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在 COVID-19 大流行期间为医护人员实施心理急救: ICARE 模型的可行性研究。

Implementing Psychological First Aid for Healthcare Workers During the COVID-19 Pandemic: A Feasibility Study of the ICARE Model.

机构信息

Department of Psychology, The University of Arizona, 1503 E University Blvd., Tucson, AZ, 85721, USA.

Department of Emergency Medicine, The University of Arizona, Tucson, AZ, USA.

出版信息

J Clin Psychol Med Settings. 2023 Sep;30(3):482-489. doi: 10.1007/s10880-022-09900-w. Epub 2022 Sep 8.

Abstract

Maintaining the resilience of healthcare workers (HCWs) during the protracted COVID-19 pandemic is critical as chronic stress is associated with burnout, inability to provide high-quality care, and decreased attentiveness to infection prevention protocols. Between May and July 2020, we implemented the ICARE model of psychological first aid (PFA) in a novel online (i.e., telehealth) format to address the psychological support needs of HCWs during the COVID-19 pandemic. We found that HCWs needed psychological support related to obtaining clear information about pandemic policies and guidelines, navigating new rules and responsibilities, and processing overwhelming and conflicting emotions. The HCWs in our program repeatedly expressed appreciation for the support we provided. Future directions include establishing online discussion forums, increasing opportunities for individual support, and training HCWs to provide peer support using PFA. This program has far-reaching potential benefit to HCWs and to society at large in the context of a pandemic.

摘要

在 COVID-19 大流行期间,维持医护人员(HCWs)的适应力至关重要,因为长期压力与倦怠、无法提供高质量护理以及对感染预防协议的关注度降低有关。在 2020 年 5 月至 7 月期间,我们以新颖的在线(即远程医疗)形式实施了 ICARE 心理急救(PFA)模型,以满足 COVID-19 大流行期间 HCWs 的心理支持需求。我们发现,HCWs 需要与获取有关大流行政策和准则的明确信息、应对新规则和责任以及处理压倒性和冲突性情绪相关的心理支持。我们项目中的 HCWs 反复表达了对我们提供的支持的感激之情。未来的方向包括建立在线讨论论坛、增加个人支持的机会以及培训 HCWs 使用 PFA 提供同伴支持。在大流行背景下,该计划对 HCWs 和整个社会具有深远的潜在益处。

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