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Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China

BACKGROUND: Health care workers, especially frontline nurses, faced great challenges during the coronavirus disease 2019 (COVID-19) outbreak. AIMS: To assess the magnitude of the psychological status and associated risk factors among nurses in the pandemic center in Wuhan, China. METHODS: In this st...

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Autores principales: Cai, Zhongxiang, Cui, Qin, Liu, Zhongchun, Li, Juanjuan, Gong, Xuan, Liu, Jingfang, Wan, Zhiying, Yuan, Xiaoping, Li, Xiaofen, Chen, Chuang, Wang, Gaohua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489269/
https://www.ncbi.nlm.nih.gov/pubmed/32971356
http://dx.doi.org/10.1016/j.jpsychires.2020.09.007
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author Cai, Zhongxiang
Cui, Qin
Liu, Zhongchun
Li, Juanjuan
Gong, Xuan
Liu, Jingfang
Wan, Zhiying
Yuan, Xiaoping
Li, Xiaofen
Chen, Chuang
Wang, Gaohua
author_facet Cai, Zhongxiang
Cui, Qin
Liu, Zhongchun
Li, Juanjuan
Gong, Xuan
Liu, Jingfang
Wan, Zhiying
Yuan, Xiaoping
Li, Xiaofen
Chen, Chuang
Wang, Gaohua
author_sort Cai, Zhongxiang
collection PubMed
description BACKGROUND: Health care workers, especially frontline nurses, faced great challenges during the coronavirus disease 2019 (COVID-19) outbreak. AIMS: To assess the magnitude of the psychological status and associated risk factors among nurses in the pandemic center in Wuhan, China. METHODS: In this study, we enrolled nurses from Renmin Hospital of Wuhan University. The questionnaire was designed to obtain basic information of the participants, and included four psychological assessment scales. We issued the questionnaires at two different points of time. We conducted the first survey on January 29 to February 2 (outbreak period) with 709 eligible responses, and the second survey on February 26 to February 28 (stable period) with 621 eligible responses. The nurses from Wuchang Fangcang shelter hospital were also enrolled in the second survey. RESULTS: During the pandemic, over one-third of nurses suffered from depression, anxiety, and insomnia. In the outbreak period, the nurses showed significantly higher risks for depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms than those in the stable period (P < 0.01). Notably, the nurses from the Fangcang shelter hospitals were more likely to present psychological problems than those from other frontline or non-frontline (all P < 0.001) units, especially for insomnia (38.3% with severe insomnia). The nurses from the frontline, with worse physical condition and uncertain concerns about this pandemic as compared to the others, were more likely to bear psychological problems. Thus, online psychological information and sufficient protection conditions were effective interventions to help mitigate psychological distress. The nurses from Fangcang shelter hospitals suffered a significantly higher risk of psychological problems than those from other units. CONCLUSION: The psychological status of nurses needs more attention during the COVID-19 pandemic, especially for those who fought in the frontline during the peak of the outbreak.
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spelling pubmed-74892692020-09-15 Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China Cai, Zhongxiang Cui, Qin Liu, Zhongchun Li, Juanjuan Gong, Xuan Liu, Jingfang Wan, Zhiying Yuan, Xiaoping Li, Xiaofen Chen, Chuang Wang, Gaohua J Psychiatr Res Article BACKGROUND: Health care workers, especially frontline nurses, faced great challenges during the coronavirus disease 2019 (COVID-19) outbreak. AIMS: To assess the magnitude of the psychological status and associated risk factors among nurses in the pandemic center in Wuhan, China. METHODS: In this study, we enrolled nurses from Renmin Hospital of Wuhan University. The questionnaire was designed to obtain basic information of the participants, and included four psychological assessment scales. We issued the questionnaires at two different points of time. We conducted the first survey on January 29 to February 2 (outbreak period) with 709 eligible responses, and the second survey on February 26 to February 28 (stable period) with 621 eligible responses. The nurses from Wuchang Fangcang shelter hospital were also enrolled in the second survey. RESULTS: During the pandemic, over one-third of nurses suffered from depression, anxiety, and insomnia. In the outbreak period, the nurses showed significantly higher risks for depression, anxiety, and posttraumatic stress disorder (PTSD) symptoms than those in the stable period (P < 0.01). Notably, the nurses from the Fangcang shelter hospitals were more likely to present psychological problems than those from other frontline or non-frontline (all P < 0.001) units, especially for insomnia (38.3% with severe insomnia). The nurses from the frontline, with worse physical condition and uncertain concerns about this pandemic as compared to the others, were more likely to bear psychological problems. Thus, online psychological information and sufficient protection conditions were effective interventions to help mitigate psychological distress. The nurses from Fangcang shelter hospitals suffered a significantly higher risk of psychological problems than those from other units. CONCLUSION: The psychological status of nurses needs more attention during the COVID-19 pandemic, especially for those who fought in the frontline during the peak of the outbreak. Elsevier Ltd. 2020-12 2020-09-14 /pmc/articles/PMC7489269/ /pubmed/32971356 http://dx.doi.org/10.1016/j.jpsychires.2020.09.007 Text en © 2020 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Cai, Zhongxiang
Cui, Qin
Liu, Zhongchun
Li, Juanjuan
Gong, Xuan
Liu, Jingfang
Wan, Zhiying
Yuan, Xiaoping
Li, Xiaofen
Chen, Chuang
Wang, Gaohua
Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
title Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
title_full Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
title_fullStr Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
title_full_unstemmed Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
title_short Nurses endured high risks of psychological problems under the epidemic of COVID-19 in a longitudinal study in Wuhan China
title_sort nurses endured high risks of psychological problems under the epidemic of covid-19 in a longitudinal study in wuhan china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489269/
https://www.ncbi.nlm.nih.gov/pubmed/32971356
http://dx.doi.org/10.1016/j.jpsychires.2020.09.007
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