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伊朗新冠疫情期间重症监护室工作人员失去家庭成员后的悲伤经历:一项定性研究

Grief experience among ICU staff with loss of family members during COVID-19 outbreak in IRAN: A qualitative study.

作者信息

Nohesara Shabnam, Saeidi Mahdieh, Mosavari Hesam, Ghalichi Leila, Alebouyeh Mahmoud Reza

机构信息

Department of Psychiatry, School of Medicine, Mental Health Research Center, Psychosocial Health Research Institute (PHRI), Iran University of Medical Sciences, Tehran, Iran.

Research Center for Addiction and Risky Behaviors, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Front Psychiatry. 2022 Jul 18;13:904760. doi: 10.3389/fpsyt.2022.904760. eCollection 2022.

Abstract

INTRODUCTION

The COVID-19 crisis created a lot of problems in people's lives. Different lifestyles, mental health, communication, rituals and traditions, particularly those involved in mourning, have changed drastically. Medical staff faced numerous critically ill patients every day. This greatly distressed the staff, especially the ICU staff. The end result was considerable amounts of mental distress for the medical staff who lost family members to COVID-19 making the distress even more complex.

METHODS

We carried out this qualitative research to study the grief experiences of 12 Iranian ICU staff members at the Rasoul Akram Hospital who had experienced the loss of a family member to the COVID-19 pandemic. We studied the effects of how their own grief experience and how constant exposure to critically ill patients influenced their work with patients. All semi-structured interviews were held in the presence of a faculty member of the psychiatry department of Iran University of Medical Sciences. The interview on the grief experience among ICU staff during the COVID-19 pandemic, consists of 4 issues: Familiarity, Experience during the COVID-19 pandemic, Grieving the loss of a family member and Effects of parallel grief.

RESULTS

We found five common themes in the result of the experiences of the participants based on content analysis. These consisted of: complex grieving process, new experiences for coping with loss, more empathy for patients, change the meaning of death, and the need for support in work places. Likewise, there were 22 sub themes.

CONCLUSION

Paying attention to the details of staff members' life, gender differences, and cultural aspects can give us a better understanding and perception of their grief experiences. This understanding brings out valuable points which can help policy makers pass better laws for the wellbeing of society and people in order to promote leadership in turbulent times.

摘要

引言

新冠疫情给人们的生活带来了诸多问题。不同的生活方式、心理健康、沟通方式、仪式和传统,尤其是那些与哀悼相关的,都发生了巨大变化。医护人员每天都要面对众多重症患者。这让他们倍感压力,尤其是重症监护室的医护人员。最终结果是,那些因新冠疫情失去家庭成员的医护人员承受了相当大的精神痛苦,使这种痛苦更加复杂。

方法

我们开展了这项定性研究,以探究拉苏勒·阿克拉姆医院12名经历过家庭成员因新冠疫情离世的伊朗重症监护室医护人员的悲伤经历。我们研究了他们自身的悲伤经历以及持续接触重症患者如何影响他们与患者的工作。所有半结构化访谈均在伊朗医科大学精神病学系一名教员在场的情况下进行。关于新冠疫情期间重症监护室医护人员悲伤经历的访谈包括4个问题:熟悉程度、新冠疫情期间的经历、对失去家庭成员的悲痛以及并行悲伤的影响。

结果

基于内容分析,我们在参与者的经历结果中发现了五个共同主题。这些主题包括:复杂的悲伤过程、应对损失的新体验、对患者更多的同理心、改变死亡的意义以及工作场所对支持的需求。同样,还有22个子主题。

结论

关注工作人员生活的细节、性别差异和文化方面,能让我们更好地理解和认识他们的悲伤经历。这种理解能引出有价值的观点,有助于政策制定者为社会和人民的福祉制定更好的法律,以便在动荡时期提升领导力。

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