新冠肺炎疫情第一波和第二波期间意大利护士的倦怠水平:试点队列数据比较

Psych Pub Date : 2022-12-12 DOI:10.3390/psych4040070
E. Vitale
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摘要

(1) 背景:在新冠肺炎爆发期间,护士表现出与身体困难相关的更高的心理压力。比较在第一波和第二波疫情期间,从事新冠肺炎患者一线工作的护士的倦怠水平。(2) 方法:借助谷歌模块功能,进行了两次队列在线调查:第一次调查于2020年3月至2020年4月进行,第二次调查包括相同的问卷,于2020年9月至2020月进行。(3) 结果:情绪耗竭亚维度存在显著差异(p<0.001):第一波组的情绪耗竭水平高于第二波组。而关于人格解体维度的值,第二波组报告的值显著高于第一波组(p=0.006)。个人成就子维度没有显著差异(p=0.008)。考虑到性别变量,个人成就子维报告的值存在显著差异,在第二波中,女性的个人成就水平较低,而男性在同一子维度上的成就水平明显高于第一波(p=0.012);而根据多年的工作经验,在第一波和第二波期间,倦怠子维度没有统计学上的显著差异。(4) 结论:新冠肺炎大流行对世界各地的护士来说是一个重要的挑衅,同时也是一个教训,可以改进后续浪潮的更好方法。可以采取几种干预措施来缓解新冠肺炎大流行对护士的心理健康影响。
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Burnout Levels in Italian Nurses during the First and the Second Wave in the COVID-19 Outbreak: A Pilot Cohort-Data Comparison
(1) Background: Nurses show higher psychological distress associated with physical difficulties during the COVID-19 outbreak. To compare burnout levels among nurses engaged in the front line of patients with COVID-19 during the first wave and the second wave of the pandemic. (2) Methods: Two cohort online surveys were conducted thanks to the Google Modules function: the first one was administered from March 2020 to April 2020 and the second survey, which included the same questionnaire, was administered from September 2020 to October 2020. (3) Results: There were significant differences in the emotional exhaustion sub dimension (p < 0.001): The first wave group recorded higher levels than the second wave one. While, as regards to the values of the dimension of the depersonalization, the second wave group reported significantly higher values than the first wave group (p = 0.006). No significant difference was recorded for the personal accomplishment sub dimension (p = 0.108). By considering the gender variable, significant difference was reported in personal accomplishment sub dimension, as during the second wave, females recorded lower levels in personal accomplishment while males reported significantly higher levels in the same sub dimension than the first wave (p = 0.012); while no statistically significant differences were reported in burnout sub dimensions during the first and the second waves according to years of work experience. (4) Conclusions: The COVID-19 pandemic represents an important provocation for nurses all around the world and, at the same time, constitutes a learning lesson to improve better approaches for the subsequent waves. Several interventions could be introduced to moderate the mental health influence of the COVID-19 pandemic on nurses.
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