新型冠状病毒肺炎疫情下感染科隔离病房护士心理健康、负面情绪和应对方式现状及相关性研究

Psychological Health,Negative Emotion and Coping Strategies and Their Correlation of the Nurses Working Against Corona Virus Disease 2019 in the Isolated Wards of the Infectious Disease Department

目的分析新型冠状病毒肺炎疫情下感染科隔离病房护士心理健康、负面情绪和应对方式的现状并探讨其相关性。方法采用一般资料调查表、中文健康问卷、抑郁-焦虑-应激问卷和特质应对方式问卷对在洛阳市集中收治新型冠状病毒肺炎的感染科隔离病房工作的90名一线护士进行横断面调查,采用Pearson相关分析法推断其心理健康状况、负面情绪与应对方式的相关性。结果心理健康状况评分为(18.42±4.25)分,其中中文健康问卷(CHQ-12)≥12分者61人(87.1%),抑郁、焦虑、压力分别有17人(18.9%)、44人(48.9%)、14人(15.6%);积极应对(PC)评分为(35.31±5.72)分,消极应对(NC)评分为(26.44±5.35)分。CHQ、焦虑-抑郁-应激量表(DASS-21)评分与NC得分呈正相关(r 1=0.385、r 2=0.513、r 3=0.493、r 4=0.607,P<0.001),CHQ、DASS-21评分与PC得分呈负相关(r 1=-0.425、r 2=-0.375、r 3=-0.435、r 4=-0.504,P<0.001)。结论新型冠状病毒肺炎疫情下感染科隔离病房护士的心理状况较差,负面情绪检出率高,应对方式与其心理状况、负面情绪显著相关,建议医院护理管理者加强对护士应对方式的训练,给予一定的心理疏导,以提高一线护士的心理健康水平。

Objective To explore the current situation of psychological health,negative emotion and coping strategies of the nurses working against corona virus disease 2019(COVID-19)in the isolated wards of the infectious disease department and analyze their correlation.Methods General information questionnaire,Chinese health questionnaire,the depression anxiety stress scale and trait coping strategy questionnaire were used to carry out a cross-sectional study to investigate the 90 nurses who worked in the isolation wards of infectious disease department for centralized treatment of COVID-19 in Luoyang City.Pearson correlation analysis was used to infer the relationships between the psychological health,negative emotion and coping strategies.Results The average score of general psychological health was 18.42±4.25.The number of nurses whose Chinese health questionnaire-12(CHQ-12)were greater than or equal to 12 ponits was 61(87.1%).There were 17(18.9%),44(48.9%),14(15.6%)nurses who had depression,anxiety and stress,respectively.The average score of positive coping(PC)was 35.31±5.72,and the average score of negative coping(NC)was 26.44±5.35.The score of NC was positively correlated with CHQ and the depression anxiety stress scale-21(DASS-21)(r 1=0.385,r 2=0.513,r 3=0.493,r 4=0.607,P<0.001).The score of PC was negatively correlated with CHQ and DASS-21(r 1=-0.425,r 2=-0.375,r 3=-0.435,r 4=-0.504,P<0.001).Conclusion The psychological status of the nurses fighting against COVID-19 in the isolated wards of the infectious disease department was relatively poor,and the detection rate of negative emotions is high.The coping style is significantly related to their psychological status and negative emotions.It is suggested that the nursing managers of the hospital should strengthen the training of coping style of the nurses and provide some psychological intervention for them to improve the mental health of nurses working in the first-line.