16121University of Michigan School of Nursing, Ann Arbor, MI, USA.
15851Johns Hopkins University School of Nursing, Baltimore, ML, USA.
J Appl Gerontol. 2023 Feb;42(2):213-220. doi: 10.1177/07334648221128559. Epub 2022 Sep 22.
Disasters adversely affect individuals' mental health; yet, research is scant on the mental health needs of frontline workers during and immediately after disasters. Our study explored this gap through the perspectives of home-based care providers (HBCP) who provided care during and after Hurricanes Irma and Harvey. In this qualitative study, five in-person focus groups were held between January and November 2019 with 25 HBCP drawn from home health care agencies in southern Florida and the Greater Houston Area. Four themes were identified using an abductive analytic approach: HBCPs' disaster-related mental health needs; HBCP resilience in the context of disaster; psychological tensions associated with simultaneously caring for self, family, and patients; and supporting patients' mental health needs during and after disaster. Our data suggest that HBCP may benefit from formal training and interventions to support their own mental health as well as that of their patients in the context of disasters.
灾害对个人的心理健康产生不利影响；然而，针对灾害期间和之后一线工作人员的心理健康需求的研究却很少。我们的研究通过在飓风“艾玛”和“哈维”期间提供护理的家庭护理提供者（HBCP）的视角来探讨这一空白。在这项定性研究中，我们于 2019 年 1 月至 11 月之间通过南方佛罗里达州和休斯敦大都市区的家庭保健机构抽取了 25 名 HBCP 进行了五次面对面的焦点小组讨论。使用归纳分析方法确定了四个主题：HBCP 与灾害相关的心理健康需求；HBCP 在灾害背景下的韧性；同时照顾自己、家人和患者所带来的心理紧张；以及在灾害期间和之后满足患者的心理健康需求。我们的数据表明，HBCP 可能受益于正式的培训和干预措施，以在灾害背景下支持他们自己和患者的心理健康。
