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林火、新冠疫情与澳大利亚社区药剂师:对心理健康和福祉的持续影响。

Bushfires, COVID-19 and Australian community pharmacists: ongoing impact on mental health and wellbeing.

机构信息

UniSA Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.

The Pharmacists' Support Service, Melbourne, Victoria, Australia.

出版信息

Int J Pharm Pract. 2021 Mar 17;29(2):186-188. doi: 10.1093/ijpp/riaa020.

Abstract

OBJECTIVES

The nation was recovering from the aftermath of the catastrophic 2019-2020 bushfires when the first cases of the COVID-19 pandemic emerged in Australia. During the peak of the pandemic, Australia closed both its state and international borders to all travelers and interstate travel was very tightly regulated. Community pharmacists and pharmacy staff were one of the very few primary healthcare workers still serving their communities during these periods of strict lockdown. In this personal view article, the challenges and their toll on the mental health and wellbeing of these "essential workers" are described.

KEY FINDINGS

Community pharmacists and pharmacy staff were under immense pressure to remain open and serve their communities amidst rapidly changing legislation and, at times, conflicting advice from the range of Australian health agencies. Rapid changes to workload and workflow were combined with the dilemma of balancing professional obligations with the personal duty of keeping themselves and their sometimes geographically distant families safe. Fluctuating demands and traumatic situations found community pharmacy staff often feeling distressed and underprepared.

SUMMARY

Despite a global pandemic following a season of extraordinary bushfires, it has barely been acknowledged that community pharmacy staff are one of the highest risk groups for long-term psychological impacts. To our knowledge, very little research has addressed the toll of these cataclysmic events on this group of essential healthcare workers.

摘要

目的

澳大利亚在 COVID-19 大流行初期出现首例病例时,正从 2019-2020 年灾难性丛林大火的余波中恢复过来。在大流行高峰期,澳大利亚对所有旅行者关闭了州际和国际边界,州际旅行受到非常严格的监管。社区药剂师和药剂师是在这些严格封锁期间仍为社区服务的极少数初级保健工作者之一。在这篇个人观点文章中,描述了这些“基本工作人员”在面临的挑战及其对心理健康和福祉的影响。

主要发现

社区药剂师和药剂师在立法迅速变化且澳大利亚众多卫生机构的建议有时相互矛盾的情况下,承受着巨大的压力,仍需保持营业并为社区服务。工作量和工作流程的快速变化,加上平衡职业义务与保护自己和有时在地理上相距遥远的家人安全的个人责任之间的困境。波动的需求和创伤情况使社区药房工作人员经常感到痛苦和准备不足。

总结

尽管在经历了异常丛林大火的季节之后发生了全球大流行,但几乎没有人承认社区药房工作人员是长期心理影响风险最高的群体之一。据我们所知,很少有研究探讨这些灾难性事件对这群基本医疗保健工作者的影响。

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