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利用数字技术和平台推进医护人员的心理健康与心理支持

Advancing Mental Health and Psychological Support for Health Care Workers Using Digital Technologies and Platforms.

作者信息

Ye Jiancheng

机构信息

Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.

出版信息

JMIR Form Res. 2021 Jun 30;5(6):e22075. doi: 10.2196/22075.

Abstract

BACKGROUND

The COVID-19 pandemic is a global public health crisis that has not only endangered the lives of patients but also resulted in increased psychological issues among medical professionals, especially frontline health care workers. As the crisis caused by the pandemic shifts from acute to protracted, attention should be paid to the devastating impacts on health care workers' mental health and social well-being. Digital technologies are being harnessed to support the responses to the pandemic, which provide opportunities to advance mental health and psychological support for health care workers.

OBJECTIVE

The aim of this study is to develop a framework to describe and organize the psychological and mental health issues that health care workers are facing during the COVID-19 pandemic. Based on the framework, this study also proposes interventions from digital health perspectives that health care workers can leverage during and after the pandemic.

METHODS

The psychological problems and mental health issues that health care workers have encountered during the COVID-19 pandemic were reviewed and analyzed based on the proposed MEET (Mental Health, Environment, Event, and Technology) framework, which also demonstrated the interactions among mental health, digital interventions, and social support.

RESULTS

Health care workers are facing increased risk of experiencing mental health issues due to the COVID-19 pandemic, including burnout, fear, worry, distress, pressure, anxiety, and depression. These negative emotional stressors may cause psychological problems for health care workers and affect their physical and mental health. Digital technologies and platforms are playing pivotal roles in mitigating psychological issues and providing effective support. The proposed framework enabled a better understanding of how to mitigate the psychological effects during the pandemic, recover from associated experiences, and provide comprehensive institutional and societal infrastructures for the well-being of health care workers.

CONCLUSIONS

The COVID-19 pandemic presents unprecedented challenges due to its prolonged uncertainty, immediate threat to patient safety, and evolving professional demands. It is urgent to protect the mental health and strengthen the psychological resilience of health care workers. Given that the pandemic is expected to exist for a long time, caring for mental health has become a "new normal" that needs a strengthened multisector collaboration to facilitate support and reduce health disparities. The proposed MEET framework could provide structured guidelines for further studies on how technology interacts with mental and psychological health for different populations.

摘要

背景

新冠疫情是一场全球公共卫生危机,不仅危及患者生命,还导致医疗专业人员,尤其是一线医护人员出现更多心理问题。随着疫情引发的危机从急性转为长期,应关注其对医护人员心理健康和社会福祉的毁灭性影响。数字技术正被用于支持应对疫情,这为推进医护人员的心理健康和心理支持提供了契机。

目的

本研究旨在构建一个框架,以描述和梳理医护人员在新冠疫情期间面临的心理和精神健康问题。基于该框架,本研究还从数字健康角度提出了医护人员在疫情期间及之后可利用的干预措施。

方法

基于所提出的MEET(心理健康、环境、事件和技术)框架,对医护人员在新冠疫情期间遇到的心理问题和精神健康问题进行了回顾与分析,该框架还展示了心理健康、数字干预和社会支持之间的相互作用。

结果

由于新冠疫情,医护人员面临心理健康问题的风险增加,包括职业倦怠、恐惧、担忧、困扰、压力、焦虑和抑郁。这些负面情绪压力源可能给医护人员带来心理问题,并影响他们的身心健康。数字技术和平台在缓解心理问题及提供有效支持方面发挥着关键作用。所提出的框架有助于更好地理解如何在疫情期间减轻心理影响、从相关经历中恢复过来,并为医护人员的福祉提供全面的机构和社会基础设施。

结论

新冠疫情因其长期的不确定性、对患者安全的直接威胁以及不断变化的专业需求而带来了前所未有的挑战。保护医护人员的心理健康并增强其心理韧性迫在眉睫。鉴于疫情预计将长期存在,关注心理健康已成为一种“新常态”,需要加强多部门合作以提供支持并减少健康差距。所提出的MEET框架可为进一步研究技术如何与不同人群的心理和精神健康相互作用提供结构化指导方针。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/06d4/8274671/bc4b84a06f1b/formative_v5i6e22075_fig1.jpg

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