Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: A prospective and periodic assessment study in Taiwan
Identifieur interne : 003F46 ( Main/Merge ); précédent : 003F45; suivant : 003F47Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: A prospective and periodic assessment study in Taiwan
Auteurs : Tung-Ping Su [Taïwan] ; Te-Cheng Lien [Taïwan] ; Chih-Yi Yang [Taïwan] ; Yiet Ling Su [Taïwan] ; Jia-Horng Wang [Taïwan] ; Sing-Ling Tsai [Taïwan] ; Jeo-Chen Yin [Taïwan]Source :
- Journal of Psychiatric Research [ 0022-3956 ] ; 2006.
Abstract
To assess the rapidly changing psychological status of nurses during the acute phase of the 2003 SARS outbreak, we conducted a prospective and periodic evaluation of psychiatric morbidity and psychological adaptation among nurses in SARS units and non-SARS units. Nurse participants were from two SARS units (regular SARS [
Url:
DOI: 10.1016/j.jpsychires.2005.12.006
PubMed: 16460760
PubMed Central: 7094424
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<author><name sortKey="Yang, Chih Yi" sort="Yang, Chih Yi" uniqKey="Yang C" first="Chih-Yi" last="Yang">Chih-Yi Yang</name>
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<author><name sortKey="Su, Tung Ping" sort="Su, Tung Ping" uniqKey="Su T" first="Tung-Ping" last="Su">Tung-Ping Su</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Division of Psychiatry, National Yang-Ming University, Department of Psychiatry, Taipei Veterans General Hospital, 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan</nlm:aff>
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<author><name sortKey="Lien, Te Cheng" sort="Lien, Te Cheng" uniqKey="Lien T" first="Te-Cheng" last="Lien">Te-Cheng Lien</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Respiratory Therapy, Taipei Veterans General Hospital, Taiwan</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Department of Respiratory Therapy, Taipei Veterans General Hospital</wicri:regionArea>
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<author><name sortKey="Yang, Chih Yi" sort="Yang, Chih Yi" uniqKey="Yang C" first="Chih-Yi" last="Yang">Chih-Yi Yang</name>
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<author><name sortKey="Su, Yiet Ling" sort="Su, Yiet Ling" uniqKey="Su Y" first="Yiet Ling" last="Su">Yiet Ling Su</name>
<affiliation wicri:level="1"><nlm:aff id="aff4">Nursing Department, Taipei Veterans General Hospital, Taiwan</nlm:aff>
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<wicri:regionArea>Nursing Department, Taipei Veterans General Hospital</wicri:regionArea>
<wicri:noRegion>Taipei Veterans General Hospital</wicri:noRegion>
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<author><name sortKey="Wang, Jia Horng" sort="Wang, Jia Horng" uniqKey="Wang J" first="Jia-Horng" last="Wang">Jia-Horng Wang</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Respiratory Therapy, Taipei Veterans General Hospital, Taiwan</nlm:aff>
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<wicri:noRegion>Taipei Veterans General Hospital</wicri:noRegion>
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<author><name sortKey="Tsai, Sing Ling" sort="Tsai, Sing Ling" uniqKey="Tsai S" first="Sing-Ling" last="Tsai">Sing-Ling Tsai</name>
<affiliation wicri:level="1"><nlm:aff id="aff4">Nursing Department, Taipei Veterans General Hospital, Taiwan</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Nursing Department, Taipei Veterans General Hospital</wicri:regionArea>
<wicri:noRegion>Taipei Veterans General Hospital</wicri:noRegion>
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<author><name sortKey="Yin, Jeo Chen" sort="Yin, Jeo Chen" uniqKey="Yin J" first="Jeo-Chen" last="Yin">Jeo-Chen Yin</name>
<affiliation wicri:level="1"><nlm:aff id="aff4">Nursing Department, Taipei Veterans General Hospital, Taiwan</nlm:aff>
<country xml:lang="fr">Taïwan</country>
<wicri:regionArea>Nursing Department, Taipei Veterans General Hospital</wicri:regionArea>
<wicri:noRegion>Taipei Veterans General Hospital</wicri:noRegion>
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<series><title level="j">Journal of Psychiatric Research</title>
<idno type="ISSN">0022-3956</idno>
<idno type="eISSN">1879-1379</idno>
<imprint><date when="2006">2006</date>
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<front><div type="abstract" xml:lang="en"><p>To assess the rapidly changing psychological status of nurses during the acute phase of the 2003 SARS outbreak, we conducted a prospective and periodic evaluation of psychiatric morbidity and psychological adaptation among nurses in SARS units and non-SARS units. Nurse participants were from two SARS units (regular SARS [<italic>N</italic>
= 44] and SARS ICU [<italic>N</italic>
= 26]) and two non-SARS units (Neurology [<italic>N</italic>
= 15] and CCU [<italic>N</italic>
= 17]). Participants periodically self-evaluated their depression, anxiety, post-traumatic stress symptoms, sleep disturbance, attitude towards SARS and family support. Results showed that depression (38.5% vs. 3.1%) and insomnia (37% vs. 9.7%) were, respectively, greater in the SARS unit nurses than the non-SARS unit nurses. No difference between these two groups was found in the prevalence of post-traumatic stress symptoms (33% vs. 18.7%), yet, three unit subjects (SARS ICU, SARS regular and Neurology) had significantly higher rate than those in CCU (29.7% vs. 11.8%, respectively) (<italic>p</italic>
< 0.05). For the SARS unit nurses, significant reduction in mood ratings, insomnia rate and perceived negative feelings as well as increasing knowledge and understanding of SARS at the end of the study (all <italic>p</italic>
< 0.001) indicated that a gradual psychological adaptation had occurred. The adjustment of nurses in the more structured SARS ICU environment, where nurses care for even more severely ill patients, may have been as good or better than that of nurses in the regular SARS unit. Occurrence of psychiatric symptoms was linked to direct exposure to SARS patient care, previous mood disorder history, younger age and perceived negative feelings. Positive coping attitude and strong social and family support may have protected against acute stress. In conclusion, the psychological impact on the caring staffs facing future bio-disaster will be minimized with lowered risk factors and a safer and more structured work environment.</p>
</div>
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