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英国一线医护工作者家属在 COVID-19 大流行期间的经历和看法:一项定性研究。

Experiences and views of frontline healthcare workers' family members in the UK during the COVID-19 pandemic: a qualitative study.

机构信息

Division of Psychiatry, University College London, London, UK.

Department of Community Mental Health, University of Haifa, Haifa, Israel.

出版信息

Eur J Psychotraumatol. 2022 Apr 11;13(1):2057166. doi: 10.1080/20008198.2022.2057166. eCollection 2022.


DOI:10.1080/20008198.2022.2057166
PMID:35432783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9009898/
Abstract

BACKGROUND: The COVID-19 pandemic has had a well-documented negative impact on the mental health and wellbeing of frontline healthcare workers (HCWs). Whilst no research has to date been carried out to explore the challenges experienced by the families of HCWs, some previous research has been conducted with military families, demonstrating that family members of deployed military personnel may also be affected seriously and negatively. OBJECTIVES: This study aimed to explore the experiences, views, and mental health impact on frontline HCWs' families during the COVID-19 pandemic in the UK and what support the families of frontline HCWs may need. METHOD: Close family members and friends of HCWs were interviewed. Transcripts were analysed in line with the principles of reflexive thematic analysis. RESULTS: We completed fourteen interviews with three siblings, one mother, one friend, and nine spouses of HCWs. Family members were highly motivated to support healthcare workers and felt an intense sense of pride in their work. However, they also experienced increased domestic responsibilities and emotional burden due to anxiety about their loved ones' work. The fact that sacrifices made by family members were not noticed by society, the anxiety they felt about their family's physical health, the impact of hearing about traumatic experiences, and the failure of healthcare organisations to meet the needs of the HCWs all negatively affected the family members. CONCLUSIONS: We have an ethical responsibility to attend to the experiences and needs of the families of healthcare professionals. This study emphasises the experiences and needs of family members of healthcare professionals, which have hitherto been missing from the literature. Further research is needed to hear from more parents, siblings and friends, partners in same sex relationships, as well as children of HCWs, to explore the variety of family members and supporters' experiences more fully. HIGHLIGHTS: • COVID19 has impacted families of HCWs as well as workers themselves. They have experienced more anxiety, increased practical burden, significant physical health risks and been exposed vicariously to workers' traumatic experiences. We must ensure HCW families are better supported.

摘要

背景:COVID-19 大流行对一线医护人员的心理健康和福祉产生了有据可查的负面影响。虽然迄今为止还没有研究探索医护人员家属所面临的挑战,但之前有一些针对军人家庭的研究表明,军人家庭成员也可能受到严重的负面影响。

目的:本研究旨在探索英国 COVID-19 大流行期间一线医护人员家属的经历、看法和心理健康影响,以及一线医护人员家属可能需要哪些支持。

方法:对医护人员的近亲家属和朋友进行了访谈。按照反思性主题分析的原则对转录本进行了分析。

结果:我们完成了对 HCW 的 3 位兄弟姐妹、1 位母亲、1 位朋友和 9 位配偶的 14 次访谈。家属非常有动力支持医护人员,对他们的工作感到由衷的自豪。然而,他们也因担心亲人的工作而增加了家务负担和情绪负担。家属的牺牲没有被社会注意到、他们对亲人身体健康的焦虑、听到创伤经历的影响以及医疗机构未能满足医护人员的需求,都对家属产生了负面影响。

结论:我们有责任关注医护人员家属的经历和需求。这项研究强调了医护人员家属的经历和需求,这些内容迄今为止在文献中都有所缺失。需要进一步的研究来倾听更多的父母、兄弟姐妹和朋友、同性伴侣以及医护人员的子女的意见,以更全面地探讨各种家属和支持者的经历。

重点:COVID19 不仅影响医护人员,也影响他们的家属。他们经历了更多的焦虑、增加了实际负担、面临更大的身体健康风险,并间接地接触到了医护人员的创伤经历。我们必须确保更好地支持医护人员的家属。

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引用本文的文献

[1]
Secondary traumatic stress in household members of healthcare workers in the UK: a mixed-method survey study.

BMC Psychol. 2025-5-30

[2]
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Ann Ib Postgrad Med. 2024-12-31

[3]
Impact of occupational stress on healthcare workers' family members before and during COVID-19: A systematic review.

PLoS One. 2024

[4]
Experiences of family caregivers of nurses infected with COVID-19: a qualitative study.

BMC Nurs. 2024-9-10

[5]
Partners' experiences of their loved ones' trauma and PTSD: An ongoing journey of loss and gain.

PLoS One. 2024

[6]
On the path to recovery: traumatic stress research during the COVID-19 pandemic 2021-2023.

Eur J Psychotraumatol. 2023

[7]
Nurses' Work-Family Strategies during COVID-19 Lockdown and Their Association with Individual Health and Family Relations.

Healthcare (Basel). 2023-11-14

[8]
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[9]
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[10]
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本文引用的文献

[1]
What support do frontline workers want? A qualitative study of health and social care workers' experiences and views of psychosocial support during the COVID-19 pandemic.

PLoS One. 2021

[2]
Predictors and rates of PTSD, depression and anxiety in UK frontline health and social care workers during COVID-19.

Eur J Psychotraumatol. 2021-3-10

[3]
Experiences of mental health professionals supporting front-line health and social care workers during COVID-19: qualitative study.

BJPsych Open. 2021-3-23

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What Happens at Work Comes Home.

Healthcare (Basel). 2020-9-21

[5]
Managing mental health challenges faced by healthcare workers during covid-19 pandemic.

BMJ. 2020-3-26

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Mental health in spouses of U.S. Gulf War veterans.

Psychiatry Res. 2019-3-27

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Am J Ind Med. 2018-3-25

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BMJ Open. 2018-2-2

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Behavioral Problems and Emotional Difficulties at Children and Early Adolescents of the Veterans of War with Post-Traumatic Stress Disorder.

Med Arch. 2017-2

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Secondary Traumatization in Vietnam Veterans' Families.

J Trauma Stress. 2016-8

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