Post-traumatic Growth Level and Its Influencing Factors Among Frontline Nurses During the COVID-19 Pandemic.

Xin Peng,De-Ying Hu,Hui-Zi Zhao,Yi Yang,Qin He,Zhen-Li Rao

doi:10.3389/fpsyt.2021.632360

Xin Peng, De-Ying Hu + Show 4 more

Open Access

https://doi.org/10.3389/fpsyt.2021.632360

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Abstract

Objective: To assess post-traumatic growth (PTG) level and explore its influence factors among frontline nurses during the COVID-19 pandemic.Methods: From April 11th to 12th, 2020, a cross sectional study was conducted on 116 frontline nurses who had participated in fight against the COVID-19 in Wuhan city, China. General information and psychological discomfort were collected. Chinese version post-traumatic growth inventory with 20 items was applied to assess PTG level. Univariable analyses and multiple linear regression were performed to explore potential influencing factors of PTGI score.Results: The average score of PTGI in frontline nurses was 65.65 ± 11.50. In univariable analyses, gender, age, education level, marital status, living with parents, professional title, working years and professional psychological support was not statistically associated with the PTGI score. In both univariable and multivariable analyses, having support from family members and friends, being psychological comfort and having children and increased the PTGI score significantly. The three factors only explained 3.8% variance.Conclusion: Moderate PGT was observed in the frontline nurses who had battled against COVID-19. Social support and professional psychological intervention should be applied to further improve PTG level. Further studies with large sample size are required to explore more potential influencing factors.

Highlights

In recent decades, the emergence of coronavirus has posed a huge threat on global health for causing significant mortality worldwide, such as severe acute respiratory syndrome (SARS-CoV) and Middle East Respiratory Syndrome Coronavirus (MERS-CoV) [1]
At January 23, 2020, the Wuhan city was blocked and the COVID-19 outbreak started. These nurses from a designated tertiary grade A hospital in Wuhan city were recruited to treat patients infected with COVID-19
Sudden emergency of the COVID-19 epidemic can be understood as a traumatic event which may trigger a PTSD-like responses and mental problems

Summary

Introduction

The emergence of coronavirus has posed a huge threat on global health for causing significant mortality worldwide, such as severe acute respiratory syndrome (SARS-CoV) and Middle East Respiratory Syndrome Coronavirus (MERS-CoV) [1]. In December 2019, the first case of coronavirus disease 2019 (COVID-19) emerged in Wuhan city, Hubei province, China [2]. The COVID-19 requires timely diagnosis and effective treatment to prevent progression to severe or critical infection and lower risk of death [3]. Healthcare workers (HCWs) was the first-line fighters treating patients with COVID-19. Many HCWs in Wuhan city had been fighting against. Post-traumatic Growth of Nurses the COVID-19 pandemic for about 3 months. Increasing number of infected cases and uncertainty in the virus made HCWs under considerable workload and psychological pressure [4]. A systematic review concluded high prevalence of post-traumatic stress symptoms (PTSS) related to the COVID-19 pandemic among HCWs and summarized potential predictors, such as young age, female and lack of social support [5]

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