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中华诊断学电子杂志 ›› 2020, Vol. 08 ›› Issue (03) : 198 -202. doi: 10.3877/cma.j.issn.2095-655X.2020.03.011

所属专题: 文献

新型冠状病毒肺炎

新型冠状病毒肺炎疫情期间急诊一线护士应对方式、领悟社会支持及心理健康的关系
苏湘芬1, 刘荣1,(), 关文洁1, 聂岸柳1   
  1. 1. 510120 广州医科大学附属第一医院急诊科
  • 收稿日期:2020-05-29 出版日期:2020-08-26
  • 通信作者: 刘荣
  • 基金资助:
    广州医科大学附属第一医院2019年教学类培育项目(2019Z08)

The relationship between coping style, perceived social support and psychological health among emergency frontline nurses during Corona Virus Disease 2019 outbreak

Xiangfen Su1, Rong Liu1,(), Wenjie Guan1, Anliu Nie1   

  1. 1. Department of Emergency, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China
  • Received:2020-05-29 Published:2020-08-26
  • Corresponding author: Rong Liu
  • About author:
    Corresponding author: Liu Rong, Email:
引用本文:

苏湘芬, 刘荣, 关文洁, 聂岸柳. 新型冠状病毒肺炎疫情期间急诊一线护士应对方式、领悟社会支持及心理健康的关系[J/OL]. 中华诊断学电子杂志, 2020, 08(03): 198-202.

Xiangfen Su, Rong Liu, Wenjie Guan, Anliu Nie. The relationship between coping style, perceived social support and psychological health among emergency frontline nurses during Corona Virus Disease 2019 outbreak[J/OL]. Chinese Journal of Diagnostics(Electronic Edition), 2020, 08(03): 198-202.

目的

探讨新型冠状病毒肺炎(COVID-19)疫情防控期间急诊一线护士应对方式、领悟社会支持及心理健康状况之间的关系。

方法

于2020年2月3日至11日,采用一般健康问卷(GHQ-12)、领悟社会支持量表(PSSS)、简易应对方式问卷(SCSQ)对广州市COVID-19患者定点收治医院急诊科为疑似或确诊的COVID-19患者提供护理的护士进行电子问卷调查。采用Spearman等级相关分析研究心理健康状况、领悟社会支持及应对方式之间的关系;采用二分类Logistic回归分析性别、工作年限、领悟社会支持及应对方式对心理健康状况的共同作用。

结果

共263例急诊一线护士参与调查,其中66例(25.10%)具有心理健康风险(GHQ-12>3分);领悟社会支持为59.00(49.00,69.00)分,积极应对为1.67(1.17,2.08)分,消极应对为1.00(0.63,1.25)分。积极应对与社会支持存在较强的正相关(r=0.48,P<0.01),与心理健康状况得分呈负相关(r=-0.12,P<0.05);社会支持与心理健康状况得分呈负相关(r=-0.24,P<0.01);消极应对与心理健康状况得分呈正相关(r=0.15,P<0.05)。Logistic回归分析结果显示,女性(OR=2.69,95%CI:1.79~3.61),更长的工作年限(OR=1.53,95%CI:1.09~2.14),消极应对(OR=2.27,95%CI:1.27~4.05)以及较低的领悟社会支持(OR=0.95,95%CI:0.93~0.97)为护士心理健康状况的危险因素(均P<0.05),且领悟社会支持为积极应对与心理健康的完全中介因素。

结论

COVID-19疫情防控一线护士的心理健康风险较高,受多方面因素的影响,且领悟社会支持较低,建议可通过减少一线护士的消极应对方式、提高社会支持降低一线护士的健康风险。

Objective

To explore the relationship between coping style, perceived social support and psychological health among emergency frontline nurses during the outbreak of Corona Virus Disease 2019 (COVID-19).

Methods

Between February 3 to 11, 2020, General Health Questionnaire (GHQ-12), Perceived Social Support Scale (PSSS) and Simplified Coping Style Questionnaire (SCSQ) were used to evaluate psychological health status, social support and coping style among frontline nurses nursing for COVID-19 infected or suspected patients. Spearman rank correlation analysis was used to study the relationship between psychological health status, perceived social support and coping style. The effects of gender, working years, perceived social support and coping style on psychological health status were studied by binary Logistic regression analysis.

Results

Among the 263 participants included in the study, 66 (25.10%) were identified as experiencing psychological distress (GHQ-12>3 points). The PSSS score, positive coping and negative coping dimension scores were 59.00(49.00, 69.00), 1.67(1.17, 2.08), and 1.00(0.63, 1.25) points, respectively. Positive coping style was positively correlated with social support (r=0.48, P<0.01) and negatively correlated with psychological health score (r=-0.12, P<0.05). Social support was negatively correlated with psychological health score (r=-0.24, P<0.01). Negative coping style was positively correlated with psychological health score (r=0.15, P<0.05). Logistic regression model revealed that female (OR=2.69, 95%CI: 1.79-3.61), longer working life (OR=1.53, 95%CI: 1.09-2.14), negative coping style (OR=2.27, 95%CI: 1.27-4.05), and perceived less social support (OR=0.95, 95%CI: 0.93-0.97) were the main risk factors for nurses′ psychological health (all P<0.05), and perceived social support was the complete intermediary factor of positive coping dimension and psychological health.

Conclusions

The psychological health risk of frontline nurses for COVID-19 prevention and control is high, which is associated with many aspect factors, and the perceived social support is relatively low. It is suggested to take measures to reduce the possibility of taking negative coping style, and offer more social support for the frontline nurses to improve their psychological health.

表1 COVID-19疫情期间急诊一线护士性别、工作年限对心理健康状况的Logistic回归分析
表2 COVID-19疫情期间急诊一线护士性别、工作年限、应对方式对心理健康状况的Logistic回归分析
表3 COVID-19疫情期间急诊一线护士心理健康状况的多因素Logistic回归分析
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