Stress and Anxiety, and Coping Strategies among Nursing Personnel in Maharaj Nakorn Chiang Mai Hospital during A New Outbreak of The COVID-19

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Nonglak Inta
Jittanom Sangkhanan
Issaree Panyawan


Objective: To describe stress and anxiety, and coping strategies among nursing personnel in Maharaj Nakorn Chiang Mai Hospital during a new outbreak of the COVID-19, the relationship between stress and anxiety, and coping strategies, and their associated factors

Methods: A cross-sectional survey was conducted in June-July 2021. The stratified sampling recruited 390 nursing personnel working during April-May 2021 in the Nursing Department, Maharaj Nakorn Chiang Mai Hospital. The research instruments were the demographic questionnaire, the Stress and Anxiety to Viral Epidemics -9 items for healthcare workers: SAVE-9 (Thai), and the nursing personnel coping strategies questionnaire. The data were analyzed using descriptive statistics, Pearson’s product- moment correlation, Spearman rank correlation, and Eta coefficient.

Results: The total number of respondents was 382 (97.9%) nursing personnel. Participants had moderate stress and anxiety about the COVID-19 epidemic. The mean score of SAVE-9 was 19.05 ± 6.56. Considering only the anxiety part compared to the Generalized Anxiety Disorder-7 (GAD-7) ≥ 5, 140 (36.6%) nursing personnel had anxiety. The mean score of nursing personnel coping strategies was also moderate (37.86 ±4.69). There were significant negative relationships between stress and anxiety for the spread of COVID-19 and nursing personnel coping strategies (r=-.18, p=.001). Factors significantly related to stress and anxiety were age (r= -.12, p=.02) and work experience (r=-.12, p=.02). Furthermore, factors significantly related to nursing personnel coping strategies were age (r=.22, p<.001), work experience (r=.23, p<.001), type of nursing personnel (η=.20, p<.001), and type of patient care (η=.13, p=.001).

Conclusions: The results of this study provide information for the nursing administrators to formulate guidelines for human resource management and mental health promotion for nursing personnel to care for patients amid the COVID-19 outbreak.


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