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远程精神病学为 COVID-19 危机期间的医疗保健专业人员提供心理健康支持:法国 321 名医疗保健专业人员的横断面调查。

Telepsychiatry to Provide Mental Health Support to Healthcare Professionals during the COVID-19 Crisis: A Cross-Sectional Survey among 321 Healthcare Professionals in France.

机构信息

Pôle Territorial Santé Publique et Performance des Hôpitaux Champagne Sud, Centre Hospitalier de Troyes, 10000 Troyes, France.

LIST3N/Tech-CICO, Troyes University of Technology, 10010 Troyes, France.

出版信息

Int J Environ Res Public Health. 2021 Sep 27;18(19):10146. doi: 10.3390/ijerph181910146.

DOI:10.3390/ijerph181910146
PMID:34639447
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8508285/
Abstract

Pandemics are difficult times for the mental health of healthcare professionals, who are more likely to present with PTSD-like symptoms. In the context of a highly contagious communicable disease, telemedicine is a useful alternative to usual care, and should be considered as a means to support healthcare professionals' mental health. This is a multicenter ( = 19), cross-sectional study, based on a 27-item questionnaire, aiming to investigate the acceptability to healthcare workers of a telepsychiatry service as a means of providing mental health support during the COVID-19 pandemic. Between October and December 2020, 321 responses were received, showing that women, caregiving staff, and those directly involved in the care of COVID-19 patients are less favorable to the idea of receiving remote support. In our population, barriers were related to the clinical setting or ethics, and most of the respondents would not accept a drug prescription by telepsychiatry. Although telepsychiatry should be a part of the armamentarium of mental health management, it is not suitable as a stand-alone approach, and should be combined with conventional face-to-face consultations.

摘要

大流行时期对医护人员的心理健康造成了影响,他们更容易出现类似创伤后应激障碍的症状。在高度传染性传染病的情况下,远程医疗是常规护理的一种有用替代方法,应被视为支持医护人员心理健康的一种手段。这是一项多中心(=19)的横断面研究,基于一个 27 项问题的问卷,旨在调查医护人员对远程精神病学服务的接受程度,该服务是在 COVID-19 大流行期间提供心理健康支持的一种手段。2020 年 10 月至 12 月期间,共收到 321 份回复,结果表明,女性、护理人员以及直接参与 COVID-19 患者护理的人员对接受远程支持的想法不太支持。在我们的人群中,障碍与临床环境或伦理有关,大多数受访者不愿意接受远程精神病学的药物处方。虽然远程精神病学应该成为心理健康管理的手段之一,但它不适合作为独立的方法,应该与传统的面对面咨询相结合。

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Front Public Health. 2021 May 17;9:653553. doi: 10.3389/fpubh.2021.653553. eCollection 2021.
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BMJ Open. 2021 Mar 30;11(3):e046365. doi: 10.1136/bmjopen-2020-046365.
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