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Analysis of Resilience, Coping Style, Anxiety, and Depression Among Rescue Nurses on EMTs During the Disaster Preparedness Stage in Sichuan, China: A Descriptive Cross-Sectional Survey

Published online by Cambridge University Press:  12 December 2022

Wenjiao Huang Open the ORCID record for Wenjiao Huang [Opens in a new window] ,
Linqian Li ,
Yu Zhuo  and
Jianna Zhang
Wenjiao Huang
Affiliation:
West China School of Nursing/ Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
Linqian Li
Affiliation:
Department of Integrated TCM and Western Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
Yu Zhuo
Affiliation:
Mental Health Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
Jianna Zhang*
Affiliation:
Emergency Department/Institute of Disaster Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
*
Corresponding author: Jianna Zhang, Email: 9318696@qq.com.
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Abstract

Objective:

The purpose of this study was to investigate the current situation and influencing factors of resilience, coping style, anxiety, and depression among rescue nurses on Emergency Medical Teams (EMTs) during the disaster preparedness stage, and to explore the relationship between resilience, coping style, anxiety, and depression.

Methods:

A descriptive cross-sectional survey was used. The convenience sampling method was used to select rescue nurses from 4 national EMTs in Sichuan Province, China. CD-RISC, SCSQ, Zung SAS, and SDS were used as research tools.

Results:

A total of 197 valid questionnaires were returned, with a 98.5% response rate. The results of multiple regression analysis showed that average monthly income, depression level, and coping style were the main factors affecting nurses’ resilience. Resilience was significantly and positively correlated with coping style and negatively correlated with anxiety and depression. There were significant differences in SCSQ, Zung SAS, and SDS scores among Clusters.

Conclusion:

In the disaster preparedness stage, rescue nurses on EMTs have a medium level of resilience and good coping styles, but their levels of anxiety and depression are high. It is suggested that more attention should be devoted to the target population to formulate effective intervention plans, reduce psychological pressures, and improve their capacity for coping with disasters.

Keywords

emergency medical teamnursing rescuerresiliencecoping styledisaster preparedness
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e268
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

UNDRR. Disaster. https://www.undrr.org/terminology/disaster. Accessed January 12, 2022.Google Scholar
Mao, X, Fung, OWM, Hu, X, Loke, AY. Psychological impacts of disaster on rescue workers: a review of the literature. Int J Disaster Risk Reduct. 2018;27:602-617.Google Scholar
Liu, C, Ren, H, Chen, Z, Li, J, Jiang, Y. The practice and enlightenment of disaster nursing in West China—Taking West China Hospital as an example. J Nurs Train. 2021;36(2):175-178,188.Google Scholar
Cheng, G. Self-psychological adjustment and psychological crisis intervention strategies for disaster rescue nurses. Chin Nurs Manage. 2018;18(7):888-894.Google Scholar
Jose, S, Dhandapani, M, Cyriac, MC. Burnout and resilience among frontline nurses during COVID-19 pandemic: a cross-sectional study in the emergency department of a tertiary care center, North India. Indian J Crit Care Med. 2020;24(11):1081-1088.Google ScholarPubMed
Mortensen, CB, Zachodnik, J, Caspersen, SF, Geisler, A. Healthcare professionals’ experiences during the initial stage of the COVID-19 pandemic in the intensive care unit: a qualitative study. Intensive Crit Care Nurs. 2021:103130.CrossRefGoogle Scholar
Liao, J, Li, X, Gao, B, Zhang, M, Zhang, Y, Liu, M. Analysis of resilience and influencing factors of disaster relief nurses after 6 years of Wenchuan earthquake. Chin J Mod Nurs. 2017;23(34):4326-4331.Google Scholar
Stanley, IH, Hom, MA, Joiner, TE. A systematic review of suicidal thoughts and behaviors among police officers, firefighters, EMTs, and paramedics. Clin Psychol Rev. 2016;44:25-44.CrossRefGoogle ScholarPubMed
Wilson, LC. A systematic review of probable post-traumatic stress disorder in first responders following man-made mass violence. Psych Res. 2015;229(1-2):21-26.CrossRefGoogle ScholarPubMed
van der Velden, PG, van Loon, P, Benight, CC, Eckhardt, T. Mental health problems among search and rescue workers deployed in the Haiti earthquake 2010: a pre-post comparison. Psych Res. 2012;198(1):100-105.Google ScholarPubMed
Noda, Y, Asano, K, Shimizu, E, Hirano, Y. Assessing subgroup differences in posttraumatic stress disorder among rescue workers in Japan with the impact of event scale-revised. Disaster Med Public Health Prep. 2019;13(2):309-318.CrossRefGoogle ScholarPubMed
Berger, W, Coutinho, ES, Figueira, I, et al. Rescuers at risk: a systematic review and meta-regression analysis of the worldwide current prevalence and correlates of PTSD in rescue workers. Soc Psychiatry Psychiatr Epidemiol. 2012;47(6):1001-1011.CrossRefGoogle Scholar
Zhen, Y, Huang, ZQ, Jin, J, Deng, XY, Zhang, LP, Wang, JG. Posttraumatic stress disorder of Red Cross nurses in the aftermath of the 2008 Wenchuan China Earthquake. Arch Psychiatr Nurs. 2012;26(1):63-70.CrossRefGoogle ScholarPubMed
Ghodsi, H, Sohrabizadeh, S, Khani Jazani, R, Kavousi, A. Factors affecting resiliency among volunteers in disasters: a systematic literature review. Disaster Med Public Health Prep. 2020:1-7.Google ScholarPubMed
Mao, X, Wang, Z, Hu, X, Loke, AY. A scoping review of resilience scales of adults to develop a prototype disaster resilience tool for healthcare rescuers. Int J Disaster Risk Reduct. 2020;49:101678.CrossRefGoogle Scholar
Yu, F, Raphael, D, Mackay, L, Smith, M, King, A. Personal and work-related factors associated with nurse resilience: a systematic review. Int J Nurs Stud. 2019;93:129-140.CrossRefGoogle ScholarPubMed
Association, AP. Building your resilience. 2020; https://www.apa.org/topics/resilience. Accessed January 12, 2022.Google Scholar
Khatri Kc, J, Fitzgerald, G, Poudyal Chhetri, MB. Health risks and challenges in earthquake responders in Nepal: a qualitative research. Prehosp Disaster Med. 2019;34(3):274-281.CrossRefGoogle ScholarPubMed
Mao, X, Fung, OW, Hu, X, Loke, AY. Characteristics of resilience among disaster rescue workers: a systematic review. Disaster Med Public Health Prep. 2022;16(1):380-389.Google ScholarPubMed
Wei, X, Xie, J, He, J. Analysis of psychological resilience and influencing factors of nurses in disaster rescue reserve. Soft Science of Health. 2019;33(12):76-81.Google Scholar
Yu, X, Zhang, J. Factor analysis and psychometric evaluation of the Connor-Davidson Resilience Scale (CD-RISC) with chinese people. Soc Behav Pers. 2007;35(1):19-30.CrossRefGoogle Scholar
Connor, KM, Davidson, JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82.CrossRefGoogle ScholarPubMed
YN X. A preliminary study on the reliability and validity of the simple coping style scale. Chin J Clin Psychol. 1998(2):114-115.Google Scholar
Zung, WW. A rating instrument for anxiety disorders. Psychosomatics. 1971;12(6):371-379.Google ScholarPubMed
Zung, WW. A self-rating depression scale. Arch Gen Psychiatry. 1965;12:63-70.CrossRefGoogle ScholarPubMed
Wang, X, Wang, X, Ma, H. Manual of Mental Health Rating Scale. Vol 12. Beijing: China Mental Health Press; 1999.Google Scholar
Wu, A, Sai, X, Zhang, Z, Li, M, Gao, L, Li, J. Comparison of anxiety and depression score of navy rescue workers with normal Chinese adults. Chin J Emerg Resusc Disaster Med. 2017;12(7):653-654.Google Scholar
Yasien, S, Abdul Nasir, J, Shaheen, T. Relationship between psychological distress and resilience in rescue workers. Saudi Med J. 2016;37(7):778-782.CrossRefGoogle ScholarPubMed
Miller, JL, Pescaroli, G. Psychosocial capacity building in response to cascading disasters: A culturally informed approach. Int J Disaster Risk Reduct. 2018;30:164-171.Google Scholar
Turner, SB. Resilience of nurses in the face of disaster. Disaster Med Public Health Prep. 2015;9(6):601-604.CrossRefGoogle ScholarPubMed
Xu, K, Zhang, S, Zhang, L, Li, M, Ren, H, Song, C. Resilience of nursing staff from medical contingent of PLA to Liberia and its influence factors. Hu Li Za Zhi (Journal of Nursing China). 2017;24(13):23-26.Google Scholar
Yin, X, Xu, H, Zhou, Y, Gu, Z, Zhai, F. Relationship between Resilience and Quality of Work Life of Emergency Nurses. Hu Li Za Zhi (Journal of Nursing China). 2017;24(7):1-5.Google Scholar
Lin, L, Li, Y, Chi, X. Relationship between mindfulness level and resilience in clinical nurses. Chin J Mod Nurs. 2018;24(11):1348-1351.Google Scholar
Hao, W, Zhang, L, Gao, Y, et al. Qualitative research on emotional experience before and after disaster rescue in nurses. Chin J Emerg Resusc Disaster Med. 2017;12(1):16-18.Google Scholar
Umeda, M, Chiba, R, Sasaki, M, Agustini, EN, Mashino, S. A Literature review on psychosocial support for disaster responders: qualitative synthesis with recommended actions for protecting and promoting the mental health of responders. IJERPH. 2020;17(6).CrossRefGoogle ScholarPubMed
Ren, Y, Zhou, Y, Wang, S, Luo, T, Huang, M, Zeng, Y. Exploratory study on resilience and its influencing factors among hospital nurses in Guangzhou, China. Int J Nurs Sci. 2018;5(1):57-62.Google Scholar
Yuan, KC, Ruo Yao, Z, Zhen Yu, S, et al. Prevalence and predictors of stress disorders following two earthquakes. Int J Soc Psychiatry. 2013;59(6):525-530.Google ScholarPubMed
Chen, AC, Keith, VM, Leong, KJ, et al. Hurricane Katrina: prior trauma, poverty and health among Vietnamese-American survivors. Int Nurs Rev. 2007;54(4):324-331.Google Scholar