汛情疫情重叠期间一线护理人员心理状况的混合研究
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女,硕士在读,学生

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河南省中医药文化与管理研究项目(TCM2019017)


Mental status of front-line nurses during dual disasters of flooding and COVID-19: a mixed study
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    目的 了解郑州市汛情疫情期间救援防控一线护理人员的心理状况,为针对性干预提供参考。 方法 采用一般资料调查表、广泛性焦虑障碍量表、心理困扰量表、心理资本量表对参与汛情疫情救援防控的206名护士进行调查;同时选取其中10名进行一对一深入访谈,了解其心理感受。 结果 206名护士焦虑总分为5(4,7)分,心理困扰总分24.27±6.58,心理资本总分79.84±13.62;心理资本与心理困扰呈负相关(r=-0.678,P<0.01),焦虑与心理困扰呈正相关(r=0.602,P<0.01);最小子女年龄、工作年限、救援经历、心理资本及焦虑是护理人员心理困扰的影响因素(调整R2=0.618,P<0.05,P<0.01)。质性研究提炼出缺乏经验、知识储备不足,工作负荷大,对亲人的担忧,缺乏心理疏导、社会支持具有积极影响5个主题。 结论 参与汛情疫情救援防控的一线护士存在不同程度的心理困扰,受多种因素影响;医院管理者应加以重视,加强灾害专题培训、完善心理辅导方案,以提升护士灾害应对能力与心理健康水平。

    Abstract:

    Objective To investigate mental status of front-line nurses in Zhengzhou city during dual disasters of flooding and COVID-19 and to provide reference for targeted intervention. Methods A total of 206 nurses who participated in flood disaster and COVID-19 rescue and prevention were surveyed by utilizing a general information questionnaire, the Generalized Anxiety Disorder 7-item, the Kessler Psychological Distress Scale and the Psychological Capital Questionnaire.And 10 of them received one-on-one in-depth interview to express their feelings. Results The median score of generalized anxiety disorder was 5(4,7).The total score of psychological distress and psychological capital was (24.27±6.58) and (79.84±13.62) respectively. Psychological capital was negatively correlated with psychological distress (r= -0.678,P<0.01), whereas anxiety was positively correlated with psychological distress (r= 0.602,P<0.01).The age of the youngest child, work length, anti-disaster and anti-epidemic experience, psycholo-gical capital and anxiety were the influencing factors of psychological distress (adjusted R2=0.618,P<0.05,P<0.01).Five themes were identified in the qualitative research: lack of experience and insufficient knowledge, heavy workload, concerns about relatives, lack of psychological counseling and social support. Conclusion The front-line anti-disaster and anti-epidemic nurses have different degrees of psychological distress during dual disasters of flooding and COVID-19, which is affected by many factors. Hospital managers should pay attention to the issue, strengthen disaster preparedness training and improve psychological counseling programs, so as to improve nurses′ disaster response ability and mental health.

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吴亚琪,江啸,刘雪琴,张颖,刘晓辉.汛情疫情重叠期间一线护理人员心理状况的混合研究[J].护理学杂志,2022,37(3):69-73

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  • 收稿日期:2021-09-02
  • 最后修改日期:2021-10-27
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  • 在线发布日期: 2023-08-28