Objectives: To explore self-efficacy and mental health early changing trend of nurses in fever pre examination and triage department during COVID-19, and provide a theoretical basis for formulating psychological intervention plan for pre examination triage nurses during major epidemic situations. Methods: A 14 days follow-up survey was conducted among 41 nurses in the first circle of fever pre examination and triage department of Sichuan Provincial People's Hospital. The general situation questionnaire, 10 item Kessler Psychological Distress Scale(K-10) and General Self-efficacy Scale(GSES) were used to repeatedly measure on baseline, day 2, day 4, day 6, day 10 and day 14. SPSS 23.0 was used for statistical analysis, including descriptive analysis and variance analysis. Results: A total of 35 cases were followed up. The overall follow-up rate was 85.37%. (1) GSES scores of nurses in different time points were lower than the norm(2.86±0.52)scores; the scores increased on the second day and decreased gradually on the fourth day, but there was no significant difference between the scores at different time points(F=2.090,P=0.068). (2) In GSES, item 5(with my intelligence, I will be able to cope with unexpected situations) and item 10(no matter what happens to me, I can handle it easily) had statistical differences in scores at different time points(F=2.375, P=0.040; F=2.673, P=0.023). (3) The K-10 scores of the nurses in the pre examination and triage were higher and showed a trend of increasing gradually, but there was no significant difference in the scores at different time points(F=2.117, P=0.064). (4) The score of item 7 in K-10(whether you often feel depressed) was statistically different at different time points(F=2.534, P=0.030). Conclusion: The self efficacy and mental health status for nurses in fever pre examination and triage department showed a gradual deterioration in the early stage. It is suggested that at the same time of epidemic prevention and control, psychological intervention should be carried out as early as possible to delay the reduction of self-efficacy and maintain the mental health status for front-line nurses. |
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