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伊朗医疗保健提供者在接触 2019 年冠状病毒病(COVID-19)后出现的心理困扰:一项定性研究。

Psychological distress among Iranian health-care providers exposed to coronavirus disease 2019 (COVID-19): a qualitative study.

机构信息

NEZAJA Health Department, Assistance of Mental Health, Tehran, IR, Iran.

University of Social Welfare & Rehabilitation Sciences, Tehran, Iran.

出版信息

BMC Psychiatry. 2020 Oct 7;20(1):494. doi: 10.1186/s12888-020-02889-2.

Abstract

BACKGROUND

Novel corona virus, named COVID-19, has spread rapidly to other countries like Italy, Iran and South Korea and affected all people, especially health-care providers. Therefore, due to the rapid spread of the disease in Iran, the aim of the present study was to explore psychological distress experienced by Iranian health-care providers in the first few weeks of the corona virus outbreak.

METHODS

The present qualitative study was conducted on 18 Iranian health-care providers exposed to COVID - 19 using a content analysis method. Purposeful sampling was used to select the participants and continued until data saturation was reached. Data were collected using semi-structured interviews and then the qualitative data were analyzed through direct content analysis.

RESULTS

By analyzing 236 primary codes, two main categories were extracted from the experiences of health-care providers during corona virus outbreak. The first category included Occupational demands with three sub-categories: nature of illness, Organizational demands and social demands. The second category was Supportive resources included personal support and social support.

CONCLUSIONS

The results of this study found that there were some barriers and challenges to medical personnel exposed to COVID-19 that caused psychological distress. Some of these problems related to the nature of illness, others related to social and organizational demands and some of supportive resources buffer the relationship between occupational demands and psychological distress.

摘要

背景

新型冠状病毒,命名为 COVID-19,已迅速传播到意大利、伊朗和韩国等其他国家,并影响到所有人,尤其是医疗保健提供者。因此,由于伊朗疾病的迅速传播,本研究的目的是探讨 COVID-19 爆发初期伊朗卫生保健工作者所经历的心理困扰。

方法

本定性研究采用内容分析法,对 18 名接触过 COVID-19 的伊朗卫生保健工作者进行了研究。目的抽样选择参与者,并持续到数据饱和。使用半结构化访谈收集数据,然后通过直接内容分析对定性数据进行分析。

结果

通过分析 236 个初步代码,从卫生保健工作者在 COVID-19 爆发期间的经历中提取出两个主要类别。第一类包括职业需求,有三个亚类:疾病性质、组织需求和社会需求。第二类是支持性资源,包括个人支持和社会支持。

结论

这项研究的结果发现,接触 COVID-19 的医务人员存在一些障碍和挑战,导致心理困扰。其中一些问题与疾病性质有关,另一些问题与社会和组织需求有关,而一些支持性资源缓冲了职业需求与心理困扰之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2232/7539420/767f710259d5/12888_2020_2889_Fig1_HTML.jpg

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