新型冠状病毒肺炎疫情下护士焦虑程度及其与应激感受程度和应对方式的相关性

Nurses’Anxiety Degree and Its Correlation with Perceived Stress and Coping Style During the Prevention and Control of Coronavirus Disease 2019

目的了解新型冠状病毒肺炎疫情下护士焦虑程度,探讨其与应激感受程度和应对方式的相关性。方法选择河南省郑州市某三级新型冠状病毒肺炎定点医院隔离病房护士和普通病房护士进行问卷调查,包括焦虑自评量表(SAS)、应激感受量表(PSS-10)和简易应对方式问卷。比较隔离病房与普通病房护士焦虑程度、应激感受程度,分析焦虑与应激感受程度的相关性,分析应对方式对焦虑程度的影响。结果共回收223份有效问卷,隔离病房组87份,普通病房组136份。隔离病房组护士SAS得分为(53.67±12.32)分,普通病房组护士SAS得分为(48.87±7.89)分,隔离病房组护士SAS得分高于普通病房组(P<0.05)。隔离病房组护士PSS-10得分为(29.91±4.57)分,普通病房组护士得分为(28.05±4.94)分,隔离病房组护士PSS-10得分高于普通病房组(P<0.05)。两组护士SAS得分为(50.63±10.11)分,PSS-10得分为(28.78±4.87)分,SAS得分与PSS-10得分呈正相关(r=0.274,P<0.001)。隔离病房组积极应对型和消极应对型护士SAS得分分别为(49.39±11.65)、(57.48±11.74)分,普通病房组积极应对型和消极应对型护士SAS得分分别为(46.45±6.95)、(51.16±8.08)分。两组积极应对型护士SAS得分均低于消极应对型(均P<0.05)。结论新型冠状病毒肺炎疫情下,护士焦虑和应激感受程度较高,隔离病房护士焦虑和应激感受程度高于普通病房护士,应激感受程度与焦虑程度呈正相关,积极应对型护士焦虑程度更低。

Objective To understand the nurses’anxiety degree and its correlation with perceived stress and coping style during the prevention and control of coronavirus disease 2019(COVID-19).Methods Nurses in isolation ward and general ward of a third-level designated hospital in Zhengzhou were selected for the questionnaire survey,which included self-rating anxiety scale(SAS),perceived stress scale-10(PSS-10)and simple coping style questionnaire.The degree of anxiety and perceived stress of nurses in isolation ward and general ward were compared.The correlation between degree of anxiety and perceived stress was analyzed.The impact of coping style on anxiety was analyzed.Results A total of 223 valid questionnaires were collected,87 from isolation ward group and 136 from general ward group.The SAS scores of nurses in isolation ward group and general ward group were(53.67±12.32)and(48.87±7.89)points,respectively.The SAS score in isolation ward group was higher than that in general ward group(P<0.05).The PSS-10 scores in isolation ward group and general ward group were(29.91±4.57)and(28.05±4.94)points,respectively.The PSS-10 score in isolation ward group was higher than that in general ward group(P<0.05).The SAS score of the two groups of nurses was(50.63±10.11)points,and the PSS-10 score was(28.78±4.87)points.SAS score was positively correlated with PSS-10 score(r=0.274,P<0.001).The SAS scores of the positive coping and negative coping nurses in isolation ward group were(49.39±11.65)and(57.48±11.74)points,respectively.The SAS scores of positive coping and negative coping nurses in general ward group were(46.45±6.95)and(51.16±8.08)points,respectively.The SAS scores of the two groups of positive coping nurses were both lower than those of the negative coping type(both P<0.05).Conclusion During the prevention and control of COVID-19,nurses have a higher degree of anxiety and perceived stress,and the degree of anxiety and perceived stress of nurses in isolation wards are higher than those of nurses in general wards.The degree of perceived stress is positively correlated with the degree of anxiety.The level of anxiety among actively coping nurses is lower.