Publication date: Jul 27, 2025

BACKGROUND The mental health of nurses has been significantly affected by the prolonged stress and high-intensity work environments resulting from the COVID-19 pandemic. By the end of 2022, China’s national epidemic prevention policy was optimized and adjusted, and all cities no longer had strict lockdown measures. The management of COVID-19 in China has transitioned to a normalization phase since this stage. This study aimed to examine the psychological status and its related factors among nurses in 4 tertiary hospitals in Dalian during the normalization phase of epidemic prevention and control. MATERIAL AND METHODS A total of 778 nurses from 4 tertiary hospitals in Dalian were surveyed through electronic web-based questionnaires between September 1, 2023, and September 30, 2023. The psychological status and work stress of the nurses were evaluated utilizing the Symptom Check List 90 (SCL-90) and the Chinese Nurses’ Work Stressors Scale. Statistical analyses, comprising rank-sum tests and logistic regression models, were performed using SPSS 26. 0 software. RESULTS Marital status, alcohol consumption, frontline work experience, weekly working hours, age, professional title, and years of work were found to impact the psychological well-being of nurses. Being a senior nursing staff and consuming alcohol were significant independent risk factors for nurses’ psychological symptoms (P

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