新冠肺炎流行期急诊护士心理应激反应及相关因素  

Psychological stress reactions and related factors among nurses in emergency department during the COVID-19 epidemic

作　　者：关文洁[1] 聂岸柳 苏湘芬[1] 张树增[1] GUAN Wenjie;NIE Anliu;SU Xiangfen;ZHANG Shuzeng(The First Afilated Hopital of Guangzhou Medical University,Guangzhou 510120,China)

机构地区：[1]广州医科大学附属第一医院,广州510120

出　　处：《中国心理卫生杂志》2021年第1期73-78,共6页Chinese Mental Health Journal

基　　金：广州医科大学附属第一医院2019年教学类培育项目(2019Z08)。

摘　　要：目的:了解新冠肺炎流行期急诊护士的心理应激反应现状并分析相关因素,为调控其心理应激反应提供参考依据。方法:使用修订版事件影响量表(IES-R)、一般健康问卷(GHQ-12)、简易应对方式问卷(SCSQ)调查广州地区7所新冠感染者定点救治医院的263名急诊护士的心理应激反应、心理健康水平及应对方式。结果:急诊护士IES-R总分为(28.1±14.8)分,心理应激反应检出率分别为轻度37.6%、中度39.3%、重度13.3%。多重线性回归分析显示,女性、本科及以上受教育程度的护士IES-R得分较高(β=0.11、0.12,均P<0.05),IES-R总分与GHQ-12得分、SCSQ消极应对得分与担心自己感染新冠肺炎程度呈正向关联(β=0.39、0.30、0.24,均P<0.05),与SCSQ积极应对得分呈负向关联(β=-0.15,P<0.05)。结论:新冠肺炎流行期,女性、受教育程度较高、心理健康水平较差、倾向消极应对方式及担心自己感染的护士心理应激反应更严重。Objective:To understand the status and related factors of psychological stress reactions among nurses in emergency department(ED) during the COVID-19 epidemic,so as to provide a reference for regulating the psychological stress reactions of ED nurses.Methods:Totally 263 ED nurses in the 7 designated hospitals for infectedpatients in Guangzhou were investigated.They were assessed with the Impact of Event Scale-Revised(IES-R),General Health Questionnaire(GHQ-12)and Simplified Coping Style Questionnaire(SCSQ) for psychological stress reactions,mental health level and coping style respectively.Results:The average total IES-R score of 263 nurses was(28.1±14.8).The prevalence of mild,moderate and severe psychological stress was 37.6%,39.3% and 13.3% respectively.Multiple linear regression analysis showed that the female nurses and those with bachelor degree or above had higher IES-R scores(β=0.11,0.12,Ps<0.05).The total IES-R scores were positively associated with scores of GHQ-12 and SCSQ negative coping styles,and level of concern about their infection with COVID-19(β=0.39,0.30,0.24,Ps<0.05),and negatively associated with SCSQ positive coping styles scores(β=-0.15,P<0.05).Conclusion:It suggests that female nurses and those with bachelor degree or above,with worse mental health,tending to have negative coping styles and concerned about their COVID-19 infection are more likely have severe psychological stress reactions.

关 键 词：新冠肺炎 护士 心理应激反应 应对方式 相关因素 

分 类 号：R192.6[医药卫生—卫生事业管理] B845.67[医药卫生—公共卫生与预防医学]