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Risk of COVID-19 among front-line health-care workers and the general community: a prospective cohort study.一线医护人员和普通社区人群 COVID-19 发病风险:前瞻性队列研究。
Lancet Public Health. 2020 Sep;5(9):e475-e483. doi: 10.1016/S2468-2667(20)30164-X. Epub 2020 Jul 31.
2
Covid-19: how coronavirus will change the face of general practice forever.新冠疫情:冠状病毒将如何永远改变全科医疗的面貌。
BMJ. 2020 Mar 30;368:m1279. doi: 10.1136/bmj.m1279.
3
GPs' mental wellbeing and psychological resources: a cross-sectional survey.全科医生的心理健康与心理资源:一项横断面调查。
Br J Gen Pract. 2017 Aug;67(661):e547-e554. doi: 10.3399/bjgp17X691709. Epub 2017 Jul 17.
4
Who cares for the clinicians? The mental health crisis in the GP workforce.谁来关心临床医生?全科医生队伍中的心理健康危机。
Br J Gen Pract. 2016 Jul;66(648):344-5. doi: 10.3399/bjgp16X685765.
5
Ten years of practice-based small group learning (PBSGL) in Scotland - a survey of general practitioners.苏格兰基于实践的小组学习(PBSGL)十年——全科医生调查
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6
Teachers' wellbeing and depressive symptoms, and associated risk factors: A large cross sectional study in English secondary schools.教师的幸福感与抑郁症状及相关风险因素:一项针对英国中学的大型横断面研究。
J Affect Disord. 2016 Mar 1;192:76-82. doi: 10.1016/j.jad.2015.11.054. Epub 2015 Dec 17.
7
Individual factors and perceived community characteristics in relation to mental health and mental well-being.与心理健康和幸福感相关的个体因素及感知到的社区特征。
BMC Public Health. 2015 Dec 12;15:1237. doi: 10.1186/s12889-015-2590-8.
8
A cross-sectional study of mental health and well-being and their associations in the UK veterinary profession.英国兽医行业心理健康与幸福感及其关联的横断面研究。
Soc Psychiatry Psychiatr Epidemiol. 2009 Dec;44(12):1075-85. doi: 10.1007/s00127-009-0030-8. Epub 2009 Mar 18.
9
The Warwick-Edinburgh Mental Well-being Scale (WEMWBS): development and UK validation.沃里克-爱丁堡心理健康量表(WEMWBS):编制与英国适用性验证
Health Qual Life Outcomes. 2007 Nov 27;5:63. doi: 10.1186/1477-7525-5-63.

新冠疫情期间对全科医生的支持。

SUPPORT FOR GENERAL PRACTITONERS DURING COVID-19.

机构信息

Consultant Clinical Psychologist, Belfast Health and Social Care Trust.

General Practitioner, Clinical Teaching Fellow Queen's University Belfast, Clinical Lead North Belfast GP Subdeanery Pilot.

出版信息

Ulster Med J. 2021 Sep;90(3):151-156. Epub 2021 Nov 11.

PMID:34815593
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8581688/
Abstract

BACKGROUND

Evidence of initiatives to support General Practitioners (GPs) during the Covid-19 pandemic is scant.

AIM

To understand the impact of a novel method of providing support in the early stages of the pandemic.

DESIGN AND SETTING

A mixed-methods study of GPs working in a socially deprived area of Belfast.

METHOD

A survey was distributed to GPs who had attended a series of educational meetings at the beginning of the COVID-19 pandemic. The survey incorporated the Warwick Edinburgh Mental Wellbeing Scale and questions about the virtual meetings. Follow-up interviews were undertaken with five GPs to further explore their lived experiences and their perceptions of the virtual support forum.

RESULTS

The Covid-19 pandemic resulted in a measurable diminution of emotional well-being in GPs in North and West Belfast. Attendees rated a series of virtual meetings highly and described the following themes (): a sudden traumatic change (); a coming together (); reflections on what worked () and building future direction ().

CONCLUSION

The virtual meetings harnessed the instinct to come together witnessed at the beginning of the pandemic, and as well as sharing valuable information, also provided emotional support along with a sense of comradeship, ownership and autonomy.

HOW THIS FITS IN

GPs did not feel included or supported at the outset of the pandemic. Coming together with fellow professionals was a welcome source of support. Professional support can be delivered using a virtual platform. Continued professional development is more acceptable than explicit emotional support, but when done well can bolster resilience and emotional well-being.

摘要

背景

在新冠疫情期间,支持全科医生(GP)的举措证据很少。

目的

了解在疫情早期提供支持的新方法的影响。

设计和设置

对贝尔法斯特一个社会贫困地区工作的全科医生进行的混合方法研究。

方法

向参加了新冠疫情初期一系列教育会议的全科医生分发了一份调查问卷。该调查问卷采用了华威爱丁堡心理健康量表和关于虚拟会议的问题。对五名全科医生进行了后续访谈,以进一步探讨他们的亲身经历以及对虚拟支持论坛的看法。

结果

新冠疫情导致北贝尔法斯特和西贝尔法斯特的全科医生的情绪健康明显下降。与会者高度评价了一系列虚拟会议,并描述了以下主题():突然的创伤性变化();团结一心();反思有效的措施()和构建未来方向()。

结论

虚拟会议利用了疫情初期团结一心的本能,除了分享有价值的信息外,还提供了情感支持以及同志情谊、归属感和自主权。

这与现有知识的关系

全科医生在疫情开始时没有感到被包括或支持。与同行专业人士团结一心是一种受欢迎的支持来源。专业支持可以通过虚拟平台提供。继续专业发展比明确的情感支持更能被接受,但如果做得好,可以增强韧性和情绪健康。