Study on the difference in stress load and professional benefit of hemodialysis nurses between different periods of coronavirus disease 2019 epidemic_West China Medical Journal

Authors：

FAN Dandan ¹ , ZENG Ying ¹ , YANG Yujie ¹ , YUAN Huaihong ¹ , ZHOU Xin ² , DUAN Fang ³ ,  FU Ping ⁴

1. West China School of Nursing, Sichuan University/Department of Nephrology, West China Hospital ,Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Blood Purification Room, 363 Hospital, Chengdu, Sichuan 610041, P. R. China;
3. Hemodialysis Center, Mianzhu People’s Hospital, Mianzhu, Sichuan 618200, P. R. China;
4. Department of Nephrology, West China Hospital, Sichuan University/West China Nephrology Laboratory, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

FU Ping, Email: fupinghx@163.com

Keywords：

Coronavirus disease 2019; Hemodialysis nurse; Stress load; Occupational benefit

DOI：

10.7507/1002-0179.202005184

Video：

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Objective To investigate the current situation of stress load and professional benefit of hemodialysis nurses during the outbreak period and the remission period of coronavirus disease 2019 (COVID-19) epidemic, and discuss the differences in stress load and professional benefit of hemodialysis nurses between the two periods.Methods In February 2020, 119 hemodialysis nurses from three hemodialysis centers in Sichuan Province were selected as the respondents. Using the Stress Overload Scale and the Questionnaire of Nurses’ Perceived Professional Benefits, questionnaire survey was conducted in February 2020 and April 2020, respectively. Paired-sample t test was used for analysis.Results A total of 109 valid questionnaires were collected. The scores of stress load of hemodialysis nurses in outbreak period and remission stage were 3.00±1.26 and 2.17±1.16, respectively, of which the scores of event load dimension were 3.49±1.15 and 2.31±1.27, respectively, and the scores of individual vulnerability dimension were 2.59±1.19 and 2.05±1.06, respectively; the professional benefit scores of hemodialysis nurses in outbreak and remission were 4.19±0.83 and 4.21±0.78, respectively. The difference in stress load of the same group of hemodialysis nurses between different time periods was statistically significant (P<0.05), while there was no significant difference in professional benefit (P>0.05).Conclusions During the outbreak of COVID-19 epidemic, the stress load of hemodialysis nurses was ata medium level, and that in the remission stage of COVID-19 epidemic was at a low level; the professional benefit of nurses in the outbreak and remission period was at a high level. The stress load status of hemodialysis nurses was different between different periods of the epidemic. We should take incentive mechanism or targeted psychological intervention measures to improve the professional benefit level of nurses.

Citation： FAN Dandan, ZENG Ying, YANG Yujie, YUAN Huaihong, ZHOU Xin, DUAN Fang, FU Ping. Study on the difference in stress load and professional benefit of hemodialysis nurses between different periods of coronavirus disease 2019 epidemic. West China Medical Journal, 2020, 35(7): 799-803. doi: 10.7507/1002-0179.202005184 Copy

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21.	肖曉玲, 胡秋秋, 劉玉萍, 等. 護士職業獲益感及其對職業倦怠影響的研究. 中國護理管理, 2014, 14(1): 56-60.

1. Li Q, Guan XH, Wu P, et al. Early transmission dynamics in Wuhan, China, of novel coronavirus-infected pneumonia. N Engl J Med, 2020, 382(13): 1199-1207.
2. 俞文蘭, 孫道遠. 新型冠狀病毒肺炎救治一線女護士心理健康風險及干預對策. 職業衛生與應急救援, 2020, 38(2): 106-108, 151.
3. 王競, 程雅倩, 周照, 等. 新型冠狀病毒肺炎疫情對武漢市一線醫護人員心理狀況的影響. 武漢大學學報 (醫學版), 2020, 41(4): 547-550.
4. 李傳圣, 米元元, 初靜, 等. 新型冠狀病毒一線護理人員創傷后應激障礙的調查分析. 護士進修雜志, 2020, 35(7): 615-618.
5. 肖曉玲, 張東華, 熊麗萍, 等. 護士職業獲益感對其工作投入的影響研究. 護理管理雜志, 2015, 15(6): 386-388.
6. 高凡, 劉卓凡, 劉紅, 等. 新型冠狀病毒肺炎疫情下護理工作者心理健康狀況及影響因素分析. 江西中醫藥大學學報, 2020, 32(3): 41-44.
7. 樊丹丹, 付呈新, 曾英, 等. 新型冠狀病毒肺炎期間血透室醫護人員心理健康與社會支持的相關性. 西部醫學, 2020, 32(4): 482-484, 488.
8. 蘇茜, 郭蕾蕾. 壓力負荷量表在中國護士群體中應用的信效度檢驗. 中華護理雜志, 2014, 49(10): 1264-1268.
9. Amirkhan JH. Stress overload: a new approach to the assessment of stress. Am J Community Psychol, 2012, 49(1/2): 55-71.
10. 胡菁, 劉曉虹. 護士職業獲益感問卷的編制及其信效度檢驗. 解放軍護理雜志, 2013, 30(22): 1-5.
11. 吳際軍, 榮嫻, 陳飛, 等. 抗擊新型冠狀病毒肺炎疫情臨床一線護士睡眠質量調查及其影響因素. 護理研究, 2020, 34(4): 558-562.
12. 毛瓊兒, 王曉亮, 張晨霞, 等. 基層醫院血透室護士心理壓力源及應對方式調查. 中華現代護理雜志, 2015(14): 1660-1662.
13. 周菊珍, 李宏, 陳丕績, 等. 低年資護士職業倦怠與工作壓力源的相關性分析. 中國實用護理雜志, 2011, 27(5): 71-72.
14. 王欣, 陳鳴明, 龔碧波, 等. 護理工作環境與護士職業獲益感的相關性研究. 護理研究, 2016, 30(2): 167-171.
15. 呂揚, 賈燕瑞, 高鳳莉. 參與救治新發急性呼吸道傳染病醫護人員心理健康影響因素及應對策略. 中國護理管理, 2019, 19(1): 83-86.
16. Wong WC, Wong SY, Lee A, et al. How to provide an effective primary health care in fighting against severe acute respiratory syndrome: the experiences of two cities. Am J Infect Control, 2007, 35(1): 50-55.
17. 中華人民共和國中央人民政府. 國家衛生健康委就新型冠狀病毒感染肺炎疫情防控工作中的網絡在線、電話熱線等社會心理服務有關情況舉行新聞發布會. (2020-02-03)[2020-02-26]. http://www.gov.cn/xinwen/2020-02/03/content_5474278.html.
18. 國家中醫藥管理局. 關于設立應對疫情心理援助熱線的通知. (2020-02-02)[2020-02-25]. http://www.satcm.gov.cn/hudongjiaoliu/guanfangweixin/2020-02-02/12741.html.
19. 國家衛生健康委員會. 截止 2 月 27 日 24 時新型冠狀病毒肺炎疫情最新情況. (2020-02-27)[2020-02-27]. http://www.nhc.gov.cn/xcs/yqtb/202002/543cc508978a48d2b9322b.
20. 國家衛生健康委員會. 新型冠狀病毒感染的肺炎疫情緊急心理危機干預指導原則. (2020-01-26)[2020-02-27]. https://m.sohu.com/a/369204481_120207620.
21. 肖曉玲, 胡秋秋, 劉玉萍, 等. 護士職業獲益感及其對職業倦怠影響的研究. 中國護理管理, 2014, 14(1): 56-60.

West China Medical Journal

Study on the difference in stress load and professional benefit of hemodialysis nurses between different periods of coronavirus disease 2019 epidemic

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