某三甲医院护士面对新型冠状病毒肺炎的心理状况调查分析

Investigation and analysis of the psychological status of the nurses in a tertiary A hospital facing corona virus disease 2019

目的了解某三甲医院护士面对新型冠状病毒肺炎的心理状况,以给予有效的心理及社会干预。方法抽取绵阳市中心医院867例护士,采取一般资料问卷、焦虑自评量表(SAS)、危机干预分类评估量表(TAF)进行自评问卷调查,并分析结果。结果该院38.8%护士自测被感染风险低,18.0%为中等风险,29.6%为中高风险,13.6%为高风险;SAS得分与中国常模比较,差异有统计学意义(P<0.05);TAF得分与非典时期实习护士的危机反应程度比较,差异有统计学意义(P<0.05)。多数护士在对新型冠状病毒肺炎疫情的危机反应较轻,在认知、情感和行为上轻度损害人数占80.7%,重度损害人数仅占2.0%。科室、自测被感染风险、工龄对护士SAS、TAF得分有影响,差异具有统计学意义(P<0.05)。结论新型冠状病毒肺炎流行期间,中年资、重点防疫科室、自测感染风险高的护士在心理变化上可能更易产生焦虑及危机反应,应该重点给予适当、及时的心理干预。

Objective To investigate the psychological status of clinical nurses in a tertiary A hospital facing corona virus disease 2019,in order to provide effective psychological and social intervention.Methods A total of 867 clinical nurses was selected from the Mianyang Central Hospital.The general information questionnaire,standard self-assessment anxiety scale(SAS)and crisis intervention classification assessment scale(TAF)were used to conduct self-assessment questionnaire survey,and the data were analyzed.Results 38.8%of the nurses had a low risk of infection,18.0%of whom had a medium risk,29.6%had a medium high risk,and 13.6%had a high risk.SAS score of the nurses in this hospital were statistically significant different,compared with the Chinese norm value(P<0.05).The difference between TAF score and the degree of crisis response of nursing students in SARS period was statistically significant(P<0.05).The majority of clinical nurses had less crisis response to corona virus disease 2019,with 80.7%of them suffered mild cognitive,emotional and behavioral damage,and only 2.0%suffered severe damage.Analysis of related factors showed that department,self-test risk of infection,length of service had significant influence on SAS and TAF scores of clinical nurses(P<0.05).Conclusion During the period of corona virus disease 2019 prevalence,no obvious anxiety and crisis reaction among clinical nurses is found in the third grade hospital.However,the psychological changes of clinical nurses with middle-age,from key epidemic prevention departments and in high risk of self-test infection are more likely to produce anxiety and crisis reaction.Therefore,appropriate and timely psychological intervention should be given.