Anxiety and Insomnia Mediate the Association of Fear of Infection and Fatigue: A Cross-Sectional Survey of Nurses Deployed to a COVID-19 Epicenter in China

作者：Liu, Zhixin; Zhang, Huanyu; Wang, Nan; Feng, Yajie; Liu, Junping; Wu, Lin; Liu, Zhaoyue; Liu, Xinru; Liang, Libo^*; Liu, Jie; Wu, Qunhong; Liu, Chaojie

来源：Journal of Multidisciplinary Healthcare, 2023, 16: 2439-2448.

DOI：10.2147/JMDH.S421619

• fear of infection
• anxiety
• insomnia
• fatigue
• COVID-19

Background: This study aimed to test the mediating role of anxiety and insomnia in the association between fear of infection and fatigue. Methods: A cross-sectional questionnaire survey was conducted on the nurses deployed to Heihe. A serial multiple mediation model was established to determine the role of anxiety and insomnia in the association between fear of infection and fatigue. Findings: Over half (53.0%) of the study participants reported experiencing fear of infection despite stringent personal protection measures. The scores of anxiety (11.87 & PLUSMN;5.19), insomnia (16.33 & PLUSMN;5.95), and fatigue (45.94 & PLUSMN;12.93) were moderately correlated, with a Pearson correlation coefficient ranging from 0.501 to 0.579. Anxiety, either alone or in combination with insomnia, mediated the association between fear of infection and fatigue. Conclusion: The findings suggest that anxiety and insomnia play a mediating role in the relationship between fear of infection and fatigue. These results emphasize the importance of implementing targeted mental health interventions and work arrangements to address the well-being of healthcare professionals.

• 单位
  哈尔滨医科大学; 北京大学