COVID-19疫情期间支持护士心理健康状况及工作量的影响因素

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International journal of occupational medicine and environmental health Pub Date : 2023-12-15 Epub Date: 2023-11-30 DOI:10.13075/ijomeh.1896.02155
Zhen-Juan Dai, Shen-Ting Xu, Fang-Ying Xue, Jian-Ying Zhou, Jian-Qin Chen, Xue-Min Wang
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引用次数: 0

摘要

目的:采用nasa任务负荷指数(NASA-TLX)和一般健康问卷,分析新型冠状病毒肺炎疫情期间保障护士心理健康状况和工作量的影响因素。材料与方法:作者于2022年4 - 10月对349名支持护士进行横断面调查。利用强大的在线调查工具QuestionStar对参与者进行问卷调查,收集支持护士的心理健康状况和工作量数据,并根据收集到的数据分析影响因素。结果:共回收问卷316份,有效回收率为98.75%。支持护士有心理健康问题的比例为25%,NASA-TLX问卷值为:M±SD(68.91±7.28)分。多因素分析显示,子女数量、家庭支持和护理支持地点是影响心理健康状况的因素,多因素分析显示,症状存在、护理支持地点、支持工作类型和12项一般健康问卷(GHQ-12)总分是影响支持护士工作量的因素。结论:与平原地区的护士相比,在偏远高原地区工作的护士在照顾儿童和缺乏家庭支持的情况下,更容易出现心理健康问题。研究参与者GHQ-12的变化与NASA-TLX评分之间存在正相关。与平原和热带地区相比,高原地区护士的工作量更大。做好对支持护士的心理健康评估、咨询和治疗工作,是防控受新冠肺炎疫情影响患者的后续措施之一,是保障一线支持工作高质量的重要保障。中华医学杂志,2009;36(6)。
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Factors influencing the mental health status of support nurses and their workload during the COVID-19 epidemic.

Objectives: The authors used the National Aeronautics and Space Administration Task Load Index (NASA-TLX) and general health questionnaire to analyze the factors influencing the mental health status and the workload of support nurses during the COVID-19 epidemic.

Material and methods: The authors conducted a cross-sectional survey of 349 support nurses in April-October 2022. Using QuestionStar, a powerful online survey tool, the authors administered surveys to the participants, collected data on the mental health status and workload of support nurses, and analyzed the influencing factors based on the collected data.

Results: A total of 316 questionnaires were successfully collected, with an effective rate of 98.75%. The proportion of support nurses with mental health problems was 25% and the value of the NASA-TLX questionnaire was: M±SD 68.91±7.28 pts. Multi-factor analysis revealed that the number of children, family support, and nursing support location were the influencing factors of mental health status, while the multivariate analysis revealed that the presence of symptoms, nursing support location, support work type, and total 12-item General Health Questionnaire (GHQ-12) score were the influencing factors of the workload of support nurses.

Conclusions: Compared to their counterparts in the plains, nurses working in isolated plateau regions who were caring for children and lacked family support, were more likely to have mental health issues. There was a positive correlation between the changes in GHQ-12 and NASA-TLX scores of the study participants. Compared to their counterparts in the plains and the tropical regions, nurses working in plateau regions had a heavier workload. As part of the follow-up measures to prevent and treat patients impacted by the COVID-19 epidemic, it is important to improve the mental health evaluation, consultation, and treatment of the support nurses to guarantee the high quality of the first-line support work. Int J Occup Med Environ Health. 2023;36(6)761-72.

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来源期刊
CiteScore
3.40
自引率
5.00%
发文量
52
审稿时长
7.5 months
期刊介绍: The Journal is dedicated to present the contemporary research in occupational and environmental health from all over the world. It publishes works concerning: occupational and environmental: medicine, epidemiology, hygiene and toxicology; work physiology and ergonomics, musculoskeletal problems; psychosocial factors at work, work-related mental problems, aging, work ability and return to work; working hours, shift work; reproductive factors and endocrine disruptors; radiation, ionizing and non-ionizing health effects; agricultural hazards; work safety and injury and occupational health service; climate change and its effects on health; omics, genetics and epigenetics in occupational and environmental health; health effects of exposure to nanoparticles and nanotechnology products; human biomarkers in occupational and environmental health, intervention studies, clinical sciences’ achievements with potential to improve occupational and environmental health.
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