Influence of Nurses' Perceptions of Government Policies and COVID-19 Risks on Their Mental Health Status: A Web-Based Cross-Sectional Study.

Yao Jie Xie, Chun Hao, Longben Tian, Linjia Yan, Xiaoli Liao, Harry Haoxiang Wang, Yang Gao, Dexing Zhang, Zhao-Min Liu, Huilin Cheng, Fei Wan Ngai
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Abstract

This study aimed to understand nurses' perceptions of COVID-19-related policies and risks during the outbreak of COVID-19 in Hong Kong and to determine how their perceptions influenced their mental health status. A web-based online survey among Hong Kong nurses was conducted. The questionnaire included a self-designed 5-point Likert scale with 17 items to assess the nurses' perceptions of COVID-19-related policies and risks, as well as the Davidson Trauma Scale (DTS), the Perceived Stress Scale (PSS), the Patient Health Questionnaire-2 (PHQ-2) and the Generalised Anxiety Disorder scale (GAD) for measurement of posttraumatic stress disorder (PTSD), stress, depression and anxiety, respectively. Of 592 nurses enrolled, 30.6% had PTSD (DTS total score ≥40), and 80.4%, 19.9% and 16.4% had moderate-to-high levels of stress (PSS-10 score ≥14), depression (PHQ-2 score ≥3) and anxiety (GAD score ≥3), respectively. The top three concerned aspects were 'worried about themselves and friends to suffer this disease' (84.5%), 'insufficient number of isolation wards' (81.8%) and 'insufficient number of personal protective equipment' (74.3%). Logistic regression analyses showed that more negative perception on 'personal protective equipment in the healthcare institutions', 'the confidence in HK's control of COVID-19', 'worried about themselves and friends to suffer this disease' and 'self-perceived risk of infection' indicated higher severity of the four mental health problems (all p < 0.01). The perception on 'public gathering ban', 'the number of isolation wards' and 'expected time to control COVID-19' were significantly associated with PTSD and stress (all p < 0.05). Nurses' perception on government policies and COVID-19 risks played an important role in predicting their mental health status. Policy makers should be aware of nurses' psychological responses and provide timely and targeted emotional support to nurses amid and after the COVID-19 pandemic.

护士对政府政策和 COVID-19 风险的认知对其心理健康状况的影响:一项基于网络的横断面研究。
本研究旨在了解香港爆发 COVID-19 期间护士对 COVID-19 相关政策和风险的看法,并确定他们的看法如何影响其心理健康状况。研究人员对香港护士进行了一项网络在线调查。调查问卷包括一个自行设计的5点李克特量表(共17个项目),用于评估护士对COVID-19相关政策和风险的看法,以及戴维森创伤量表(DTS)、感知压力量表(PSS)、患者健康问卷-2(PHQ-2)和广泛焦虑症量表(GAD),分别用于测量创伤后应激障碍(PTSD)、压力、抑郁和焦虑。在参加调查的 592 名护士中,30.6% 的人患有创伤后应激障碍(DTS 总分≥40),80.4%、19.9% 和 16.4% 的人分别有中度至高度的压力(PSS-10 得分≥14)、抑郁(PHQ-2 得分≥3)和焦虑(GAD 得分≥3)。关注度最高的三个方面分别是 "担心自己和朋友患上这种疾病"(84.5%)、"隔离病房数量不足"(81.8%)和 "个人防护设备数量不足"(74.3%)。邏輯迴歸分析顯示,對「醫療機構的個人防護裝備」、「對香港控制 COVID-19 的信心」、「擔心自己及朋友患上此病」及「自認有感染風險」的負面看法越多,表示四個精神健康問題的嚴重程度越高(所有 p 均為 0.05)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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