Department of Nursing and Physiotherapy, University of Balearic Islands, 07122 Palma, Spain.
Balearic Islands Health Research Institute (IDISBA), 07120 Palma, Spain.
Int J Environ Res Public Health. 2021 Sep 1;18(17):9243. doi: 10.3390/ijerph18179243.
The large numbers of patients admitted to intensive care units due to COVID-19 has had a major impact on healthcare professionals. The incidence of mental health disorders among these professionals has increased considerably and their professional quality of life has suffered during the pandemic. This study aims to explore the impact of the provision of COVID-19 patient care on ICU healthcare professionals. A mixed methods study with an exploratory concurrent design was conducted between June and November 2020 in the Balearic Islands, Spain. Data were collected using a self-report online survey ( = 122) based on three validated questionnaires, and individual semi-structured in-depth online interviews ( = 11). Respondents scored 2.5 out of 5 on the moral distress scale, moderate/high on the compassion satisfaction scale, and moderate on the burnout and compassion fatigue subscales. Age was significantly and negatively related to professional quality of life but was positively related to workload and unavailability of protective equipment. Three main groups of themes relating to the impact of the pandemic emerged from the in-depth interviews: (a) clinical, (b) professional, and (c) personal and family impacts in the two waves. ICU healthcare professionals should be viewed as second victims of the COVID-19 pandemic as they have suffered significant psychological, professional, and moral harm.
由于 COVID-19 而大量入住重症监护病房的患者对医疗保健专业人员产生了重大影响。这些专业人员中心理健康障碍的发生率大大增加，并且在大流行期间他们的专业生活质量受到了影响。本研究旨在探讨为 COVID-19 患者提供护理对 ICU 医疗保健专业人员的影响。这是一项混合方法研究，采用探索性同期设计，于 2020 年 6 月至 11 月在西班牙巴利阿里群岛进行。使用基于三个经过验证的问卷的自我报告在线调查（n=122）收集数据，并进行了个人半结构化在线深入访谈（n=11）。受访者在道德困境量表上得分为 2.5 分（满分 5 分），在同情满足量表上得分为中等/高分，在倦怠和同情疲劳子量表上得分为中等。年龄与专业生活质量呈显著负相关，但与工作量和防护设备的缺乏呈正相关。深入访谈中出现了与大流行影响有关的三个主要主题组：（a）临床，（b）专业，以及（c）两个波次中的个人和家庭影响。重症监护病房的医疗保健专业人员应被视为 COVID-19 大流行的第二受害者，因为他们遭受了重大的心理、专业和道德伤害。
