新型冠状病毒肺炎疫情期间护士焦虑状况及相关因素调查

目的调查新型冠状病毒肺炎疫情期间护士的焦虑情绪及影响因素,为对其给予心理支持提供参考。方法采用方便取样方法,于2020年1月29日-2月5日通过电子问卷的形式对2 104名护士进行调查。采用自制调查表收集护士的一般资料,使用广泛性焦虑障碍量表(GAD-7)评估其焦虑症状。结果 GAD-7评分总体情况:无焦虑症状1 186人(56. 4%),轻度665人(31. 6%),中度149人(7. 1%),重度104人(4. 9%)。不同婚姻状况、工作年限、工作省份(是否在湖北省)、是否在新型冠状病毒肺炎专门收治病房工作和是否曾接受心理调适的护士GAD-7评分差异均有统计学意义(P均<0. 01)。回归分析显示,婚姻状况(β=0. 597,95%CI:0. 156~1. 038,P<0. 01)、工作省份(是否在湖北省)(β=3. 119,95%CI:1. 967~4. 272,P<0. 05)和曾接受过心理调适(β=0. 508,95%CI:0. 083~0. 934,P<0. 05)是影响GAD-7评分的因素。结论新型冠状病毒肺炎疫情期间,护士群体普遍出现不同程度的焦虑情绪,尤其应关注已婚、在疫情爆发地区工作以及曾经接受过心理调适的易感个体。

Investigation on nurses' anxiety status and influencing factors during the outbreak of COVID-19

Objective To investigate the anxiety status and its influencing factors of nurses during the outbreak of COVID-19,and to provide reference for psychological support.Methods From January 29,2020 to February 5,2020,2 104 nurses were enrolled by convenience sampling,and were surveyed through electronic questionnaires.General information of nurses was collected using a self-designed questionnaire,and anxiety symptoms were assessed using the Generalized Anxiety Disorder-7(GAD-7).Results GAD-7 scale showed that 1 186(56.4%) subjects had no anxiety symptoms,while anxiety symptoms were mild in 665 cases(31.6%),moderate in 149 cases(7.1%),and severe in 104 cases(4.9%).GAD-7 scores among nurses with different marital status,working years,working places(whether in Hubei or not),wards(isolation ward or general ward) and psychological adjustment(presence or absence) had significant difference(P<0.01).Linear regression analysis indicated that marital status(β=0.597,95% CI:0.156-1.038,P<0.01),working places(whether in Hubei or not)(β=3.119,95% CI:1.967~4.272,P<0.05),and psychological adjustment(β=0.508,95% CI:0.083-0.934,P<0.05) were influencing factors of GAD-7 score.Conclusion Nurses have various degrees of anxiety during the outbreak of COVID-19,and the susceptible individuals include those who are married,work in epidemic area and have psychological adjustment.