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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15.	吕扬, 贾燕瑞, 高凤莉. 参与救治新发急性呼吸道传染病医护人员心理健康影响因素及应对策略. 中国护理管理, 2019, 19(1): 83-86.
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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. 俞文兰, 孙道远. 新型冠状病毒肺炎救治一线女护士心理健康风险及干预对策. 职业卫生与应急救援, 2020, 38(2): 106-108, 151.
3. 王竞, 程雅倩, 周照, 等. 新型冠状病毒肺炎疫情对武汉市一线医护人员心理状况的影响. 武汉大学学报 (医学版), 2020, 41(4): 547-550.
4. 李传圣, 米元元, 初静, 等. 新型冠状病毒一线护理人员创伤后应激障碍的调查分析. 护士进修杂志, 2020, 35(7): 615-618.
5. 肖晓玲, 张东华, 熊丽萍, 等. 护士职业获益感对其工作投入的影响研究. 护理管理杂志, 2015, 15(6): 386-388.
6. 高凡, 刘卓凡, 刘红, 等. 新型冠状病毒肺炎疫情下护理工作者心理健康状况及影响因素分析. 江西中医药大学学报, 2020, 32(3): 41-44.
7. 樊丹丹, 付呈新, 曾英, 等. 新型冠状病毒肺炎期间血透室医护人员心理健康与社会支持的相关性. 西部医学, 2020, 32(4): 482-484, 488.
8. 苏茜, 郭蕾蕾. 压力负荷量表在中国护士群体中应用的信效度检验. 中华护理杂志, 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, 刘晓虹. 护士职业获益感问卷的编制及其信效度检验. 解放军护理杂志, 2013, 30(22): 1-5.
11. 吴际军, 荣娴, 陈飞, 等. 抗击新型冠状病毒肺炎疫情临床一线护士睡眠质量调查及其影响因素. 护理研究, 2020, 34(4): 558-562.
12. 毛琼儿, 王晓亮, 张晨霞, 等. 基层医院血透室护士心理压力源及应对方式调查. 中华现代护理杂志, 2015(14): 1660-1662.
13. 周菊珍, 李宏, 陈丕绩, 等. 低年资护士职业倦怠与工作压力源的相关性分析. 中国实用护理杂志, 2011, 27(5): 71-72.
14. 王欣, 陈鸣明, 龚碧波, 等. 护理工作环境与护士职业获益感的相关性研究. 护理研究, 2016, 30(2): 167-171.
15. 吕扬, 贾燕瑞, 高凤莉. 参与救治新发急性呼吸道传染病医护人员心理健康影响因素及应对策略. 中国护理管理, 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. 中华人民共和国中央人民政府. 国家卫生健康委就新型冠状病毒感染肺炎疫情防控工作中的网络在线、电话热线等社会心理服务有关情况举行新闻发布会. (2020-02-03)[2020-02-26]. http://www.gov.cn/xinwen/2020-02/03/content_5474278.html.
18. 国家中医药管理局. 关于设立应对疫情心理援助热线的通知. (2020-02-02)[2020-02-25]. http://www.satcm.gov.cn/hudongjiaoliu/guanfangweixin/2020-02-02/12741.html.
19. 国家卫生健康委员会. 截止 2 月 27 日 24 时新型冠状病毒肺炎疫情最新情况. (2020-02-27)[2020-02-27]. http://www.nhc.gov.cn/xcs/yqtb/202002/543cc508978a48d2b9322b.
20. 国家卫生健康委员会. 新型冠状病毒感染的肺炎疫情紧急心理危机干预指导原则. (2020-01-26)[2020-02-27]. https://m.sohu.com/a/369204481_120207620.
21. 肖晓玲, 胡秋秋, 刘玉萍, 等. 护士职业获益感及其对职业倦怠影响的研究. 中国护理管理, 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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