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《COMVC-19:一项在 COVID-19 大流行期间保护医护人员心理健康的计划。我们的经验教训》。

COMVC-19: A Program to protect healthcare workers' mental health during the COVID-19 Pandemic. What we have learned.

机构信息

Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.

Grupo de Assistencia Psicologica ao Aluno, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, SP, BR.

出版信息

Clinics (Sao Paulo). 2021 Nov 19;76:e2631. doi: 10.6061/clinics/2021/e2631. eCollection 2021.

Abstract

OBJECTIVE

In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience.

METHODS

Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected.

RESULTS

The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders.

CONCLUSIONS

Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.

摘要

目的

2020 年,COVID-19 大流行给医护人员带来了工作和压力过载,增加了他们心理健康受损的脆弱性。有鉴于此,作者创建了 COMVC-19 项目。该项目为 22000 名圣保罗大学医学院附属医院(HCFMUSP)的工作人员提供了预防措施和心理健康治疗。本文旨在描述其实施情况,并分享我们从这一经验中学到的东西。

方法

工作人员可以通过 24/7 热线轻松访问该计划。此外,还提供了一个手机应用程序,用于筛查情绪困扰的迹象和症状,并提供心理教育和/或转介治疗。这两个来源的数据以及任何后续的精神病学评估都被收集起来。

结果

我们项目的前 20 周显示,大多数参与者是女性,并且是直接与 COVID-19 患者一起工作的护理人员的一部分。报告的最常见症状是:焦虑、抑郁和睡眠障碍。最常见的诊断是适应障碍、焦虑障碍和心境障碍。

结论

在一家大型四级公立医院实施多模式干预的心理健康项目是可行的。我们的数据还表明,预防措施应主要针对焦虑和抑郁症状,并特别关注护理人员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/965d/8579850/a15fdf607c1f/cln-76-e2631-g001.jpg

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