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新冠疫情期间医护人员的道德伤害与心理复原力

Moral injury and psychological resilience among healthcare professionals amid COVID-19 pandemic.

作者信息

Akhtar Mubeen, Faize Fayyaz Ahmad, Malik Ramla Zaid, Tabusam Asifa

机构信息

Mubeen Akhtar, COMSATS University Islamabad (CUI), Park Road, Tarlai Kalan, Islamabad, Pakistan.

Fayyaz Ahmad Faize, COMSATS University Islamabad (CUI), Park Road, Tarlai Kalan, Islamabad, Pakistan.

出版信息

Pak J Med Sci. 2022 May-Jun;38(5):1338-1342. doi: 10.12669/pjms.38.5.5122.

Abstract

OBJECTIVES

The present research studied moral injury and psychological resilience in healthcare professionals amid COVID-19 pandemic. Relationship between moral injury and resilience was explored in addition to finding the difference in study variables based on socio-demographics factors.

METHODS

This cross-sectional research was carried out from August 2020 to January 2021. A sample of 108 healthcare professionals including doctors, nurses, and paramedical staff was collected through purposive sampling technique. Data was gathered through face-to-face survey method and online forum using psychometrically sound tools.

RESULTS

Findings revealed that more than two third of the sample (69.44%) has high level of moral injury which is clinically significant while only 30.56% fall within normal range. Moral injury has significant positive correlation with number of work hours ( < .05) whereas negative correlation with resilience ( < .01) and years of experience ( < .05). Women and health care professionals belonging to psychiatry department have reported to experience significantly high level of moral injury ( < .01).

CONCLUSION

The findings of the study are helpful for stakeholders of health care system to better understand and prepare for the situations that brings moral injury and challenge psychological resilience particularly in times of pandemic, humanitarian crisis, or natural disasters.

摘要

目的

本研究探讨了新冠疫情期间医护人员的道德伤害与心理韧性。除了基于社会人口学因素找出研究变量的差异外,还探究了道德伤害与韧性之间的关系。

方法

本横断面研究于2020年8月至2021年1月进行。通过目的抽样技术收集了108名医护人员的样本,包括医生、护士和辅助医疗人员。使用心理测量可靠的工具,通过面对面调查和在线论坛收集数据。

结果

研究结果显示,超过三分之二的样本(69.44%)存在高水平的道德伤害,具有临床意义,而只有30.56%处于正常范围。道德伤害与工作时长呈显著正相关(<.05),与韧性呈负相关(<.01),与工作年限呈负相关(<.05)。女性和精神科医护人员报告称经历了显著高水平的道德伤害(<.01)。

结论

该研究结果有助于医疗系统的利益相关者更好地理解并应对可能导致道德伤害、挑战心理韧性的情况,尤其是在疫情、人道主义危机或自然灾害期间。

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How mental health care should change as a consequence of the COVID-19 pandemic.由于新冠疫情,精神卫生保健应如何改变。
Lancet Psychiatry. 2020 Sep;7(9):813-824. doi: 10.1016/S2215-0366(20)30307-2. Epub 2020 Jul 16.

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