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