【摘要】 目的 :了解新型冠状病毒肺炎流行初期,定点救治医院老年病房护士的心理状况及压力源,为实施一线储备护士早期心理干预提供依据。方法 :采用方便抽样法,于2020年1月29—31日,以武汉市某新冠肺炎危重症患者救治定点医院的136名老年病房护士为研究对象,采用一般资料问卷、健康问卷抑郁量表(PHQ-9)、广泛性焦虑量表(GAD-7)、孤独感及恐惧感数字评分法和护士压力源量表进行调查。结果 :1周内有45名(33.1%)老年病房护士出现抑郁、59名(43.4%)出现焦虑、102名(75.0%)有孤独感、131名(96.3%)有恐惧感;护士压力源总分为(2.28±0.76)分,处于中等水平,患者照护方面问题是老年病房护士的主要压力源。结论 :应对老年病房护士存在的心理应激反应及压力源给予足够重视,积极发挥社会支持系统作用,加强对护士的心理疏导和医院感染防控知识培训,促进护士身心健康,保障护理质量和患者安全。更多还原

【Abstract】 Objective: To investigate the psychological status and stressors of nurses in the geriatric ward of a designated hospital in the early stage of COVID-19 epidemic, and provide basis for the early psychological intervention for reserve nurses on the frontline. Methods: From January 29 to 31, 2020, a convenience sampling method was used to recruit and enroll 136 nurses in the geriatric ward of a designated hospital for the treatment of critically ill patients with COVID-19 in Wuhan. The general information questionnair, the Patient Health Questionnaire(PHQ-9) and Generalized Anxiety Disorder scale(GAD-7), Lonely and Fear Numerical Rating Scale(NRS), and nurses’ stress source scale were used for investigation. Results: Depression were observed to in 45 nurses(33.1%), anxiety in 59(43.4%), loneliness in 102(75.0%), and fear in 131(96.3%) within one week. The overall nurse stressors score was(2.28±0.76), and issues concerning patient care were the main source of stress for those nurses. Conclusion: Attention should be paid to the psychological stress response and stressors of the nurses in the geriatric ward. Nursing leaders are supposed to actively supply strong social support to nurses, offer psychological counseling and hospital infection prevention and control training to improve physical and mental health of nurses, and ensure the quality of care and patient safety.更多还原