Immediate psychological impact on nurses working at 42 government-designated hospitals during COVID-19 outbreak in China: A cross-sectional study

Nurs Outlook. 2021 Jan-Feb;69(1):6-12. doi: 10.1016/j.outlook.2020.07.007. Epub 2020 Jul 19.

Abstract

Background: During an epidemic of a novel infectious disease, frontline nurses suffer from unprecedented psychological stress. This study aimed to assess the immediate psychological impact on frontline nurses in China.

Methods: A multicenter, cross-sectional survey of frontline nurses was conducted via online questionnaires. Symptoms of depression, anxiety, somatic disorders, and suicidal ideation were evaluated. Demographic, stress, and support variables were entered into logistic regression analysis to identify the impact factors.

Findings: Of the 4,692 nurses who completed the survey, 9.4% (n = 442) were considered to have depressive symptoms, 8.1% (n = 379) represented anxiety, and 42.7% (n = 2,005) had somatic symptom. About 6.5% (n = 306) respondents had suicidal ideation.

Discussion: The study showed that the overall mental health of frontline nurses was generally poor during COVID-19 outbreak, and several impact factors associated with nurses' psychological health were identified. Further research is needed to ascertain whether training and support strategies are indeed able to mitigate psychological morbidities.

Keywords: Anxiety; Coronavirus; Depression; Nurse; Somatic disorder; Suicidal ideation.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anxiety / epidemiology*
  • COVID-19 / epidemiology*
  • China / epidemiology
  • Cross-Sectional Studies
  • Depression / epidemiology*
  • Disease Outbreaks*
  • Female
  • Hospitals, Public
  • Humans
  • Male
  • Nursing Staff, Hospital / psychology*
  • Nursing Staff, Hospital / statistics & numerical data
  • Somatoform Disorders / epidemiology*
  • Suicidal Ideation*
  • Surveys and Questionnaires
  • Young Adult