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当健康专业人员直面死亡:每日应对 2019 冠状病毒爆发的专业人员的心理健康。

When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak.

机构信息

School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil; School of Medicine, Federal University of Cariri (UFCA) - Barbalha, Ceará, Brazil.

School of Medicine of Juazeiro do Norte (FMJ/Estácio) - Juazeiro do Norte, Ceará, Brazil.

出版信息

Psychiatry Res. 2020 Jun;288:112972. doi: 10.1016/j.psychres.2020.112972. Epub 2020 Apr 13.

Abstract

BACKGROUND

The fact that COVID-19 is transmissible from human to human and associated with high morbidity and potentially fatality can intensify the perception of personal danger. In addition, the foreseeable shortage of supplies and an increasing flow of suspected and real cases of COVID-19 contribute to the pressures and concerns of health professionals.

METHOD

The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers.

RESULTS

Work-related stress is a potential cause of concern for health professionals. It has been associated with anxiety including multiple clinical activities, depression in the face of the coexistence of countless deaths, long work shifts with the most diverse unknowns and demands in the treatment with patients with COVID-19. Therefore, it is an important indicator of psychic exhaustion.

CONCLUSIONS

As coronavirus cases increase and deaths surge in Italy, new figures show an "enormous" level of contagion among the country's medical personnel. At least 2,629 health workers have been infected with coronavirus since the outbreak onset in February, representing 8.3% of total cases. The percentage of infected health workers has almost doubled the number registered in China throughout the epidemic. Intensive care unit physicians are on their stress limit, especially when dealing with older patients and with death prospects. Doctors, not a relative, are inevitably the last people a dying COVID-19 patient will see.

摘要

背景

COVID-19 具有人传人特性,且发病率和病死率都较高,这会加剧人们对个人危险的感知。此外,预计会出现供应短缺,疑似和确诊 COVID-19 病例数量不断增加,这些都给卫生专业人员带来了压力和担忧。

方法

在 Scopus 和 Embase 这两个电子数据库中的知名国际期刊上确定了相关研究。研究结果还与主要国际报纸上的信息进行了交叉核对。

结果

与工作相关的压力是卫生专业人员关注的一个潜在原因。它与焦虑有关,包括多项临床活动、面对无数死亡病例的抑郁、与 COVID-19 患者治疗相关的长时间轮班以及各种未知和需求。因此,它是精神疲惫的一个重要指标。

结论

随着意大利 COVID-19 确诊病例和死亡人数的增加,新数据显示该国医务人员之间存在“巨大”程度的传染。自 2 月疫情爆发以来,至少有 2629 名卫生工作者感染了冠状病毒,占总病例的 8.3%。感染卫生工作者的比例几乎是中国整个疫情期间登记人数的两倍。重症监护病房的医生压力极大,尤其是在处理老年患者和有死亡风险的患者时。医生,而不是亲属,不可避免地是 COVID-19 临终患者最后见到的人。

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