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COVID-19 大流行期间医护人员的心理健康:叙事性综述。

The mental health of healthcare workers during the COVID-19 pandemic: a narrative review.

机构信息

Department of Clinical Psychology, New Craigs Psychiatric Hospital.

Nairn Town and Country Hospital, NHS Highland, Nairn, UK.

出版信息

Curr Opin Psychiatry. 2022 Sep 1;35(5):311-316. doi: 10.1097/YCO.0000000000000805. Epub 2022 Jul 18.

DOI:10.1097/YCO.0000000000000805
PMID:35855506
Abstract

PURPOSE OF REVIEW

Mental health (MH) problems among healthcare workers (HCWs) have the potential to impact negatively on the capacity of health systems to respond effectively to COVID-19. A thorough understanding of the factors that degrade or promote the MH of HCWs is needed to design and implement suitable intervention strategies to support the wellbeing of this population.

RECENT FINDINGS

MH problems among HCWs were elevated prior to the COVID-19 pandemic. Accumulating evidence indicates that this public health crisis has had a disproportionately negative impact on the MH of specialised populations, including HCWs. Literature from prior health pandemics suggests that the adverse effects of the COVID-19 pandemic on the MH of HCWs are likely to persist in the aftermath of the public health crisis. Primary and secondary risk factors for adverse MH outcomes have been identified and should be considered when implementing interventions to protect the MH of HCWs.

SUMMARY

The MH of HCWs has been negatively impacted by the COVID-19 pandemic, which is having a detrimental influence on the public health response to COVID-19. Protecting the MH of HCWs both during and beyond this public health crisis should remain a top priority, with particular emphasis on multifaceted interventions that aim to balance the psychological needs of individual HCWs with organisational-level strategies that could be targeted to promote their wellbeing.

摘要

目的综述

医护人员(HCWs)的心理健康(MH)问题有可能对卫生系统有效应对 COVID-19 的能力产生负面影响。需要深入了解降低或促进 HCWs 心理健康的因素,以便设计和实施合适的干预策略,以支持这一人群的福祉。

最近的发现

在 COVID-19 大流行之前,HCWs 中的 MH 问题已经升高。越来越多的证据表明,这场公共卫生危机对包括 HCWs 在内的专门人群的 MH 产生了不成比例的负面影响。来自先前卫生大流行的文献表明,COVID-19 大流行对 HCWs 心理健康的不利影响可能会在公共卫生危机结束后持续存在。已经确定了主要和次要的不良 MH 结果风险因素,在实施干预措施以保护 HCWs 的心理健康时应予以考虑。

总结

COVID-19 大流行对 HCWs 的心理健康产生了负面影响,这对 COVID-19 的公共卫生应对产生了不利影响。在这场公共卫生危机期间和之后,保护 HCWs 的心理健康都应仍然是重中之重,特别强调旨在平衡个别 HCWs 的心理需求的多方面干预措施,以及可以针对提高其幸福感的组织层面策略。

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