Background

The delivery of healthcare during the COVID pandemic has had a significant impact on front line staff. Nurses who work with respiratory patients have been at the forefront of the pandemic response. Lessons can be learnt from these nurses’ experiences in order to support these nurses during the existing pandemic and retain and mobilise this skilled workforce for future pandemics.

Methods

This study explores UK nurses’ experiences of working in a respiratory environment during the COVID-19 pandemic. An e-survey was distributed via professional respiratory societies; the survey included a resilience scale, the GAD7 (anxiety) and the PHQ9 (depression) tools. Demographic data was collected on age, gender, ethnicity, nursing experience and background, clinical role in the pandemic, and home-life and work balance.

Results

Two hundred and fifty-five responses were received for the survey, predominately women (89%, 226/255), aged over 35 (79%, 202/255). Nearly 21% (40/191) experiencing moderate to severe or severe symptoms of anxiety. Similar levels are seen for depression (17.2%, 31/181). 18.9% (34/180) had a low or very low resilience score.

Regression analysis showed that for both depression and anxiety variables, age and years of qualification provided the best model fit. Younger nurses with less experience have higher levels of anxiety and depression and had lower resilience.

Conclusion

This cohort experienced significant levels of anxiety and depression, with moderate to high levels of resilience. Support mechanisms and interventions need to be put in place to support all nurses during pandemic outbreaks, particularly younger or less experienced staff.

中文翻译：

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COVID 大流行期间在呼吸临床领域工作的护士的恢复力、焦虑和抑郁水平

背景

在 COVID 大流行期间提供医疗保健对一线员工产生了重大影响。与呼吸系统患者一起工作的护士一直处于应对大流行病的最前沿。可以从这些护士的经验中吸取教训，以便在现有大流行期间支持这些护士，并为未来的大流行保留和动员这支熟练的劳动力。

方法

本研究探讨了英国护士在 COVID-19 大流行期间在呼吸环境中工作的经历。通过专业呼吸协会分发电子调查；该调查包括弹性量表、GAD7（焦虑）和 PHQ9（抑郁）工具。收集了有关年龄、性别、种族、护理经验和背景、大流行中的临床角色以及家庭生活和工作平衡的人口统计数据。

结果

调查共收到 255 份回复，主要是女性 (89%, 226/255)，年龄在 35 岁以上 (79%, 202/255)。将近 21% (40/191) 的人出现中度至重度或严重的焦虑症状。抑郁症也有相似的水平 (17.2%, 31/181)。18.9% (34/180) 的复原力得分较低或非常低。

回归分析表明，对于抑郁和焦虑变量，年龄和资格年限提供了最佳模型拟合。经验较少的年轻护士焦虑和抑郁程度较高，恢复力较低。

结论

这个队列经历了严重的焦虑和抑郁，具有中度到高度的恢复力。需要建立支持机制和干预措施，以在大流行爆发期间支持所有护士，尤其是年轻或经验不足的工作人员。