在最近的几次流行病中，护理的成本：对危险因素、心理表现及其治疗策略的快速回顾。
The cost of caring during recent epidemics: a rapid review of risk factors, psychological manifestations, and strategies for its treatment.
机构信息
Yale Department of Psychiatry, School of Medicine, Yale University, New Haven, CT, USA - Program for Specialized Treatment Early in Psychosis (STEP), Connecticut Mental Health Center, New Haven, CT, USA.
Harvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, CT, USA.
出版信息
Ann Ist Super Sanita. 2021 Jan-Mar;57(1):7-17. doi: 10.4415/ANN_21_01_02.
BACKGROUND
During epidemics, health care workers (HCWs) are particularly exposed to the risk of secondary trauma. If not effectively addressed, the consequences of such psychological distress can progress to more severe conditions.
METHODS
A systematic search of several databases on the effect of SARS, MERS, and COVID-19 epidemics on the mental health of HCWs was performed according to both the Cochrane Handbook for Systematic Reviews of Interventions and the WHO Rapid Review Guide for Health Policy and Systems Research.
RESULTS
The 77 reviewed studies highlighted that work organization and individual characteristics can add to mental health risk. Providing adequate training to prevent infection and prepare HCWs to handle the epidemic, strengthening team work to improve organization, and ensuring appropriate protective equipment is available can help prevent risk of psychiatric illness.
CONCLUSIONS
Monitoring and addressing through tailored interventions the mental health consequences of pandemics in HCWs is necessary.
背景
在传染病流行期间，医护人员（HCWs）特别容易面临二次创伤的风险。如果不能有效解决，这种心理困扰的后果可能会发展成更严重的情况。
方法
根据 Cochrane 干预系统评价手册和世界卫生组织快速审查指南，对 SARS、MERS 和 COVID-19 疫情对 HCWs 心理健康影响的几个数据库进行了系统搜索。
结果
77 项综述研究强调，工作组织和个体特征可能会增加心理健康风险。提供充分的培训以预防感染并使 HCWs 做好应对疫情的准备，加强团队合作以改善组织，并确保提供适当的防护设备，这些都有助于预防精神疾病的风险。
结论
有必要通过量身定制的干预措施监测和解决 HCWs 中流行疫情带来的心理健康后果。
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