-19),and analyze the influencing factors.Methods From January 2020 to February 2020,58 nurses who were not from Infectious Diseases Department and were involved in the nursing of 462 COVID-19 patients in the surgical ward,Shenzhen Third People's Hospital were selected as the research objects.The nurses were all given management intervention measures.The psychological status of nursing staff was assessed by Zung self-rating Anxiety Scale(SAS)and Zung self-rating Depression Scale(SDS).The anxiety and depression status of nurses in the first and fourth weeks of nursing were compared,in order to evaluate the effect of management interventions.The related factors influencing the nurses SAS,SDS score were analyzed.Results The SAS and SDS scores of nurses at week 4 were(16.04±3.5)points and(13.06±3.38)points,which were significantly lower than(20.04±2.51)points and(19.06±2.38)points at week 1(P<0.05).The differences in SAS and SDS scores of nurses were statistically significant with different fertility conditions,education level,length of service,knowledge of COVID-19 infection prevention and control,previous participation in handling public health emergencies,current workload and duration of experience,and self-assessment of risk of infection(P<0.05).Conclusion With the extension of nursing time for COVID-19 patients and the implementation of management interventions,the level of anxiety and depression of nurses has gradually decreased.There are many factors affecting the anxiety and depression of nurses,including fertility conditions,education level,length of service,knowledge of COVID-19 infection prevention and control,previous participation in handling public health emergencies,current workload and duration of experience,and self-assessment of risk of infection.Therefore,psychological intervention and counseling should be strengthened in advance.
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