【摘要】 目的探究抗击新型冠状病毒肺炎(新冠肺炎)初期临床一线护理人员的心理应激状态。方法将2020年1月～2020年3月抗击新冠肺炎疫情期间院内参与支援发热门诊及隔离病房的88名护理人员划分为支援组,相应专业未参与支援院内一线77名护理人员划为未支援组,采用一般资料调查表、症状自评量表(SCL-90)、中文版同情心疲乏简短量表、心理应激(压力)反应问卷(SRQ)对两组护理人员进行线上问卷调查,分析其心理健康状况。结果支援组SCL-90总分、躯体化、强迫症状等维度得分均高于未支援组(P<0.05),两组恐惧维度得分对比,差异无统计学意义(P>0.05);中文版同情心疲乏简短量表总分、二次创伤、职业倦怠维度得分高于未支援组(P<0.05);SRQ总分、情绪反应、行为反应维度高于未支援组(P<0.05)。结论与未支援抗击疫情的护理人员相比,支援疫情的护理人员心理健康状态较差,存在一定程度的同情心疲乏和心理应激反应。护理管理者应加强对护理人员心理健康疏导和干预,减轻其焦虑状况,使其能更好地面对疫情,从容进行护理工作。更多还原

【Abstract】 Objective To explore the psychological stress state of first-line clinical nurses in the initial stage of fighting against COVID-19 (COVID-19).Methods From January 2020 to March 2020 against COVID-19 during the outbreak of nosocomial fever clinics involved in support and 88 nursing staff in isolation wards are divided into support group,the corresponding professional was not involved in support of a line of 77 nursing staff in classified as not support group,the general data questionnaire,symptom self-assessment scale (SCL-90),Chinese compassion fatigue short scale,psychological stress reaction questionnaire (pressure) (SRQ) on two groups of nursing staff’s online questionnaire survey,analysis of the mental health status.Results The total score of SCL-90,somatization,compulsive symptoms and other dimensions in the support group were all higher than those in the non-support group (P<0.05),and the difference in the scores of fear dimensions between the two groups was not statistically significant (P>0.05).Chinese version of compassion fatigue short scale total score,secondary trauma,job burnout dimension score is higher than the non-support group (P<0.05);The dimensions of SRQ total score,emotional response and behavioral response were higher than those of the unsupported group (P<0.05).Conclusion Compared with the nurses who did not support the fight against the epidemic,the nurses who supported the epidemic were in poor mental health,had a certain degree of compassion fatigue and psychological stress response.Nursing managers should strengthen the mental health of nursing staff counseling and intervention,reduce their anxiety,so that they can better face the epidemic,calmly nursing work.更多还原