Anxiety, depression, and insomnia among nurses during the full liberalization of COVID-19: a multicenter cross-sectional analysis of the high-income region in China

Xiao，Julan1,2; Liu，Lili3; Peng，Yueming2,4; Wen，Yi1,2; Lv，Xia2,5; Liang，Lijun2,4; Fan，Yi2,4; Chen，Jie2,6; Chen，Yanru2,7; Hu，Hongying2,4; Peng，Weisi2,4; Wang，Haiyan2,4; Luo，Weixiang2,4

2023

10.3389/fpubh.2023.1179755

Frontiers in Public Health   Impact Factor & Quartile

2296-2565

Introduction: Frontline nurses fighting against the epidemic were under great psychological stress. However, there is a lack of studies assessing the prevalence rates of anxiety, depression, and insomnia among frontline nurses after the full liberalization of COVID-19 in China. This study demonstrates the impact of the full liberalization of COVID-19 on the psychological issues and the prevalence rate and associated factors of depressive symptoms, anxiety, and insomnia among frontline nurses. Methods: A total of 1766 frontline nurses completed a self-reported online questionnaire by convenience sampling. The survey included six main sections: the 9-item Patient Health Questionnaire (PHQ-9), the 7-item Generalized Anxiety Disorder (GAD-7), the 7-item Insomnia Severity Index (ISI), the 10-item Perceived Stress Scale (PSS-10), sociodemographic information, and work information. Multiple logistic regression analyses were applied to identify the potential significantly associated factors for psychological issues. The study methods were compliant with the STROBE checklist. Results: 90.83% of frontline nurses were infected with COVID-19, and 33.64% had to work while infected COVID-19. The overall prevalence of depressive symptoms, anxiety and insomnia among frontline nurses was 69.20%, 62.51%, and 76.78%, respectively. Multiple logistic analyses revealed that job satisfaction, attitude toward the current pandemic management, and perceived stress were associated with depressive symptoms, anxiety, and insomnia. Conclusions: This study highlighted that frontline nurses were suffering from varying degrees of depressive symptoms, anxiety, and insomnia during full liberalization of COVID-19. Early detection of mental health issues and preventive and promotive interventions should be implemented according to the associated factors to prevent a more serious psychological impact on frontline nurses.

anxiety depression full liberalization of COVID-19 insomnia nurses

SCI ; SSCI

English

First ; Corresponding

Public, Environmental & Occupational Health

Public, Environmental & Occupational Health

WOS:001022576300001

FRONTIERS MEDIA SA

2-s2.0-85164431259

Scopus

1.Department of Thoracic Surgery,Shenzhen People's Hospital,The Second Clinical Medical College,Jinan University,The First Affiliated Hospital,Southern University of Science and Technology,Shenzhen,Guangdong,China
2.Shenzhen Clinical Research Centre for Geriatrics,Shenzhen People's Hospital,Shenzhen,Guangdong,China
3.Department of Psychology,School of Public Health,Southern Medical University,Guangzhou,Guangdong,China
4.Department of Nursing,Shenzhen People's Hospital,The Second Clinical Medical College,Jinan University,The First Affiliated Hospital,Southern University of Science and Technology,Shenzhen,Guangdong,China
5.Department of Nursing,Longhua Branch of Shenzhen People's Hospital,The Second Clinical Medical College,Jinan University,The First Affiliated Hospital,Southern University of Science and Technology,Shenzhen,Guangdong,China
6.Department of Cardiovascular Medicine,Shenzhen People's Hospital,The Second Clinical Medical College,Jinan University,The First Affiliated Hospital,Southern University of Science and Technology,Shenzhen,Guangdong,China
7.Department of Respiratory and Critical Care Medicine,Shenzhen People's Hospital (The Second Clinical Medical College,Jinan University,The First Affiliated Hospital,Southern University of Science and Technology),Shenzhen,Guangdong,China

Xiao，Julan,Liu，Lili,Peng，Yueming,et al. Anxiety, depression, and insomnia among nurses during the full liberalization of COVID-19: a multicenter cross-sectional analysis of the high-income region in China[J]. Frontiers in Public Health,2023,11.

Xiao，Julan.,Liu，Lili.,Peng，Yueming.,Wen，Yi.,Lv，Xia.,...&Luo，Weixiang.(2023).Anxiety, depression, and insomnia among nurses during the full liberalization of COVID-19: a multicenter cross-sectional analysis of the high-income region in China.Frontiers in Public Health,11.

Xiao，Julan,et al."Anxiety, depression, and insomnia among nurses during the full liberalization of COVID-19: a multicenter cross-sectional analysis of the high-income region in China".Frontiers in Public Health 11(2023).