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《埃博拉的隐秘故事:倾听乌干达“埃博拉护士”被遗忘的声音》。

Hidden Tales of Ebola: Airing the Forgotten Voices of Ugandan "Ebola Nurses".

机构信息

Uganda Martyrs University Uganda, Kampala, Uganda.

University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

出版信息

J Transcult Nurs. 2022 Jan;33(1):72-78. doi: 10.1177/10436596211017968. Epub 2021 Jun 6.

DOI:10.1177/10436596211017968
PMID:34096376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8671648/
Abstract

INTRODUCTION

According to the Centers for Disease Control and Prevention, Ebola has affected the lives of thousands, including health care workers. With few studies describing the experience of nurses who survived Ebola, the study aimed to describe Ugandan nurses' experiences.

METHOD

Using a phenomenological design, in-depth interviews were conducted among five Ugandan nurses who contracted Ebola and survived.

RESULT

Thematic analysis revealed themes of expectations of dying, hopelessness, loneliness, and betrayal by family, community, and the health system.

DISCUSSION

Results support the need for policies targeting holistic practice protocols to protect all health care professionals during future outbreaks. Last, nursing survivors should have access to government-guaranteed support programs, including free health care and financial stipends. These results and recommendations transcend to the current reality of living with COVID-19 (coronavirus disease 2019). Efficient practice protocols could protect all rights and privileges and contribute to access to treatment and stigma removal.

摘要

简介

根据疾病控制与预防中心的数据,埃博拉已经影响了数千人的生命,包括医护人员。由于很少有研究描述过幸存的护士的经历,因此本研究旨在描述乌干达护士的经历。

方法

采用现象学设计,对五名感染埃博拉并幸存的乌干达护士进行深入访谈。

结果

主题分析揭示了以下主题:对死亡的期望、绝望、孤独以及来自家庭、社区和卫生系统的背叛。

讨论

研究结果支持制定针对整体实践协议的政策的必要性,以在未来的疫情爆发期间保护所有医护人员。最后,护理幸存者应该能够获得政府保障的支持计划,包括免费医疗和经济津贴。这些结果和建议超越了目前与 COVID-19(2019 年冠状病毒病)共存的现实。有效的实践协议可以保护所有权利和特权,并有助于获得治疗和消除污名。

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本文引用的文献

1
Challenges to Ebola preparedness during an ongoing outbreak: An analysis of borderland livelihoods and trust in Uganda.埃博拉疫情期间的应对准备挑战:乌干达边境地区生计与信任分析。
PLoS One. 2020 Mar 26;15(3):e0230683. doi: 10.1371/journal.pone.0230683. eCollection 2020.
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Faith and Global Health Practice in Ebola and HIV Emergencies.信仰与埃博拉和艾滋病紧急情况中的全球卫生实践。
Am J Public Health. 2019 Mar;109(3):379-384. doi: 10.2105/AJPH.2018.304870. Epub 2019 Jan 24.
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Health workers' experiences of coping with the Ebola epidemic in Sierra Leone's health system: a qualitative study.卫生工作者应对塞拉利昂卫生系统中埃博拉疫情的经历:一项定性研究。
BMC Health Serv Res. 2018 Apr 5;18(1):251. doi: 10.1186/s12913-018-3072-3.
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Ebola and healthcare worker stigma.埃博拉和医护人员耻辱感。
Scand J Public Health. 2019 Mar;47(2):99-104. doi: 10.1177/1403494817753450. Epub 2018 Jan 23.
5
Mental health care during the Ebola virus disease outbreak in Sierra Leone.塞拉利昂埃博拉病毒病疫情期间的精神卫生保健。
Bull World Health Organ. 2017 Dec 1;95(12):842-847. doi: 10.2471/BLT.16.190470. Epub 2017 Oct 31.
6
Health Communication in the Time of Ebola: A Culture-Centered Interrogation.埃博拉疫情下的健康传播:以文化为中心的审视
J Health Commun. 2017;22(sup1):10-14. doi: 10.1080/10810730.2016.1216205.
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"Ebola kills generations": Qualitative discussions with Liberian healthcare providers.“埃博拉造成几代人死亡”:与利比里亚医疗服务提供者的定性讨论
Midwifery. 2017 Feb;45:44-49. doi: 10.1016/j.midw.2016.12.005. Epub 2016 Dec 9.
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Ebola virus disease: caring for patients in Sierra Leone - a qualitative study.埃博拉病毒病:在塞拉利昂照顾患者 - 一项定性研究。
J Adv Nurs. 2017 Mar;73(3):643-652. doi: 10.1111/jan.13167. Epub 2016 Oct 16.
9
Late Ebola virus relapse causing meningoencephalitis: a case report.晚期埃博拉病毒复发致脑膜脑炎:一例报告
Lancet. 2016 Jul 30;388(10043):498-503. doi: 10.1016/S0140-6736(16)30386-5. Epub 2016 May 18.
10
Lived experience of caring for dying patients in emergency room.在急诊室照料濒死患者的亲身经历。
Int Nurs Rev. 2016 Mar;63(1):132-8. doi: 10.1111/inr.12234. Epub 2016 Jan 8.