Introduction: The psychosocial consequences of the coronavirus pandemic are serious for health professionals including nurses because of a higher level of exposure. Nurses often face huge psychological pressure as a result of workload, long hours, and working in a high-risk environment. This study aimed to assess the prevalence and associated factors of anxiety, depression, and stress among nurses working in northwest Amhara referral hospitals.
Methods: Institution-based cross-sectional study was conducted from 25th September to 20th October 2020. A total of 302 nurses were selected using a simple random sampling technique. A structured pretested self-administered questionnaire was used to collect data. The data were entered into EpiData version 3 and analyzed using SPSS version 21. A binary logistic regression model was used to compute bivariable and multivariable analyses.
Results: The prevalence of anxiety, depression, and stress among nurses was 69.6%, 55.3%, and 20.5%, respectively. Unavailability of a guideline, fear of infecting family, and having chronic diseases increase the risk of developing anxiety. Nurses who did not have a guideline, received negative feedback from families, had a history of mental disorders, and chronic diseases have a higher odds of depression. Working in the night shift, lack of training, fear of infecting family, negative feedback from families, presence of confirmed/suspected cases in the family, and having chronic diseases increase the risk of developing stress.
Conclusion: More than two-thirds, more than half, and nearly one-fifth of the nurses had anxiety, depression, and stress, respectively. It is better to create awareness for the community, avail a guideline, train nurses, and give special attention to nurses with chronic disease and a history of mental disorders to minimize the psychological impact of the COVID-19 pandemic on nurses and protect their mental health. The government shall develop and implement national programs for occupational health and safety, prevent violence in the workplace, improve psychological well-being, and protect from physical and biological hazards to take care of the mental health of healthcare professionals during this pandemic.

Keywords: anxiety, COVID-19, depression, stress, nurses


中文翻译：

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COVID-19 爆发对在埃塞俄比亚西北部阿姆哈拉地区州立转诊医院西北部工作的护士的心理影响

简介：冠状病毒大流行的社会心理后果对包括护士在内的卫生专业人员来说是严重的，因为暴露水平更高。由于工作量大、工作时间长、工作在高风险环境中，护士经常面临巨大的心理压力。本研究旨在评估在阿姆哈拉西北部转诊医院工作的护士中焦虑、抑郁和压力的患病率和相关因素。
方法：基于机构的横断面研究于 2020 年 9 月 25 日至 10 月 20 日进行。使用简单随机抽样技术共选择了 302 名护士。使用结构化的预先测试的自我管理问卷来收集数据。将数据输入 EpiData 版本 3 并使用 SPSS 版本 21 进行分析。二元逻辑回归模型用于计算双变量和多变量分析。
结果：护士焦虑、抑郁和压力的患病率分别为69.6%、55.3%和20.5%。没有指南、害怕感染家人以及患有慢性病会增加患焦虑症的风险。没有指南、收到家庭负面反馈、有精神障碍病史、慢性病的护士患抑郁症的几率更高。夜班工作、缺乏培训、害怕感染家人、家人的负面反馈、家庭中存在确诊/疑似病例以及患有慢性病都会增加压力的风险。
结论：超过三分之二、超过一半和近五分之一的护士分别有焦虑、抑郁和压力。更好地提高社区意识，利用指南，培训护士，并特别关注患有慢性病和精神障碍病史的护士，以尽量减少 COVID-19 大流行对护士的心理影响并保护他们的心理健康. 政府应制定和实施国家职业健康与安全计划，预防工作场所暴力，改善心理健康，保护医护人员免受身体和生物危害，以在大流行期间照顾医护人员的心理健康。

关键词：焦虑、COVID-19、抑郁、压力、护士