Association Between COVID-19 Anxiety, Psychological Distress, and Decision-making Styles in Nurses of a Selected Hospital in Yazd Province, Iran

Rohollah Fallah Madvari, Mohadeseh Bagheshahi, Reyhane Sefidkar, Ali Dehghani Ahmad Abad, Mahdi Jafari Nodoushan, Alireza Fallah Madvari
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Abstract

Background and aims: During the COVID-19 pandemic, nursing was known as a stressful occupation. This high work pressure and stress can make nurses susceptible to psychological consequences. The state of mental health of nurses can be effectively related to their job performance. This study aimed to investigate the relationship between COVID-19 anxiety, psychological distress, and general decision-making styles in nurses. Methods: This cross-sectional study was conducted in a selected hospital in Yazd province in 2022. An available sampling method was used in this research, and 100 nurses were included in the study. Corona Disease Anxiety Scale, Kessler’s Questionnaire (K10), and Scott, and Bruce’s decision-making styles questionnaire were employed to collect data. The obtained data were analyzed using Mann-Whitney and correlation test in SPSS-24. Results: Based on the results, a positive relationship was found between COVID-19 anxiety and psychological distress (P=0.05, r=0.19). In this study, a positive correlation was observed between COVID-19 anxiety in nurses and spontaneous (P=0.008) and dependent (P<0.001) decision-making styles. Eventually, psychological distress was significantly correlated with avoidant (P=0.005) and dependent (P=0.005) decision-making styles. Conclusion: Considering the importance of mental health and nurses’ job performance, it is recommended that measures should be taken to reduce anxiety and improve their mental health. Holding mental health training workshops and increasing social and organizational support can also be effective in this regard.
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伊朗亚兹德省某医院护士COVID-19焦虑、心理困扰和决策方式之间的关系
背景和目的:在2019冠状病毒病大流行期间,护理被认为是一项压力很大的职业。这种高工作压力和压力会使护士容易产生心理后果。护士的心理健康状况与工作绩效有显著的关系。本研究旨在探讨护士新冠肺炎焦虑、心理困扰与一般决策方式的关系。方法:本横断面研究于2022年在亚兹德省的一家医院进行。本研究采用有效的抽样方法,共纳入100名护士。采用冠状疾病焦虑量表、Kessler问卷(K10)和Scott、Bruce决策风格问卷收集数据。采用SPSS-24的Mann-Whitney检验和相关检验对所得数据进行分析。结果:新冠肺炎焦虑与心理困扰呈正相关(P=0.05, r=0.19)。在本研究中,护士的COVID-19焦虑与自发(P=0.008)和依赖(P= 0.001)决策风格呈正相关。最终,心理困扰与回避型(P=0.005)和依赖型(P=0.005)决策风格显著相关。结论:考虑到心理健康对护士工作绩效的重要性,建议采取措施减少护士的焦虑,提高护士的心理健康水平。在这方面,举办心理健康培训讲习班和增加社会和组织的支持也是有效的。
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