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COVID-19 大流行期间的疾病认知和情绪困扰应对:一项针对医务人员的调查。

Disease Perception and Coping with Emotional Distress During COVID-19 Pandemic: A Survey Among Medical Staff.

机构信息

Department of Medical Sciences-Pulmonology, Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.

"Leon Daniello" Clinical Hospital of Pulmonology, 400332 Cluj-Napoca, Romania.

出版信息

Int J Environ Res Public Health. 2020 Jul 7;17(13):4899. doi: 10.3390/ijerph17134899.

Abstract

The novel coronavirus disease, COVID-19, is a highly contagious infectious disease declared by the World Health Organization to be a pandemic and a global public health emergency. During outbreaks, health care workers are submitted to an enormous emotional burden as they must balance the fundamental "duty to treat" with their parallel duties to family and loved ones. The aims of our study were to evaluate disease perceptions, levels of stress, emotional distress, and coping strategies among medical staff (COVID-19 versus non-COVID-19 departments) in a tertiary pulmonology teaching hospital in the first month after the outbreak of COVID-19. One hundred and fifteen health care workers completed four validated questionnaires (the brief illness perception questionnaire, perceived stress scale, the profile of emotional distress emotional, and the cognitive coping evaluation questionnaire) that were afterwards interpreted by one psychologist. There was a high level of stress and psychological distress among health care workers in the first month after the pandemic outbreak. Interestingly, there were no differences between persons that worked in COVID-19 departments versus those working in non-COVID-19 departments. Disease perceptions and coping mechanisms were similar in the two groups. As coping mechanisms, refocusing on planning and positive reappraisal were used more than in the general population. There is no difference in disease perceptions, levels of stress, emotional distress, and coping strategies in medical staff handling COVID-19 patients versus those staff who were not handling COVID-19 patients in the first month after the pandemic outbreak.

摘要

新型冠状病毒病(COVID-19)是一种高传染性疾病,世界卫生组织宣布其为大流行,并构成全球公共卫生紧急事件。在疫情爆发期间,医护人员承受着巨大的情绪负担,他们必须在基本的“治疗义务”和对家庭及亲人的义务之间取得平衡。我们的研究旨在评估传染病爆发后一个月内,一家三级呼吸科教学医院的医护人员(COVID-19 部门与非 COVID-19 部门)对疾病的认知、压力水平、情绪困扰和应对策略。115 名医护人员完成了四份经过验证的问卷(简短疾病认知问卷、感知压力量表、情绪困扰概况问卷和认知应对评估问卷),随后由一名心理学家进行解释。传染病爆发后一个月,医护人员的压力和心理困扰水平很高。有趣的是,在 COVID-19 部门工作的人与在非 COVID-19 部门工作的人之间没有差异。两组人群的疾病认知和应对机制相似。在这两组人群中,重新聚焦于计划和积极的重新评估等应对机制比一般人群使用得更多。传染病爆发后一个月,处理 COVID-19 患者的医护人员与未处理 COVID-19 患者的医护人员在疾病认知、压力水平、情绪困扰和应对策略方面没有差异。

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