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公众、医疗团队成员和非成员在协助 COVID-19 控制过程中的替代性创伤。

Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control.

机构信息

Department of Anesthesiology and Perioperative Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Department of Ultrasound Imaging, Renmin Hospital of Wuhan University, Wuhan 430060, China.

出版信息

Brain Behav Immun. 2020 Aug;88:916-919. doi: 10.1016/j.bbi.2020.03.007. Epub 2020 Mar 10.

DOI:10.1016/j.bbi.2020.03.007
PMID:32169498
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7102670/
Abstract

Since December 2019, more than 79,000 people have been diagnosed with infection of the Corona Virus Disease 2019 (COVID-19). A large number of medical staff was sent to Wuhan city and Hubei province to aid COVID-19 control. Psychological stress, especially vicarious traumatization caused by the COVID-19 pandemic, should not be ignored. To address this concern, the study employed a total of 214 general public and 526 nurses (i.e., 234 front-line nurses and 292 non-front-line nurses) to evaluate vicarious traumatization scores via a mobile app-based questionnaire. Front-line nurses are engaged in the process of providing care for patients with COVID-19. The results showed that the vicarious traumatization scores for front-line nurses including scores for physiological and psychological responses, were significantly lower than those of non-front-line nurses (P < 0.001). Interestingly, the vicarious traumatization scores of the general public were significantly higher than those of the front-line nurses (P < 0.001); however, no statistical difference was observed compared to the scores of non-front-line nurses (P > 0.05). Therefore, increased attention should be paid to the psychological problems of the medical staff, especially non-front-line nurses, and general public under the situation of the spread and control of COVID-19. Early strategies that aim to prevent and treat vicarious traumatization in medical staff and general public are extremely necessary.

摘要

自 2019 年 12 月以来,已有超过 79000 人被诊断感染 2019 年冠状病毒病(COVID-19)。大量医务人员被派往武汉市和湖北省协助 COVID-19 控制。心理压力,尤其是由 COVID-19 大流行引起的替代性创伤,不容忽视。为了解决这一问题,该研究共使用了 214 名普通公众和 526 名护士(即 234 名一线护士和 292 名非一线护士)通过移动应用程序问卷调查来评估替代性创伤得分。一线护士参与了为 COVID-19 患者提供护理的过程。结果表明,一线护士的替代性创伤得分包括生理和心理反应得分,明显低于非一线护士(P<0.001)。有趣的是,普通公众的替代性创伤得分明显高于一线护士(P<0.001);然而,与非一线护士的得分相比,没有统计学差异(P>0.05)。因此,在 COVID-19 的传播和控制情况下,应更加关注医务人员,特别是非一线护士和普通公众的心理问题。针对医务人员和普通公众的替代性创伤进行预防和治疗的早期策略是极其必要的。