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土耳其照顾新冠确诊患者护士的经历及心理社会问题:一项定性研究。

Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study.

作者信息

Kackin Ozlem, Ciydem Emre, Aci Ozgur Sema, Kutlu Fatma Yasemin

机构信息

Department of Mental Health and Psychiatric Nursing, Florence Nightingale Nursing Faculty, Istanbul University - Cerrahpaşa, Istanbul, Turkey.

出版信息

Int J Soc Psychiatry. 2021 Mar;67(2):158-167. doi: 10.1177/0020764020942788. Epub 2020 Jul 16.

Abstract

BACKGROUND

Nurses, who are playing an important role during the coronavirus disease 2019 (COVID-19) outbreak, are exposed to a range of psychosocial stressors due to unforeseen risks.

OBJECTIVES

The objective of this study is to determine the experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey.

SETTINGS

The data were collected between 9 May and 12 May 2020, in Istanbul, Turkey.

PARTICIPANTS

The study sample consisted of 10 nurses, who cared for patients diagnosed with COVID-19.

METHODS

The research employed the descriptive phenomenological approach. The interviews were conducted face-to-face via the internet and were analysed with Colaizzi's seven-step method.

RESULTS

The experiences and psychosocial problems among nurses caring for patients diagnosed with COVID-19 were categorised under three themes, which were further divided into subcategories. The theme of the effects of the outbreak was divided into working conditions, psychological effects and social effects; the theme of short-term coping strategies was divided into normalisation, refusal to dwell on experiences, avoidance, expression of emotions and distraction; and the theme of necessities was divided into psychosocial support and resource management.

CONCLUSION

The nurses caring for patients diagnosed with COVID-19 in Turkey were adversely affected, both psychologically and socially, by the pandemic; they used short-term coping strategies, and they needed psychosocial support and resource management. They also faced stigmatising attitudes and experiencing burnout and were at risk for secondary traumas due to witnessing disease and death.

摘要

背景

护士在2019冠状病毒病(COVID-19)疫情期间发挥着重要作用,由于不可预见的风险,他们面临一系列心理社会压力源。

目的

本研究的目的是确定土耳其照顾COVID-19确诊患者的护士的经历和心理社会问题。

地点

数据于2020年5月9日至12日在土耳其伊斯坦布尔收集。

参与者

研究样本包括10名照顾COVID-19确诊患者的护士。

方法

本研究采用描述性现象学方法。访谈通过互联网进行面对面交流,并采用科莱齐的七步法进行分析。

结果

照顾COVID-19确诊患者的护士的经历和心理社会问题分为三个主题,每个主题又进一步细分为子类别。疫情影响主题分为工作条件、心理影响和社会影响;短期应对策略主题分为正常化、拒绝详述经历、回避、情绪表达和分散注意力;必要需求主题分为心理社会支持和资源管理。

结论

在土耳其,照顾COVID-19确诊患者的护士在心理和社会方面均受到疫情的不利影响;他们采用了短期应对策略,并且需要心理社会支持和资源管理。他们还面临污名化态度,经历职业倦怠,并且由于目睹疾病和死亡而有遭受二次创伤的风险。

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