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

doi:10.3877/cma.j.issn.2095-655X.2020.03.011

Abstract

Abstract:

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.

Key words: Corona Virus Disease 2019, Psychological health, Perceived social support, Coping style, Nurses

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]. Chinese Journal of Diagnostics(Electronic Edition), 2020, 08(03): 198-202.

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References 27

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变量	B	Wald值	P值	OR值	OR值(95%CI)
性别	0.54	3.13	0.040	2.72	1.83～3.56
工作年限	0.36	4.83	0.028	1.43	1.04～1.96

变量	B	Wald值	P值	OR值	OR值(95%CI)
性别	0.54	3.13	0.040	2.72	1.83～3.56
工作年限	0.36	4.83	0.028	1.43	1.04～1.96

变量	B	Wald值	P值	OR值	OR值(95%CI)
性别	0.47	3.51	0.040	2.60	1.76～3.38
工作年限	0.40	5.45	0.020	1.49	1.07～2.09
积极应对	-0.93	10.58	0.001	0.40	0.23-0.69
消极应对	0.98	9.89	0.002	2.67	1.45～4.93

变量	B	Wald值	P值	OR值	OR值(95%CI)
性别	0.47	3.51	0.040	2.60	1.76～3.38
工作年限	0.40	5.45	0.020	1.49	1.07～2.09
积极应对	-0.93	10.58	0.001	0.40	0.23-0.69
消极应对	0.98	9.89	0.002	2.67	1.45～4.93

变量	B	Wald值	P值	OR值	OR值(95%CI)
性别	0.52	2.81	0.049	2.69	1.79～3.61
工作年限	0.42	6.06	0.014	1.53	1.09～2.14
消极应对	0.82	7.65	0.006	2.27	1.27～4.05
社会支持	-0.05	18.30	0.000	0.95	0.93～0.97

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