突发公共卫生事件下社区护士焦虑与危机反应状况调查  

Anxiety and crisis response status of community nurses under condition of public health emergencies

作　　者：谢雅倩 朱乐英[2] 原月霜 杜善淑 周燕湘 黄小红[6] 李若娜 孙晓宁[1,8] XIE Ya-qian;ZHU Le-ying;YUAN Yue-shuang;DU Shan-shu;ZHOU Yan-xiang;HUANG Xiao-hong;LI Ruo-na;SUN Xiao-ning(Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510006,China;不详)

机构地区：[1]广州中医药大学护理学院,广东广州510006 [2]广东省中医院大学城医院康复科,广东广州510006 [3]广州市番禺区新造镇社区卫生服务中心,广东广州511436 [4]广州市越秀区登峰街社区卫生服务中心,广东广州510091 [5]广州市番禺区桥南街陇枕社区卫生服务站,广东广州511400 [6]深圳市龙岗中心医院,广东深圳518116 [7]中山大学中山眼科中心,广东广州510060 [8]澳门科技大学医学院,中国澳门特别行政区999078

出　　处：《中华医院感染学杂志》2025年第2期310-314,共5页Chinese Journal of Nosocomiology

基　　金：2021年度广东省社科规划青年项目(GD21YGL10);2020年广东省教育厅高校科研平台和科研项目(2020WQNCX009)。

摘　　要：目的了解突发公共卫生事件下社区护士的焦虑与危机反应状况并探索其影响因素。方法2020年3—6月,选取广东省13家社区卫生服务中心亲身参与COVID-19疫情防控工作的311名护士,采用焦虑自评量表(SAS)衡量焦虑状态的轻重程度、危机干预分类评估量表(TAF)评估对危机事件的情感、认知、行为三个方面的反应情况,采用多元线性逐步回归分析其影响因素。结果在焦虑方面,有16.08%的社区护士出现了不同程度的焦虑心理,其中多为轻度焦虑(84.00%),SAS总分为(40.86±8.78)分,与中国常模(37.23±12.59)分比较,差异有统计学意义(t=7.293,P<0.001);家庭和工作有无冲突、身体健康情况、自测被感染风险是其影响因素(P<0.05)。在危机干预分类评估方面,社区护士对此次COVID-19危机的损害程度以轻度损害为主(91.64%),TAF总分为[5.00(3.00,8.00)]分;对工作安排合理的认知、身体健康情况、自测被感染风险是其影响因素(P<0.05)。结论突发公共卫生事件下社区护士的焦虑水平和危机干预分类评估损害程度以轻度为主,家庭和工作无冲突、身体健康、自测被感染风险低、认为工作安排合理是其保护因素。OBJECTIVE To understand the anxiety and crisis response status of community nurses under the context of public health emergencies and explore the influencing factors.METHODS From Mar.2020 to Jun.2020,a total of 311 nurses who were in person involved in prevention and control of COVID-19 epidemic in 13 community health service centers of Guangdong Province were enrolled in the study.The severity of anxiety state was judged by self-rating anxiety scale(SAS),and the response state to crisis incidents on emotion,cognition and behavior was assessed by crisis intervention and classification assessment scale.Multivariate linear stepwise regression analysis was performed for the influencing factors.RESULTS In terms of anxiety,16.08%of the community nurses had varying degree of anxiety,84.00%of whom were mild anxiety;the total SAS score was(40.86±8.78)points,as compared with(37.23±12.59)points of the Chinese norm,and there was significant difference(t=7.293,P<0.001).The conflict between family and work,physical condition and self-assessed risk of infection were the influencing factors(P<0.05).With the respect to assessment of classification of interventions to crisis,the mild damage(91.64%)was dominant among the damage degree of the community nurses on COVID-19 crisis,and the total TAF score was[5.00(3.00,8.00)]points.The cognition of reasonable work arrangement,physical condition and self-assessed risk of infection were the influencing factors(P<0.05).CONCLUSIONS Both the anxiety level of the community nurses and the damage degree on assessment of classification of crisis interventions are at mild levels under the public health emergencies.No conflict between family and work,good physical condition,low risk of self-assessed infection and reasonable work arrangement are the protective factors.

关 键 词：突发公共卫生事件 社区护士 焦虑 危机干预分类评估 影响因素 

分 类 号：R192[医药卫生—卫生事业管理]