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. 2020 Nov 1:276:312-315.
doi: 10.1016/j.jad.2020.06.047. Epub 2020 Jul 15.

Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak

Ying An  1 , Yuan Yang  2 , Aiping Wang  1 , Yue Li  1 , Qinge Zhang  3 , Teris Cheung  4 , Gabor S Ungvari  5 , Ming-Zhao Qin  6 , Feng-Rong An  7 , Yu-Tao Xiang  8
Affiliations

Prevalence of depression and its impact on quality of life among frontline nurses in emergency departments during the COVID-19 outbreak

Ying An et al. J Affect Disord. .

Abstract

Background: Frontline medical staff exposed to the novel coronavirus disease (COVID-19) could be psychologically and mentally exhausted. This study examined the prevalence of depressive symptoms (depression hereafter) and their correlates and the association between depression and quality of life (QOL) in Emergency Department (ED) nurses during the COVID-19 pandemic in China.

Methods: This national, cross-sectional online survey was conducted between March 15 and March 20, 2020 in China. Depression and QOL were measured using the 9-item Patient Health Questionnaire, and the World Health Organization Quality of Life Questionnaire-Brief Version, respectively.

Results: The overall prevalence of depression in 1103 ED nurses was 43.61% (95% CI=40.68-46.54%). Multiple logistic regression analysis revealed that working in tertiary hospitals (OR=1.647, P=0.009), direct patient care of COVID-19 patients (OR=1.421, P=0.018), and current smokers (OR=3.843, P<0.001) were significantly associated with depression. After controlling for covariates, nurses with depression had an overall lower QOL compared to those without (F(1,1103)=423.83, P<0.001).

Conclusion: Depression was common among ED nurses during the COVID-19 pandemic. Considering the negative impact of depression on quality of patient care and nurses' QOL, a heightened awareness of, and early treatment for depression for frontline ED nurses should be provided.

Keywords: COVID-19; Depression; Emergency department; Nurse.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

References

    1. Boyle D.A. Countering compassion fatigue: a requisite nursing agenda. Online J. Issues Nurs. 2011;16:2. - PubMed
    1. Cui L.P. The relationship between workload, life events and anxiety and depression of nurses in emergency department (in Chinese) Nursing. 2019;1:63.
    1. Chen M., Sheng L., Qu s. Diagnostic test of screening depressive disorder in general hospital with the Patient Health Questionnaire (in Chinese) Chin. Mental Health. 2015;29:241–245.
    1. Chua S.E., Cheung V., Cheung C., McAlonan G.M., Wong J.W., Cheung E.P., Chan M.T., Wong M.M., Tang S.W., Choy K.M., Wong M.K., Chu C.M., Tsang K.W. Psychological effects of the SARS outbreak in Hong Kong on high-risk health care workers. Can. J. Psychiatry. 2004;49:391–393. - PubMed
    1. Fang J.Q., Hao Y.A. Reliability and validity for Chinese version of WHO quality of life scale (in Chinese) Chin.e Mental Health J. 1999;13:203–209.

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