新型冠状病毒肺炎疫情期间武汉市一线护士焦虑现状及其影响因素分析

Analysis on anxiety status and its influencing factors of first-line nurses in Wuhan during COVID-19 epidemic

目的:了解新型冠状病毒肺炎(COVID-19)疫情期间武汉市一线护士焦虑状况及影响因素,为制定针对性的心理干预方案提供参考依据。方法:采用横断面调查法,于2020年3月3日至10日采用广泛性焦虑量表(GAD-7)通过问卷星网络调查武汉市1933名一线护士的焦虑情况,采用Logistic回归分析焦虑状况的影响因素。结果:武汉市一线护士焦虑发生率为41.2%(796/1933)。是否患有慢性病、是否感染新型冠状病毒、是否直接参与COVID-19患者抢救、有无职业暴露、有无经历过SARS或MERS等疫情、感知压力状况的武汉市一线护士在焦虑方面的差异有统计学意义(P<0.05);多因素分析结果显示,高压力(OR=8.124,95%CI:6.547~10.080)、经历过SARS或MERS等疫情(OR=1.615,95%CI:1.067~2.443)、感染过新型冠状病毒(OR=2.257,95%CI:1.265~4.027)、职业暴露(OR=1.905,95%CI:1.383~2.624)、参与过COVID-19患者抢救(OR=1.487,95%CI:1.202~1.840)、患有慢性病(OR=2.287,95%CI:1.550~3.374)是武汉市一线护士焦虑症状的影响因素。结论:武汉市一线护士焦虑症状问题严重,应重点关注高压力、经历过SARS或MERS等疫情、感染过新型冠状病毒、职业暴露、参与过COVID-19患者抢救、患有慢性病的人群。

Objective:To investigate the anxiety status and its influencing factors of first-line nurses in Wuhan during the COVID-19 epidemic,so as to provide reference for the development of targeted psychological intervention programs.Methods:A cross-sectional survey was conducted from March 3 to 10,2020,and the Generalized Anxiety Scale(GAD 7)was used to investigate the anxiety status of 1933 nurses in Wuhan through the questionnaire star network.Logistic regression was used to analyze the influencing factors of anxiety status of first-line nurses in Wuhan.Results:The incidence of anxiety among first-line nurses in Wuhan was 41.2%(796/1933).The univariable analysis of anxiety showed that chronic diseases,SARS-CoV-2 infection,direct participation in the rescue of COVID-19 patients,occupational exposure,experience of SARS or MERS,and perceived stress were statistically significant(P<0.05).Multivariable analysis showed that high stress(OR=8.124,95%CI:6.547-10.080),experienced SARS or MERS(OR=1.615,95%CI:1.067-2.443),infection with SARS-CoV-2(OR=2.257,95%CI:1.265-4.027),occupational exposure(OR=1.905,95%CI:1.383-2.624),and participation in rescue of COVID-19 patients(OR=1.487,95%CI:1.202-1.840)and chronic diseases(OR=2.287,95%CI:1.550-3.374)were influencing factors of anxiety symptoms among first-line nurses in Wuhan.Conclusion:The anxiety symptoms of first-line nurses in Wuhan are serious,nurses with those risk factors should be the focus of attention.