新冠肺炎疫情下临床一线护士躯体化症状的现况调查及危险因素分析

Investigation on somatization symptoms of clinical front-line nurses and analysis of risk factors under COVID-19 epidemic situation

目的:探讨新冠肺炎疫情下临床一线护士的躯体化症状,并对危险因素进行分析。方法:本研究采取整群抽样的方式,于2020年2月28日至3月10日通过网络问卷对本院抗击新冠肺炎临床一线工作的护士进行调查,采用一般情况调查问卷及健康问卷躯体症状群量表(PHQ-15)对一线工作的护士的躯体化症状进行评估,并对引起躯体化症状的危险因素进行分析。结果:本研究调查对象220人,有效问卷220人,有效率100%,其中73.6%的一线护士存在不同程度的躯体化症状,主要为疼痛、睡眠障碍、疲乏感等。一线护士PHQ-15评分与性别、一线工作时间等呈正相关(P均<0.05),与居住状态呈负相关(P<0.01)。Logistic回归分析发现女性、在临床一线工作的时长以及每天工作时长是躯体化症状的的危险因素(P均<0.05)。结论:在新冠肺炎临床一线工作的护士多存在不同程度的躯体化症状,以躯体疼痛和睡眠障碍为主。女性护士、每天工作时间越长、在一线工作时间越久,躯体化症状会越严重。

Objective:To investigate the status of somatization symptoms of clinical front-line nurses under novel coronavirus disease 2019(COVID-19)epidemic and analyze the risk factors.Method:This study adopted the method of cluster sampling and investigated the clinical nurses who fought against COVID-19 in front-line in our hospital by online questionnaire from February 28,2020 to March 10,2020.General condition questionnaire and Patient Health Questionnaire-15(PHQ-15)were used to evaluate the somatization symptoms of nurses in front-line work,and the risk factors of somatization symptoms were analyzed.Results:220 subjects and 220 valid questionnaires were investigated in this study,with an effective rate of 100%.Among them,73.6%of the front-line nurses had varying degrees of somatization symptoms,mainly pain,sleep disorders,fatigue and so on.The PHQ-15 scores of front-line nurses were positively correlated with gender and working time(both P<0.05),and negatively correlated with living status(P<0.01).Further Logistic regression analysis showed that female,long working time in clinical front-line and daily working hours were the risk factors of somatization symptoms(all P<0.05).Conclusion:Most of the nurses working in the clinical front-line of COVID-19 have different degrees of somatization symptoms,mainly body pain and sleep disorders.The longer the female nurses work every day and the longer they work in the front line,the more serious somatization symptoms would be.