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在 COVID-19 大流行期间,卫生工作者需要心理支持及其对工作的影响。

The Need for Psychological Support of Health Workers during the COVID-19 Pandemic and the Influence on Their Work.

机构信息

Intensive Care Unit, Hospital Universitario de Gran Canaria Doctor Negrín, 35010 Las Palmas de Gran Canaria, Spain.

Nursing Department, Universitat Jaume I, 12006 Castellón de la Plana, Spain.

出版信息

Int J Environ Res Public Health. 2022 Jul 23;19(15):8970. doi: 10.3390/ijerph19158970.

Abstract

The aim of this research was to analyze how the need for psychological support of health workers (HCWs) influenced the beliefs, perceptions and attitudes towards their work during the COVID-19 pandemic and to predict the need of psychological assistance. A descriptive transversal study was conducted based on a self-administered questionnaire distributed to health professionals working in the Canary Islands, Spain. The data were analyzed using Pearson's chi-squared test and the linear trend test. The correlation test between ordinal and frequency variables was applied using Kendall's Tau B. Multiple logistic regression was used to predict dichotomous variables. The sample included 783 health professionals: 17.8% ( = 139) of them needed psychological or psychiatric support. Being redeployed to other services influenced the predisposition to request psychological help, and HCWs who required psychological support had more negative attitudes and perceptions towards their work. After five waves of COVID-19, these HCWs reported to be physically, psychologically and emotionally exhausted or even "burned out"; they did not feel supported by their institutions. The commitment of health personnel to fight against the COVID-19 pandemic decreased after the five waves, especially among professionals who required psychological support.

摘要

这项研究的目的是分析在 COVID-19 大流行期间,卫生工作者(HCWs)对心理支持的需求如何影响他们对工作的信念、看法和态度,并预测心理援助的需求。本研究采用描述性横断面研究,基于对在西班牙加那利群岛工作的卫生专业人员的自填式问卷进行。使用 Pearson's chi-squared 检验和线性趋势检验对数据进行分析。使用 Kendall's Tau B 对有序和频率变量进行相关检验。多变量逻辑回归用于预测二项变量。该样本包括 783 名卫生专业人员:其中 17.8%(=139)需要心理或精神病学支持。被重新部署到其他服务会影响寻求心理帮助的倾向,而需要心理支持的 HCWs 对其工作的态度和看法更为负面。在经历了五波 COVID-19 疫情后,这些 HCWs 报告说身体、心理和情绪疲惫不堪,甚至“精疲力竭”;他们觉得自己没有得到所在机构的支持。卫生人员对抗 COVID-19 大流行的承诺在五波之后下降,尤其是在需要心理支持的专业人员中。

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