Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross
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40(4):1-11,2020
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Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study Yu-xin ZHAN1†, Shi-yu ZHAO2†, Jiao YUAN3, Huan LIU4, Yun-fang LIU1, Ling-li GUI5, Hong ZHENG6, Ya-min ZHOU7, Li-hua QIU8, Jiao-hong CHEN9, Jiao-hua YU1#, Su-yun LI1# 1 Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 2 Department of Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 3 Department of Academic Research, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China 4 Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu 241001, China 5 Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Wuhan 430071, China 6 Department of Urology, Renmin Hospital of Wuhan University, Wuhan 430060, China 7 Department of Operating Room, Affiliated Hospital of Jianghan University, Wuhan 430015, China 8 Department of Nursing, Union Jiangbei Hospital, Wuhan 430100, China 9 Department of Neurosurgery, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan 430015, China Huazhong University of Science and Technology 2020
Summary: Nurses’ work-related fatigue has been recognized as a threat to nurse health and patient safety. The aim of this study was to assess the prevalence of fatigue among first-line nurses combating with COVID-19 in Wuhan, China, and to analyze its influencing factors on fatigue. A multi-center, descriptive, cross-sectional design with a convenience sample was used. The statistical population consisted of the first-line nurses in 7 tertiary general hospitals from March 3, 2020 to March 10, 2020 in Wuhan of China. A total of 2667 samples from 2768 contacted participants completed the investgation, with a response rate of 96.35%. Social-demographic questionnaire, work-related questionnaire, Fatigue Scale-14, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Chinese Perceived Stress Scale were used to conduct online survey. The descriptive statistic of nurses’ social-demographic characteristics was conducted, and the related variables of work, anxiety, depression, perceived stress and fatigue were analyzed by t-tests, nonparametric test and Pearson’s correlation analysis. The significant factors which resulted in nurses’ fatigue were further analyzed by multiple linear regression analysis. The median score for the first-line nurses’ fatigue in Wuhan was 4 (2, 8). The median score of physical and mental fatigue of them was 3 (1, 6) and 1 (0, 3) respectively. According to the scoring criteria, 35.06% nurses (n=935) of all participants were in the fatigue status, their median score of fatigue was 10 (8, 11), and the median score of physical and mental fatigue of them was 7 (5, 8) and 3 (2, 4) respectively. Multiple linear regression analysis revealed the participants
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