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减轻疫情期间护士的心理症状:综合评价。

Alleviating psychological symptoms in nurses during disease outbreaks: An integrative review.

机构信息

Department of Nursing, Saint Louis University, St. Louis, Missouri.

出版信息

Int Nurs Rev. 2022 Dec;69(4):470-483. doi: 10.1111/inr.12756. Epub 2022 Apr 23.

Abstract

AIM

To explore interventions and coping strategies used to treat the psychological symptoms associated with compassion fatigue among nurses.

BACKGROUND

The rapid transmission of infectious diseases (e.g., COVID-19) has put nurses, around the world, at high risk of developing profound psychological health issues due to compassion fatigue. If unrelieved, compassion fatigue can lead to catastrophic psychological symptoms such as depression, stress, anxiety, and insomnia, negatively impacting patient care. This necessitates interventions to prevent or mitigate the psychological symptoms of compassion fatigue.

METHOD

Following Whittemore and Knafl's integrative review method, the literature search comprised three databases: CINAHL, MEDLINE-OVID, and Scopus.

RESULTS

The 11 included studies were categorized into four themes: (1) using relaxation strategies, (2) neutralizing emotional trauma, (3) enhancing nurses' preparedness for confronting disasters, and (4) educating nurses about coping strategies to manage their psychological issues.

CONCLUSION

Researchers studied several coping strategies and interventions. There is a need for policymakers' support and hospital-level interventions. Early interventions may prevent or relieve psychological issues.

IMPLICATIONS

The findings have implications for hospital leaders around the world to initiate interventions that teach nurses strategies to cope with stressful events. Future researchers might consider long-term supports and multiple interventions that target several leading causes of psychological symptoms among nurses before, during, and after high-stress situations. Policymakers around the world could use the findings to initiate policies to facilitate nurses' access to needed resources, hence protecting their mental health and increasing the quality of patient care.

摘要

目的

探讨用于治疗护士同情心疲劳相关心理症状的干预措施和应对策略。

背景

传染病(如 COVID-19)的快速传播使世界各地的护士因同情心疲劳而面临严重的心理健康问题风险。如果不加以缓解,同情心疲劳可能导致灾难性的心理症状,如抑郁、压力、焦虑和失眠,从而对患者护理产生负面影响。这需要采取干预措施来预防或减轻同情心疲劳的心理症状。

方法

根据 Whittemore 和 Knafl 的综合评价方法,文献检索涵盖了三个数据库:CINAHL、MEDLINE-OVID 和 Scopus。

结果

11 项纳入的研究分为四个主题:(1)使用放松策略,(2)中和情绪创伤,(3)增强护士应对灾难的准备,以及(4)教育护士应对心理问题的策略。

结论

研究人员研究了几种应对策略和干预措施。政策制定者和医院层面需要提供支持。早期干预可能预防或缓解心理问题。

意义

这些发现对世界各地的医院管理者具有启示意义,需要管理者采取干预措施,教导护士应对压力事件的策略。未来的研究人员可以考虑在高压力情况下之前、期间和之后,针对护士心理症状的几个主要原因,开展长期支持和多种干预措施。世界各地的政策制定者可以利用这些发现来制定政策,为护士提供所需资源,从而保护他们的心理健康并提高患者护理质量。

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