PDF(Pubmed)
Abstract：
The coronavirus disease 2019 (COVID-19) pandemic has caused a high demand for health services, especially nursing. This workload can lead to emotional distress affecting their daily lives on a personal and professional basis.
To examine the prevalence of depression, anxiety, and stress in nurses and to analyze the factors associated with their presence during the COVID-19 pandemic.
An observational cross-sectional descriptive study was carried out in a second-level hospital in Mexico between September and October 2020. Within a population of 150 nurses invited to the study, 116 participated by answering a questionnaire regarding emotional aspects during their time caring for COVID-19 patients, as well as using the depression, anxiety, and stress scale (DASS-21).
Among de 116 participants, 77.6% were females, and 22.4% were males. The 91.4% reported fear of spreading the disease to their families, and 59.5% reported that the death of their patients infected with COVID-19 affected them deeply. The factors associated with moderate to extremely severe levels of depression were the attitude of indifference from the community to their work during the pandemic (OR:2.66) and the increase consumption of addictive substances (OR:9.80). In the stress subscale, the variables that conferred a significant association was working inside the COVID-19 area (OR:17.05), being severely affected by the death of patients infected (OR:4.23), and fear of entering the red zone (OR:19.47). The need for psychological care was associated with moderate to severe depression and anxiety (OR:7.38, OR:9.50, respectively). For the anxiety subscale, no association with the studied variables was found.
The study indicates a high prevalence of emotional distress among nurses, and that there were working, psychological and social factors associated with symptoms of depression and stress. Future research should focus on prevention measures and strategies to reduce psychological impact, as this could affect the quality of care provided to their patients.
To examine the prevalence of depression, anxiety, and stress in nurses and to analyze the factors associated with their presence during the COVID-19 pandemic.
An observational cross-sectional descriptive study was carried out in a second-level hospital in Mexico between September and October 2020. Within a population of 150 nurses invited to the study, 116 participated by answering a questionnaire regarding emotional aspects during their time caring for COVID-19 patients, as well as using the depression, anxiety, and stress scale (DASS-21).
Among de 116 participants, 77.6% were females, and 22.4% were males. The 91.4% reported fear of spreading the disease to their families, and 59.5% reported that the death of their patients infected with COVID-19 affected them deeply. The factors associated with moderate to extremely severe levels of depression were the attitude of indifference from the community to their work during the pandemic (OR:2.66) and the increase consumption of addictive substances (OR:9.80). In the stress subscale, the variables that conferred a significant association was working inside the COVID-19 area (OR:17.05), being severely affected by the death of patients infected (OR:4.23), and fear of entering the red zone (OR:19.47). The need for psychological care was associated with moderate to severe depression and anxiety (OR:7.38, OR:9.50, respectively). For the anxiety subscale, no association with the studied variables was found.
The study indicates a high prevalence of emotional distress among nurses, and that there were working, psychological and social factors associated with symptoms of depression and stress. Future research should focus on prevention measures and strategies to reduce psychological impact, as this could affect the quality of care provided to their patients.
摘要：
背景：2019年冠状病毒病（COVID-19）大流行引起了对卫生服务的高需求，尤其是护理。这种工作量可能导致情绪困扰，影响他们的个人和专业生活。
目的：为了检查抑郁症的患病率，焦虑,和护士的压力，并分析与他们在COVID-19大流行期间存在的相关因素。
方法：2020年9月至10月在墨西哥一家二级医院进行了一项观察性横断面描述性研究。在被邀请参加研究的150名护士中，116人在照顾COVID-19患者期间回答了一份关于情绪方面的问卷，以及使用抑郁症，焦虑,和应力尺度（DASS-21）。
结果：在116名参与者中，77.6%为女性，22.4%为男性。91.4%的人报告担心将疾病传播给家人，59.5%的人报告说，感染COVID-19的患者的死亡对他们的影响很大。与中度至极重度抑郁症相关的因素是大流行期间社区对工作的冷漠态度（OR：2.66）和成瘾物质的消费增加（OR：9.80）。在应力分量表中，赋予显著关联的变量在COVID-19区域内工作(OR：17.05)，受感染患者死亡的严重影响（OR：4.23），害怕进入红色区域（OR：19.47）。心理护理需求与中度至重度抑郁和焦虑相关（OR分别为：7.38，OR：9.50）。对于焦虑分量表，未发现与研究变量相关.
结论：该研究表明护士情绪困扰的患病率很高，还有工作，与抑郁和压力症状相关的心理和社会因素。未来的研究应侧重于预防措施和策略，以减少心理影响，因为这可能会影响为患者提供的护理质量。
目的：为了检查抑郁症的患病率，焦虑,和护士的压力，并分析与他们在COVID-19大流行期间存在的相关因素。
方法：2020年9月至10月在墨西哥一家二级医院进行了一项观察性横断面描述性研究。在被邀请参加研究的150名护士中，116人在照顾COVID-19患者期间回答了一份关于情绪方面的问卷，以及使用抑郁症，焦虑,和应力尺度（DASS-21）。
结果：在116名参与者中，77.6%为女性，22.4%为男性。91.4%的人报告担心将疾病传播给家人，59.5%的人报告说，感染COVID-19的患者的死亡对他们的影响很大。与中度至极重度抑郁症相关的因素是大流行期间社区对工作的冷漠态度（OR：2.66）和成瘾物质的消费增加（OR：9.80）。在应力分量表中，赋予显著关联的变量在COVID-19区域内工作(OR：17.05)，受感染患者死亡的严重影响（OR：4.23），害怕进入红色区域（OR：19.47）。心理护理需求与中度至重度抑郁和焦虑相关（OR分别为：7.38，OR：9.50）。对于焦虑分量表，未发现与研究变量相关.
结论：该研究表明护士情绪困扰的患病率很高，还有工作，与抑郁和压力症状相关的心理和社会因素。未来的研究应侧重于预防措施和策略，以减少心理影响，因为这可能会影响为患者提供的护理质量。
