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医护人员的心理健康:对当地机构为应对 COVID-19 带来的新的心理社会挑战而实施的组织干预措施的回顾。

Mental health of Health Care Workers (HCWs): a review of organizational interventions put in place by local institutions to cope with new psychosocial challenges resulting from COVID-19.

机构信息

Occupational Health Department, U.O. Medicina Preventiva del Lavoro, Azienda Ospedaliero-Universitaria Pisana, 56124 Pisa (PI), Italy.

Occupational Health Department, U.O. Medicina Preventiva del Lavoro, Azienda Ospedaliero-Universitaria Pisana, 56124 Pisa (PI), Italy.

出版信息

Psychiatry Res. 2021 May;299:113847. doi: 10.1016/j.psychres.2021.113847. Epub 2021 Mar 2.

Abstract

The COVID-19 outbreak has been associated with significant occupational stressors and challenges for healthcare workers (HCWs) including the risk of exposure to SARS-CoV-2. Many reports from all over the world have already found that HCWs have significant levels of self-reported anxiety, depression and even symptoms of post-traumatic stress disorder. Therefore, supporting mental health of HCWs is a crucial part of the public health response to the COVID-19 pandemic. The aim of the present review is to ascertain the interventions put in place worldwide in reducing stress in HCWs during the COVID-19 outbreak. We evidenced how only few countries have published specific psychological support intervention protocols for HCWs. All programs were developed in university associated hospitals and highlighted the importance of multidisciplinary collaboration. All of them had as their purpose to manage the psychosocial challenges to HCW's during the pandemic in order to prevent mental health problems.Whether one program offers distinct benefit compared to the others cannot be known given the heterogeneity of the protocols and the lack of a rigorous protocol and clinical outcomes. Further research is crucial to find out the best ways to support the resilience and mental well-being of HCWs.

摘要

COVID-19 疫情给医护人员(HCWs)带来了重大的职业压力和挑战,包括感染 SARS-CoV-2 的风险。来自世界各地的许多报告已经发现,医护人员有明显程度的自我报告的焦虑、抑郁,甚至创伤后应激障碍症状。因此,支持医护人员的心理健康是应对 COVID-19 大流行的公共卫生措施的重要组成部分。本综述的目的是确定在 COVID-19 疫情期间,全球范围内为减轻医护人员压力而采取的干预措施。我们发现只有少数几个国家为医护人员发布了专门的心理支持干预方案。所有方案都是在大学附属医院制定的,并强调了多学科合作的重要性。所有这些方案的目的都是在大流行期间管理医护人员的心理社会挑战,以预防心理健康问题。鉴于方案的异质性以及缺乏严格的方案和临床结果,无法确定与其他方案相比,一个方案是否具有明显的优势。进一步的研究对于找出支持医护人员的适应力和心理健康的最佳方法至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fc/7920813/846e4a935364/gr1_lrg.jpg

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