Prevalence and correlates of severe anxiety among front-line nurses during and after the COVID-19 pandemic: a large-scale multi-center study.

Prevalence and correlates of severe anxiety among front-line nurses during and after the COVID-19 pandemic: a large-scale multi-center study.

Publication date: Jan 15, 2025

Nurses have been at the forefront of the battle against the COVID-19 pandemic, facing extended work hours and heightened stress, predisposing them to psychological distress. This study aims to investigate the prevalence and correlates of severe anxiety among frontline nurses in China during and after the COVID-19 pandemic. A large-scale multi-center survey was conducted from November to December 2022 and from April to July 2023. Data were collected using online surveys, covering demographic characteristics, job-related factors, anxiety, depression, and sleep disorders. Statistical analyses, including chi-square tests, t-tests, and logistic regression, were performed to assess the incidence and factors influencing severe anxiety. The study included 816 nurses during the pandemic and 763 nurses after the pandemic. The prevalence of severe anxiety during the pandemic (52. 3%) was significantly higher than after the pandemic (8. 0%). Factors such as nursing title, night shift frequency, educational level, exercise frequency, COVID-19 infection status, economic pressure, and work pressure showed significant differences between the two periods. Binary logistic regression revealed associations between severe anxiety and factors such as night shift frequency, COVID-19 infection status, nursing title, depression, and sleep disorders. Receiver Operating Characteristic analysis demonstrated good predictive value for severe anxiety. The study underscores the importance of understanding and addressing severe anxiety among frontline nurses during and after the COVID-19 pandemic. Future research should delve into long-term psychological effects and implement effective intervention measures to support nurses’ mental health.

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Concepts Keywords
China COVID-19 pandemic
December Front-line nurses
July Mental health
Nurses Multi-center survey
Pandemic Severe anxiety

Semantics

Type Source Name
disease MESH anxiety
disease MESH COVID-19 pandemic
disease MESH psychological distress
disease MESH depression
disease MESH sleep disorders
disease MESH educational level
disease MESH infection
disease IDO intervention
pathway REACTOME Reproduction
drug DRUGBANK Coenzyme M
disease MESH post traumatic stress disorder
drug DRUGBANK Indoleacetic acid
disease MESH social media addiction
disease MESH Long COVID
disease MESH syndrome
disease MESH insomnia
disease MESH sleep onset latency
disease MESH sleep quality
drug DRUGBANK Sodium lauryl sulfate
drug DRUGBANK Saquinavir
disease MESH psychological stress
disease MESH emergency
disease MESH critically ill
disease MESH lifestyles
disease MESH burnout
drug DRUGBANK Trestolone
disease MESH sequelae
disease MESH anxiety disorders
disease MESH loneliness
drug DRUGBANK Isosorbide Mononitrate
drug DRUGBANK Cysteamine
drug DRUGBANK Etoperidone

Original Article

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