226
Views
0
CrossRef citations to date
0
Altmetric
ORIGINAL RESEARCH

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

, , , , , , , , ORCID Icon, , ORCID Icon & ORCID Icon show all
Pages 2439-2448 | Received 01 Jun 2023, Accepted 11 Aug 2023, Published online: 24 Aug 2023
 

Abstract

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±5.19), insomnia (16.33±5.95), and fatigue (45.94±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.

Data Sharing Statement

The data used in the current study are not publicly available due to privacy or ethical restrictions, but they are available from the corresponding author upon reasonable request.

Ethics Approval

The survey was voluntary and anonymous. Respondents were requested to provide implied informed consent prior to completing the survey. The study protocol complies with the Declaration of Helsinki and obtained approval from the Ethics Committee of Harbin Medical University (HMUIRB2023017).

Acknowledgments

We thank all of the participants of the survey.

Author Contributions

All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

The authors declare that there is no conflict of interest regarding the publication of this paper.

Additional information

Funding

This study was supported by the National Natural Science Foundation of China (Grant Number 71974049).