新冠疫情对普通人群创伤后应激症状的影响:一项综合综述。

Impact of COVID-19 on post-traumatic stress symptoms in the general population: An integrative review.

作者信息

Hong Soyun, Kim Heejung, Park Min Kyung

机构信息

College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Korea.

College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.

出版信息

Int J Ment Health Nurs. 2021 Aug;30(4):834-846. doi: 10.1111/inm.12875. Epub 2021 Apr 21.

Abstract

The coronavirus pandemic highlights the urgent need for increased support related to mental health concerns. This study aimed to synthesize the findings of empirical studies reporting the post-traumatic stress symptoms in the general population during the coronavirus pandemic. Whittemore and Knafl's (Journal of Advanced Nursing, 52, 546, 2005) integrative review methodology was used to analyse and synthesize the peer-reviewed studies. Five electronic databases, PubMed, CINAHL, PsychINFO, Cochrane and Google Scholar were searched using terms related to the coronavirus pandemic and post-traumatic stress symptoms. The quality of the studies was screened and evaluated using the Mixed Methods Appraisal Tool. The sample size of the 16 studies included in this review ranged from 41 to 3480 participants, with a total of 18 039 participants. The majority of the participants' ages ranged from 30 to 39 years, and 57% of the participants were female. The following factors related to post-traumatic stress symptoms during the coronavirus pandemic were identified as follows: (i) risk factors included social discrimination, fear of uncontrolled contagion and financial burden or economic instability; and, (ii) protective factors included social support and timely government action. A traumatic experience itself can trigger the onset of post-traumatic stress disorder; however, depending on the risk and protection factors, each individual can experience different post-traumatic stress symptoms. Thus, mental health nurses should comprehensively understand how to reduce the influence of risk factors and enhance protective factors when dealing with the pandemic and related trauma. This study's findings are beneficial for identifying, preventing and managing post-traumatic stress symptoms associated with the coronavirus and future pandemics.

摘要

冠状病毒大流行凸显了对与心理健康问题相关的更多支持的迫切需求。本研究旨在综合实证研究的结果,这些研究报告了冠状病毒大流行期间普通人群的创伤后应激症状。采用了惠特莫尔和克纳夫(《高级护理杂志》,52卷,546页,2005年)的综合评论方法来分析和综合同行评审的研究。使用与冠状病毒大流行和创伤后应激症状相关的术语,对五个电子数据库,即PubMed、CINAHL、PsychINFO、Cochrane和谷歌学术进行了搜索。使用混合方法评估工具对研究质量进行筛选和评估。本综述纳入的16项研究的样本量从41名到3480名参与者不等,共有18039名参与者。大多数参与者的年龄在30至39岁之间,57%的参与者为女性。确定了以下与冠状病毒大流行期间创伤后应激症状相关的因素:(i)风险因素包括社会歧视、对无法控制的传染的恐惧以及经济负担或经济不稳定;(ii)保护因素包括社会支持和政府的及时行动。创伤经历本身可引发创伤后应激障碍的发作;然而,根据风险和保护因素,每个人可能会经历不同的创伤后应激症状。因此,心理健康护士在应对大流行及相关创伤时,应全面了解如何减少风险因素的影响并增强保护因素。本研究的结果有助于识别、预防和管理与冠状病毒及未来大流行相关的创伤后应激症状。

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