急重症護理人員面對新冠肺炎的壓力及其相關因素探討

Background: Severe Pneumonia with Novel Pathogens, also called COVID-19, has caused a global pandemic. Nursing staff are also under great stress when facing the threat. At present, there is little research on them facing the stress of COVID-19. Objectives: This study aimed to investigate stress and related factors among nursing staff of emergency and critical care units who face COVID-19. Methods: We adopted a cross-sectional, descriptive, and correlational study design. Data were collected on demographic and working-related characteristics and Perceived Stress Scale (PSS). Participants were 95 nursing staff in a medical center in North Taiwan. We performed univariate inferential statistical analysis including t-tests, one-way ANOVA, Pearson's correlation coefficients, and a general linear regression model to analyze the factors affecting stress among emergency and critical care nursing staff. A threshold of P ＜0.05 was set as a statistical significance. Results: The results showed that the average stress level was 24.1 points among emergency and critical care nurses. Nurses whose closeness with their family (β=3.96, 95% CI=0.64 - 7.28, p = 0.022), had perceived support from their family (β= -4.90, 95%CI= -8.88 - -0.92, p = 0.018), and were involved in major accidents or disasters (β=15.97, 95% CI= 1.35 - 30.58, p = 0.036), had been significantly affected by stress. Conclusion: Based on this finding, it is proposed that these nurses were the important predictors of stress among the staff facing COVID-19. Therefore, it is suggested to provide emergency and critical care nurses intervention to decrease the stress to improve patient safety and quality of care.