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新型冠状病毒肺炎疫情期间医护人员的心理弹性、应对行为和社会支持:定量研究的系统评价。

Psychological resilience, coping behaviours and social support among health care workers during the COVID-19 pandemic: A systematic review of quantitative studies.

机构信息

Sultan Qaboos University, Muscat, Oman.

出版信息

J Nurs Manag. 2021 Oct;29(7):1893-1905. doi: 10.1111/jonm.13336. Epub 2021 Apr 28.

Abstract

AIM

To appraise and synthesize studies examining resilience, coping behaviours and social support among health care workers during the coronavirus pandemic.

BACKGROUND

A wide range of evidence has shown that health care workers, currently on the frontlines in the fight against COVID-19, are not spared from the psychological and mental health-related consequences of the pandemic. Studies synthesizing the role of coping behaviours, resilience and social support in safeguarding the mental health of health care workers during the pandemic are largely unknown.

EVALUATION

This is a systematic review with a narrative synthesis. A total of 31 articles were included in the review.

KEY ISSUES

Health care workers utilized both problem-centred and emotion-centred coping to manage the stress associated with the coronavirus pandemic. Coping behaviours, resilience and social support were associated with positive mental and psychological health outcomes.

CONCLUSION

Substantial evidence supports the effectiveness of coping behaviours, resilience and social support to preserve psychological and mental health among health care workers during the COVID-19 pandemic.

IMPLICATIONS FOR NURSING MANAGEMENT

In order to safeguard the mental health of health care workers during the pandemic, hospital and nursing administrators should implement proactive measures to sustain resilience in HCWs, build coping skills and implement creative ways to foster social support in health care workers through theory-based interventions, supportive leadership and fostering a resilient work environment.

摘要

目的

评价并综合研究在冠状病毒大流行期间医护人员的韧性、应对行为和社会支持。

背景

大量证据表明,奋战在抗击 COVID-19 一线的医护人员也未能免受大流行带来的心理健康相关后果的影响。目前,关于应对行为、韧性和社会支持在保护医护人员在大流行期间心理健康方面的作用的综合研究还知之甚少。

评估

这是一项系统评价和叙述性综合。综述共纳入 31 篇文章。

关键问题

医护人员同时使用以问题为中心和以情绪为中心的应对方式来应对与冠状病毒大流行相关的压力。应对行为、韧性和社会支持与积极的心理和心理健康结果相关。

结论

大量证据支持应对行为、韧性和社会支持在 COVID-19 大流行期间保护医护人员心理健康的有效性。

对护理管理的影响

为了在大流行期间保护医护人员的心理健康,医院和护理管理人员应采取积极措施,通过基于理论的干预措施、支持性领导和培养有韧性的工作环境,维持医护人员的韧性、培养应对技能,并为医护人员创造促进社会支持的创新方式。

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