COVID-19 negatively impacts on psychological and somatic status in frontline nurses

JOURNAL OF AFFECTIVE DISORDERS

卷:294

Article

Li, Jialin¹  Su, Qing¹  Li, Xiaofei²  Peng, Yanqiu¹  Liu, Yan¹ 

[1] China Med Univ, Hosp 1, Dept Neurosurg, 155,Nanjing North St, Shenyang 110001, Peoples R China

[2] China Med Univ, Hosp 1, Dept Transplantat Hepatobiliary Surg, 155 Nanjing North St, Shenyang 110001, Peoples R China

关键词: COVID-19;    Frontline nurses;    Post-traumatic stress disorder;    Anxiety;    Somatic symptoms;   

DOI  :  10.1016/j.jad.2021.07.031

来源: Elsevier

【 摘 要 】

Background: COVID-19 has become a public health emergency based on its clinical characteristics. Previous studies demonstrated that the onset of a sudden and immediately life-threatening illness could lead to extraordinary amounts of psychological pressure on nurses who play an important role in the illness. Whether COVID-19 pandemic has greater impacts on the psychological status and somatic symptoms from nurses who stand in the frontline of this crisis remain unclear. Methods: We evaluated post-traumatic stress disorder (PTSD), anxiety and somatic symptoms in the frontline nurses (n = 438) who served in Wuhan, China, during COVID-19 crisis. Nurses who did not worked in the frontline of COVID-19 served as controls (n = 452). The investigation was processed by online questionnaires including: impact of event scale-revised (IES-R) , self-rating anxiety scale (SAS), and somatic symptoms. Results: Prevalence of moderate and severe PTSD was significantly increased in the frontline nurses compared to non-frontline nurses. Prevalence of mild anxiety was significantly increased in frontline nurses compared to non frontline nurses. There were more frontline nurses suffering from severe insomnia and losing weight compared to non-frontline nurses. Severity of PTSD (IES-R score), but not severity of anxiety (SAS score) was similarly positively correlated to incidence of insomnia and weight loss in both frontline and non-frontline nurses to a similar extent. Limitations: The results only represented psychological statues and somatic symptom on one time point thus the development of psychological stress and somatic symptom during pandemic of COVID-19 in the frontline nurses were missing. Conclusions: COVID-19 negatively impacted on psychological and somatic status in frontline nurses. PTSD may be the most reliability and validity criteria for evaluating psychological and somatic status for frontline nurses of COVID-19.

【 授权许可】

Free