新冠肺炎疫情下发热门诊护理人员急性应激障碍的影响因素

Influencing factors of acute stress disorder among nursing staff in fever clinic under COVID-19

目的通过对三甲医院发热门诊护理人员的调查,了解新型冠状病毒肺炎(新冠肺炎)感染及疑似感染患者收治医院的发热门诊护士急性应激障碍(ASD)情况,分析其影响因素。方法选取2019年1月1日至2021年1月1日海南省海口市四家新冠肺炎定点收治医院的发热门诊护士作为研究对象。采用一般资料调查表、斯坦福急性应激反应问卷(SASRQ)、心理弹性量表、简易应对方式量表对其217位发热门诊的护士进行调查。结果SASRQ总分(36.71±20.27)分。在单因素分析中,年龄、婚姻状况、生育情况、学历、工作年限在不同ASD风险组间差异有统计学意义(P<0.01,P<0.05)。Spearman相关分析显示,心理弹性及各维度与SASRQ总分及各维度成负相关(P<0.05),消极应对与SASRQ总分及各维度成正相关(P<0.01),积极应对与SASRQ总分及各维度大部成负相关(P<0.05,P<0.01)。结论发热门诊护士存在较明显的急性应激反应症状,与心理弹性水平及消极应对方式相关。

Objective Through a survey of the nurses in the fever clinic in level-A tertiary hospital,to understand the acute stress disorder(ASD)of the nurses in the fever clinic of the patients with COVID-19 infection and suspected infection,and to analyze the influencing factors.Methods From January 1,2019 to January 1,2021,the fever clinic nurses in four designated hospitals for COVID-19 in Haikou City,Hainan Province were selected as the research objects.General information questionnaire,Stanford acute stress response questionnaire(SASRQ),Connor Davidson resilience scale and simple coping style scale were used to investigate 217 nurses in fever clinic.Results The total score of SASRQ was 36.71±20.27.In the univariate factor analysis,age,marital status,fertility,education and working years were statistically significant among different ASD groups(P<0.01,P<0.05).Spearman correlation analysis showed that psychological resilience and each dimension were negatively correlated with the total score and each dimension of SASRQ(P<0.05),negative coping was positively correlated with the total score and each dimension of SASRQ(P<0.01),and positive coping was negatively correlated with most of the total score and each dimension of SASRQ(P<0.05,P<0.01).Conclusion Fever outpatient nurses have obvious acute stress response symptoms,which are related to the level of resilience and negative coping styles.