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“我遭遇过的最糟糕的事情”:在 COVID-19 危机期间,医护和社会服务专业人员直面死亡。

"The worst thing that has happened to me": Healthcare and social services professionals confronting death during the COVID-19 crisis.

机构信息

Department of Sociology and Social Work, Universidad Pontificia Comillas, Madrid, Spain.

出版信息

Front Public Health. 2022 Jul 26;10:957173. doi: 10.3389/fpubh.2022.957173. eCollection 2022.

Abstract

OBJECTIVES

This study analyzes the subjective emotional impact COVID-19 deaths have had on healthcare, social services, and funeral services professionals, it explores the different implications, and analyzes the different reactions of health and social care professionals and funeral professionals to the volume of deaths.

METHODS

This work is based on a qualitative, phenomenological, and interpretative approach through in-depth interviews with 42 informants, including 36 social and healthcare professionals, as well as 6 family members of those who died from COVID-19 in Madrid. The interviews were processed through a qualitative, interpretative, categorical analysis.

RESULTS

Healthcare professionals were overexposed to a significant number of deaths under dramatic circumstances. Many of these professionals had difficulties processing their experiences and expressed the need for psychological help. The fact that certain professionals had previous exposure to high mortality rates was not a protective factor. Some coping differences were seen between healthcare professionals and professionals dedicated to the care of the deceased (undertakers or firemen), particularly in the degree to which they personalized the care they provided.

CONCLUSION

The overexposure to death with the circumstances that existed during the state of emergency had a significant emotional impact on the professionals, which can lead to mental health problems in the near term.

摘要

目的

本研究分析了 COVID-19 死亡对医疗保健、社会服务和殡葬服务专业人员的主观情绪影响,探讨了不同的影响,并分析了卫生和社会保健专业人员以及殡葬专业人员对死亡人数的不同反应。

方法

这项工作基于定性、现象学和解释学方法,通过对 42 名受访者进行深入访谈,其中包括 36 名社会和医疗保健专业人员,以及马德里因 COVID-19 死亡的 6 名家属。访谈通过定性、解释性、分类分析进行处理。

结果

医疗保健专业人员在戏剧性的情况下过度暴露于大量死亡人数。这些专业人员中的许多人在处理自己的经历方面存在困难,并表示需要心理帮助。某些专业人员以前曾接触过高死亡率并不是一个保护因素。在处理经历方面,医护人员和负责死者护理的专业人员(殡仪馆工作人员或消防员)之间存在一些差异,特别是在他们对所提供护理的个性化程度方面。

结论

在紧急状态下,过度暴露于死亡及其环境对专业人员产生了重大的情绪影响,这可能导致近期出现心理健康问题。

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