- 期刊
COVID-19對透析護理人員事件衝擊及身心健康之探討
Discussion on the Impact of COVID-19 towards the Physical and Mental Health of Dialysis Nurses
摘要
背景：COVID-19讓醫療人員面臨高感染率的威脅。透析室護理人員除了照顧頻繁往返醫院及社區的透析病人，面對未知感染的壓力，且透析病人抵抗力較低，是易感染及易形成重症族群，此外亦需支援重症者透析照顧，因而加重其事件衝擊及身心健康影響。目的：瞭解COVID-19期間透析護理人員事件衝擊及身心健康之現況及其相關性。方法：描述性及相關性研究設計，以方便取樣收集100位南部某醫學中心體系醫院之透析室護理人員，使用事件衝擊量表及華人健康調查量表收集資料。以SPSS 20.0版進行描述性及推論性統計分析。結果：100位透析室護理人員對COVID-19之事件衝擊壓力總分22.20 ± 11.32分，有38%的透析護理人員COVID-19事件衝擊壓力得分≧24分，得分最高的項目為“任何有關COVID-19的事件都會勾起我的情緒”。身心健康總分3.16 ± 2.02分，有41%的透析護理人員身心健康困擾得分≧3分，得分最高項目為對未來感到沒有希望。透析護理人員對COVID-19事件衝擊反應與身心健康（p＜.001）、護理工作總年資（p＜.05）及透析工作總年資（p＜.05）均呈顯著正相關。結論：超過三成透析護理人員感受到事件衝擊及感受身心困擾，對於透析工作年資與護理工作年資越久及身心健康調適越低之護理人員，在疫情期間更需仔細評估其事件衝擊反應。
並列摘要
Background: Dialysis nurses face high risk of undisclosed infection pressure from COVID-19 while caring for dialysis patients who frequently commute between hospital and community. Dialysis patients are among higher risk group of developing into severe illness due to their low immune system. Further, dialysis nurses also need to support the dialysis care for the severely infected patients which also aggravate the incident impact reaction and affect their physical and mental health. Purpose: To understand the current state and correlation between incident impact as well as physical and mental health among dialysis nurses during COVID-19 pandemic. Methods: With a descriptive and correlated research designed to facilitate the sampling of 100 dialysis nurses in a medical center system of hospital from southern Taiwan. The Incident Impact Scale and the Chinese Health Survey Scale were used to collect data. Descriptive and inferential statistical analyses were concluded as per SPSS 20.0 version. Results: The total score for incidence impact of 100 dialysis nurses was 22.20±11.32 points, and 38% of the dialysis nurses scored≧24 points for the incidence impact. The highest score was ＂anything related to COVID-19 arouse my emotion＂. The total score of physical and mental health was 3.16±2.02 points, and 41% of dialysis nurses had a score of≧3 points for physical and mental health distress. The highest scoring item was ＂feeling no hope for the future＂. The incidence impact of dialysis nurses towards the COVID-19 event was significantly correlated with their physical and mental health (p ＜ .001), the total years of nursing work (p ＜ .05), and the total years of dialysis work (p ＜ .05). Conclusion: More than 30% of dialysis nurses felt the incidence impact and experienced physical and mental distress. For nurses with longer dialysis working experience, longer nursing working year, but lower physical and mental health adjustment, it is necessary to promptly evaluate their reaction towards incident impact during the epidemic.