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巴基斯坦一线年轻医生中的大流行焦虑及其相关因素。

Pandemic anxiety and its correlates among young doctors working frontline in Pakistan.

作者信息

Rashid Alina, Faisal Kanza

机构信息

Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.

Institute of Applied Psychology, University of the Punjab, Quaid-e-Azam Campus, Lahore, Pakistan.

出版信息

Glob Ment Health (Camb). 2020 Sep 30;7:e27. doi: 10.1017/gmh.2020.22.

Abstract

BACKGROUND

The study explores the challenges and threats young doctors in Pakistan working frontline toward the pandemic face, and how it translates into their personal and social lives.

METHODS

Thirteen resident doctors working frontline with COVID-19 cases were approached and interviewed in-depth until the point of data saturation. Interpretative phenomenological analysis was used as a method for analysis.

RESULTS

Four themes emerged in the analysis: pandemic anxiety, organizational lack of readiness for change, impact on interpersonal relationships, and commitment to service. Young doctors experienced psychological distress, and emotional vulnerability due to the challenges and concerns faced by them in the wake of COVID-19. Shortage and excessive reuse of personal protective equipment, direct exposure to the disease, concern for personal safety, fear and apprehension of being a probable disease carrier for families, physical distancing from loved ones, long working hours, and increased organizational responsibility altered the quality of life for doctors working frontline toward pandemic in COVID wards. Doctors who received appreciation and support by families reported improved filial bonds.

CONCLUSION

The adverse effect on psychological health, personal and social life, and increased professional demands have been some of the major challenges and threats faced by young doctors working frontline toward the pandemic. However, unconditional love and support from family and community has proven to reduce pandemic anxiety among doctors. Furthermore, the sense of compassion and the satisfaction in service to community has kept doctors devoted to fight against pandemic 2020.

摘要

背景

本研究探讨了巴基斯坦年轻医生在抗击疫情一线工作时所面临的挑战和威胁,以及这些如何影响他们的个人生活和社会生活。

方法

研究人员联系了13名在一线治疗新冠肺炎病例的住院医生,并对他们进行了深入访谈,直至数据饱和。采用解释现象学分析方法进行分析。

结果

分析中出现了四个主题:疫情焦虑、组织变革准备不足、对人际关系的影响以及服务承诺。由于在新冠肺炎疫情后所面临的挑战和担忧,年轻医生经历了心理困扰和情绪脆弱。个人防护装备短缺和过度重复使用、直接接触疾病、对个人安全的担忧、害怕成为家人可能的疾病携带者、与亲人保持身体距离、长时间工作以及组织责任增加,改变了在新冠肺炎病房一线抗击疫情的医生的生活质量。得到家人赞赏和支持的医生报告称亲子关系有所改善。

结论

对心理健康、个人生活和社会生活的不利影响以及专业需求的增加,是在抗击疫情一线工作的年轻医生面临的一些主要挑战和威胁。然而,家人和社区无条件的爱与支持已被证明能减轻医生的疫情焦虑。此外,同情心和为社区服务的满足感使医生们致力于抗击2020年的疫情。

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