分析新型冠状病毒肺炎(COVID-19)疫情防控期间临床护士心理状态的变化，为给予有效的心理和社会干预提供有价值的理论依据。

采用抽样调查法，在2020年2月20日至3月1日期间对重庆市某三甲医院的849名临床护士进行自我评定问卷调查。问卷调查表包括基本人口资料调查问卷、症状自评量表(SCL-90)以及焦虑自评量表(SAS)。分别将SCL-90中的躯体化、焦虑、抑郁、敌对、人际关系敏感、恐惧、偏执、强迫、精神病性共9项指标的评分与相应的中国护士SCL-90常模及中国人群SCL-90常模进行比较，并将SAS评分与相应的中国人群SAS常模进行对比。采用t检验进行组间差异的比较。

受访对象主要为女护士，约占96.2%(817/849)，初级职称者占63.2%(537/849)，普通病房护士占83.9%(712/849)。临床护士SCL-90平均总评分为(145.1±39.6)分，其中躯体化、强迫、抑郁、焦虑、恐惧这5项因子评分均显著高于中国护士常模(t＝ 7.113、3.738、2.600、3.850、11.975，P均<0.050)。本研究中，接受调查的临床护士SAS评分为(51.3±6.1)分，达轻度焦虑标准，高于中国人群SAS常模的(37.9±12.5)分(n＝1 158)，两者相比，差异有统计学意义(t＝12.507，P<0.001)。

新冠疫情防控期间的临床护士受多种精神心理症状困扰，总体上表现为轻度焦虑及危机反应。护理管理者应当针对不同临床护士给予不同的心理辅导和心理干预措施，以保证临床护理工作正常开展，减轻临床护士的心理压力及负担；应加强护理团队心理素质的提升训练，建立较为全面的心理干预系统及护士支持体系。

To analyze the changes in the psychological status of clinical nurses during the COVID-19 pandemic, and provide a theoretical reference for effective psychological and social intervention.

Sampling survey method was employed, and a self-assessment questionnaire survey was conducted on 849 clinical nurses in a grade A tertiary hospital in Chongqing from February 20 to March 1, 2020. Questionnaires included a basic demographic survey, Symptom Checklist 90 (SCL-90) and Self-Rating Anxiety Scale (SAS). The scores of 9 indicators including somatization, anxiety, depression, hostility, interpersonal sensitivity, fear, paranoia, compulsion and psychoticism in SCL-90 were respectively compared with the corresponding values of Chinese nurses SCL-90 norm and Chinese population SCL-90 norm. The SAS score was compared with the corresponding SAS norm of the Chinese population. The t test was used to analyze the difference between groups.

Most of the interviewees were female nurses (96.2%, 817/849), 63.2%(537/849)of them held junior titles and general ward nurses accounted for 83.9%(712/849). The total score of SCL-90 for clinical nurses was 145.1±39.6, and the scores in somatization, compulsion, depression, anxiety and fear were significantly higher than those in the norm of Chinese nurses (t= 7.113, 3.738, 2.600, 3.850, 11.975, all P<0.050). In this study, the SAS score of clinical nurses was 51.3±6.1, indicating mild anxiety, which was significantly higher than the SAS norm of the Chinese population(n=1158, 37.9±12.5)(t=12.507, P<0.001).

Clinical nurses suffer a variety of mental and psychological symptoms during the COVID-19 pandemic, mainly manifested as mild anxiety and crisis reactions. The regulators should provide different psychological counseling and intervention strategies to different clinical nurses to reduce their psychological pressure and ensure the management of clinical nursery. The psychological training of nursing staff should be strengthened and a more comprehensive psychological intervention system and a nurse support system should be established.