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隔离对 COVID-19 病例接触儿童医院照顾者的心理影响。

Psychological Impact of Quarantine on Caregivers at a Children's Hospital for Contact with Case of COVID-19.

机构信息

Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Department of Infectious Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

出版信息

J Korean Med Sci. 2020 Jul 20;35(28):e255. doi: 10.3346/jkms.2020.35.e255.

Abstract

Quarantine often provokes negative psychological consequences. Thus, we aimed to identify the psychological and behavioral responses and stressors of caregivers quarantined with young patients after a close contact to a coronavirus disease 2019 case at a children's hospital. More than 90% of the caregivers reported feelings of worry and nervousness, while some of them reported suicidal ideations (4.2%), and/or homicidal ideations (1.4%). Fear of infection of the patient (91.7%) and/or oneself (86.1%) were most frequently reported stressors. A multidisciplinary team including infection control team, pediatrician, psychiatrist, nursing staff and legal department provided supplies and services to reduce caregiver's psychological distress. Psychotropic medication was needed in five (6.9%), one of whom was admitted to the psychiatry department due to suicidality. Quarantine at a children's hospital makes notable psychological impacts on the caregivers and a multidisciplinary approach is required.

摘要

隔离常常会引发负面的心理后果。因此,我们旨在确定在儿童医院与新冠肺炎病例有密切接触后,与年幼患者一起被隔离的照顾者的心理和行为反应以及压力源。超过 90%的照顾者报告感到担忧和紧张,而其中一些人报告有自杀意念(4.2%)和/或杀人意念(1.4%)。对患者(91.7%)和/或自身(86.1%)感染的恐惧是最常报告的压力源。一个包括感染控制团队、儿科医生、精神科医生、护理人员和法律部门的多学科团队提供了用品和服务,以减轻照顾者的心理困扰。有五名(6.9%)照顾者需要使用精神药物,其中一名因自杀意念而被收入精神科病房。在儿童医院进行隔离对照顾者产生了显著的心理影响,需要采取多学科方法。

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