Hanna Krieger, Cosima Rhein, Eva Morawa, Werner Adler, Jan Steffan, Nadine Lang-Richter, Matthias Struck, Yesim Erim, Marietta Lieb
{"title":"利用心率变异性评估 COVID-19 大流行期间护士的压力。","authors":"Hanna Krieger, Cosima Rhein, Eva Morawa, Werner Adler, Jan Steffan, Nadine Lang-Richter, Matthias Struck, Yesim Erim, Marietta Lieb","doi":"10.1177/01939459241252078","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to assess subjective and objective parameters of stress among nurses during the COVID-19 pandemic and to examine the recovery effect of a day off.</p><p><strong>Methods: </strong>In this prospective observational trial, we measured heart rate variability (using a wearable device) and perceived stress levels on 3 working days and 1 day off. We obtained the following data using an online questionnaire: working conditions, COVID-19-related problems, depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), effort-reward imbalance, and work-family conflict in a sample of German nurses (N = 41).</p><p><strong>Results: </strong>When comparing working days with a day off, we observed a significant difference for physical load (Cohen's <i>d</i> = 0.798, <i>P</i> < .001), mental load (Cohen's <i>d</i> = 0.660, <i>P</i> = .001), emotional exhaustion (Cohen's <i>d</i> = 0.945, <i>P</i> < .001), and overburdening (Cohen's <i>d</i> = 0.585, <i>P</i> = .002) with higher scores on working days. Regarding heart rate variability, we did not find a difference. Correlational analyses revealed a significant association between being afraid to get infected with COVID-19 and lower heart rate variability (<i>r</i> = -0.336, <i>P</i> = .045) and between being afraid to infect relatives and lower heart rate variability (<i>r</i> = -0.442, <i>P</i> = .007). Furthermore, a higher total sum score of work-family conflict was significantly associated with lower heart rate variability (<i>r</i> = -0.424, <i>P</i> = .01).</p><p><strong>Conclusion: </strong>As heart rate variability observations were different from those regarding subjectively perceived stress, further studies are needed to evaluate and differentiate the influence of work stress and other types of stress on heart rate variability.</p>","PeriodicalId":49365,"journal":{"name":"Western Journal of Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181728/pdf/","citationCount":"0","resultStr":"{\"title\":\"Using Heart Rate Variability to Assess Nurses' Stress During the COVID-19 Pandemic.\",\"authors\":\"Hanna Krieger, Cosima Rhein, Eva Morawa, Werner Adler, Jan Steffan, Nadine Lang-Richter, Matthias Struck, Yesim Erim, Marietta Lieb\",\"doi\":\"10.1177/01939459241252078\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to assess subjective and objective parameters of stress among nurses during the COVID-19 pandemic and to examine the recovery effect of a day off.</p><p><strong>Methods: </strong>In this prospective observational trial, we measured heart rate variability (using a wearable device) and perceived stress levels on 3 working days and 1 day off. We obtained the following data using an online questionnaire: working conditions, COVID-19-related problems, depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), effort-reward imbalance, and work-family conflict in a sample of German nurses (N = 41).</p><p><strong>Results: </strong>When comparing working days with a day off, we observed a significant difference for physical load (Cohen's <i>d</i> = 0.798, <i>P</i> < .001), mental load (Cohen's <i>d</i> = 0.660, <i>P</i> = .001), emotional exhaustion (Cohen's <i>d</i> = 0.945, <i>P</i> < .001), and overburdening (Cohen's <i>d</i> = 0.585, <i>P</i> = .002) with higher scores on working days. Regarding heart rate variability, we did not find a difference. Correlational analyses revealed a significant association between being afraid to get infected with COVID-19 and lower heart rate variability (<i>r</i> = -0.336, <i>P</i> = .045) and between being afraid to infect relatives and lower heart rate variability (<i>r</i> = -0.442, <i>P</i> = .007). Furthermore, a higher total sum score of work-family conflict was significantly associated with lower heart rate variability (<i>r</i> = -0.424, <i>P</i> = .01).</p><p><strong>Conclusion: </strong>As heart rate variability observations were different from those regarding subjectively perceived stress, further studies are needed to evaluate and differentiate the influence of work stress and other types of stress on heart rate variability.</p>\",\"PeriodicalId\":49365,\"journal\":{\"name\":\"Western Journal of Nursing Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2024-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181728/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Western Journal of Nursing Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/01939459241252078\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/5/9 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Western Journal of Nursing Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/01939459241252078","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/5/9 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"NURSING","Score":null,"Total":0}
Using Heart Rate Variability to Assess Nurses' Stress During the COVID-19 Pandemic.
Objective: This study aimed to assess subjective and objective parameters of stress among nurses during the COVID-19 pandemic and to examine the recovery effect of a day off.
Methods: In this prospective observational trial, we measured heart rate variability (using a wearable device) and perceived stress levels on 3 working days and 1 day off. We obtained the following data using an online questionnaire: working conditions, COVID-19-related problems, depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder-7), effort-reward imbalance, and work-family conflict in a sample of German nurses (N = 41).
Results: When comparing working days with a day off, we observed a significant difference for physical load (Cohen's d = 0.798, P < .001), mental load (Cohen's d = 0.660, P = .001), emotional exhaustion (Cohen's d = 0.945, P < .001), and overburdening (Cohen's d = 0.585, P = .002) with higher scores on working days. Regarding heart rate variability, we did not find a difference. Correlational analyses revealed a significant association between being afraid to get infected with COVID-19 and lower heart rate variability (r = -0.336, P = .045) and between being afraid to infect relatives and lower heart rate variability (r = -0.442, P = .007). Furthermore, a higher total sum score of work-family conflict was significantly associated with lower heart rate variability (r = -0.424, P = .01).
Conclusion: As heart rate variability observations were different from those regarding subjectively perceived stress, further studies are needed to evaluate and differentiate the influence of work stress and other types of stress on heart rate variability.
期刊介绍:
Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).