Fear of COVID-19, Stress and Coping Strategies among Nurses during the COVID-19 Pandemic's Second Wave: A Quasi-Intervention Study.

Q2 Medicine Clinical Practice and Epidemiology in Mental Health Pub Date : 2023-12-21 eCollection Date: 2023-01-01 DOI:10.2174/18740179-v18-e221221-2022-2

Doaa I Omar, Samar A Amer, Abeer E Abdelmaksoud

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Abstract

Background: The COVID-19 pandemic and its related consequences caused a higher risk of mental health problems for nurses. Hence, this study aims to reduce the level of fear and stress related to the COVID-19 pandemic and promote active coping among Egyptian nurses.

Methods: This quasi-intervention study was conducted on 125 nurses working at Benha's University hospitals, who were selected by a systematic random sampling technique within the time interval of March 2021 to July 2021. The study was conducted using the fear of COVID-19 scale, the stress scale of depression, anxiety and stress scales, and the Brief (COPE) inventory scale.

Results: The mean ages of the studied nurses were 36.70 ± 9.50. Almost half of the studied nurses were males and married. Before the intervention, 47.2% of nurses had severe stress levels while 82.4% had a high level of fear of COVID-19. Experience years, type of department, and worries about vaccine side effects were the predictors of the fear of COVID-19. A significant difference (p = .000) was found between both mean stress and fear scores pre-intervention (15.27 ± 5.47 and 25.56 ± 6.13) and post-intervention (4.87 ± 2.14 and 11.92 ± 2.43). The most prevalent coping strategies among nurses before the intervention were self-distraction (5.03 ± 1.53), followed by behavioral disengagement and self-blaming. However, after the intervention, religion was found to be the utmost coping mechanism (6.12 ± 1.17), followed by positive reframing and acceptance.

Conclusion: The majority of the nurses in the study reported a significant fear of COVID-19, and around half of the nurses had severe stress as a result. After the intervention, the stress and fear scores were reduced by half or even less. Age, longer work experience, and worries about the vaccine were the predictors of fear of COVID-19. The coping strategies used after the intervention shifted toward active coping strategies. Clinical Trial Registration Number: 10-11-008-701.

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COVID-19大流行第二波期间护士对COVID-19的恐惧、压力和应对策略：准干预研究》。

背景：COVID-19 大流行及其相关后果导致护士面临更高的心理健康问题风险。因此，本研究旨在降低埃及护士对 COVID-19 大流行的恐惧和压力水平，并促进其积极应对：这项准干预研究以 125 名在本哈大学医院工作的护士为对象，在 2021 年 3 月至 2021 年 7 月期间通过系统随机抽样技术选出。研究采用了 COVID-19 恐惧量表、抑郁压力量表、焦虑压力量表和简明（COPE）量表：研究护士的平均年龄为（36.70 ± 9.50）岁。近一半的受试护士为已婚男性。干预前，47.2%的护士有严重的压力水平，82.4%的护士对 COVID-19 有高度恐惧。工作年限、科室类型和对疫苗副作用的担忧是预测护士对 COVID-19 产生恐惧的因素。干预前（15.27 ± 5.47 和 25.56 ± 6.13）和干预后（4.87 ± 2.14 和 11.92 ± 2.43）的平均压力和恐惧得分之间存在明显差异（p = 0.000）。干预前，护士们最普遍的应对策略是自我分散（5.03 ± 1.53），其次是行为脱离和自责。然而，干预后发现，宗教信仰是最主要的应对机制（6.12 ± 1.17），其次是积极重塑和接受：结论：研究中的大多数护士都表示对 COVID-19 有严重的恐惧感，约有一半的护士因此产生了严重的压力。干预后，压力和恐惧得分减少了一半甚至更少。年龄、较长的工作经验和对疫苗的担忧是预测对 COVID-19 产生恐惧的因素。干预后使用的应对策略转向了积极应对策略。临床试验注册号：10-11-008-701。

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来源期刊

Clinical Practice and Epidemiology in Mental Health Medicine-Psychiatry and Mental Health

CiteScore

5.30

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0.00%

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期刊介绍： Clinical Practice & Epidemiology in Mental Health is an open access online journal, which publishes Research articles, Reviews, Letters in all areas of clinical practice and epidemiology in mental health covering the following topics: Clinical and epidemiological research in psychiatry and mental health; diagnosis, prognosis and treatment of mental health conditions; and frequencies and determinants of mental health conditions in the community and the populations at risk; research and economic aspects of psychiatry, with special attention given to manuscripts presenting new results and methods in the area; and clinical epidemiologic investigation of pharmaceutical agents. Clinical Practice & Epidemiology in Mental Health, a peer reviewed journal, aims to provide the most complete and reliable source of information on current developments in the field. The emphasis will be on publishing quality articles rapidly and freely available worldwide.