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优先关注医护人员的心理健康和福祉:全球紧迫的公共卫生优先事项。

Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority.

机构信息

Independent Researcher, Oslo, Norway.

Department of Global Health and Social Medicine and Harvard Medical School, Boston, MA, United States.

出版信息

Front Public Health. 2021 May 7;9:679397. doi: 10.3389/fpubh.2021.679397. eCollection 2021.

Abstract

The COVID-19 pandemic has had an unprecedented impact on health systems in most countries, and in particular, on the mental health and well-being of health workers on the frontlines of pandemic response efforts. The purpose of this article is to provide an evidence-based overview of the adverse mental health impacts on healthcare workers during times of crisis and other challenging working conditions and to highlight the importance of prioritizing and protecting the mental health and well-being of the healthcare workforce, particularly in the context of the COVID-19 pandemic. First, we provide a broad overview of the elevated risk of stress, burnout, moral injury, depression, trauma, and other mental health challenges among healthcare workers. Second, we consider how public health emergencies exacerbate these concerns, as reflected in emerging research on the negative mental health impacts of the COVID-19 pandemic on healthcare workers. Further, we consider potential approaches for overcoming these threats to mental health by exploring the value of practicing self-care strategies, and implementing evidence based interventions and organizational measures to help protect and support the mental health and well-being of the healthcare workforce. Lastly, we highlight systemic changes to empower healthcare workers and protect their mental health and well-being in the long run, and propose policy recommendations to guide healthcare leaders and health systems in this endeavor. This paper acknowledges the stressors, burdens, and psychological needs of the healthcare workforce across health systems and disciplines, and calls for renewed efforts to mitigate these challenges among those working on the frontlines during public health emergencies such as the COVID-19 pandemic.

摘要

标题:COVID-19 大流行对大多数国家卫生系统的影响前所未有,尤其是对参与大流行应对工作的卫生工作者的心理健康和福祉产生了影响。本文旨在提供一个基于证据的概述,介绍在危机时期和其他具有挑战性的工作条件下对卫生保健工作者产生的不良心理健康影响,并强调优先考虑和保护卫生保健工作者的心理健康和福祉的重要性,特别是在 COVID-19 大流行的背景下。首先,我们提供了卫生保健工作者面临的压力、倦怠、道德伤害、抑郁、创伤和其他心理健康挑战的风险增加的广泛概述。其次,我们考虑了公共卫生紧急情况如何加剧这些问题,正如关于 COVID-19 大流行对卫生保健工作者的心理健康的负面影响的新兴研究所反映的那样。此外,我们还探讨了通过实践自我保健策略、实施基于证据的干预措施和组织措施来保护和支持卫生保健工作者的心理健康和福祉的潜在方法,以应对这些心理健康威胁。最后,我们强调了长期赋予卫生保健工作者权力和保护其心理健康和福祉的系统变革,并提出了政策建议,以指导卫生保健领导者和卫生系统在这方面的努力。本文承认卫生系统和学科中卫生保健工作者的压力源、负担和心理需求,并呼吁在 COVID-19 等公共卫生紧急情况下,在卫生保健工作者一线工作时,加大减轻这些挑战的力度。**

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