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台湾 COVID-19 大流行期间医护人员的心理影响、应对行为和创伤后应激:早期经验。

Psychological impact, coping behaviors, and traumatic stress among healthcare workers during COVID-19 in Taiwan: An early stage experience.

机构信息

Department of Nursing, Nantou Hospital, Ministry of Health and Welfare, Nantou, Taiwan, ROC.

Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan, ROC.

出版信息

PLoS One. 2022 Oct 25;17(10):e0276535. doi: 10.1371/journal.pone.0276535. eCollection 2022.

DOI:10.1371/journal.pone.0276535
PMID:36282853
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9595532/
Abstract

OBJECTIVE

This study investigated the psychological impact on, coping behaviors of, and traumatic stress experienced by healthcare workers during the early stage of the COVID-19 pandemic and formulated effective support strategies that can be implemented by hospitals and government policymakers to help healthcare staff overcome the pandemic.

METHODS

This cross-sectional study recruited clinical healthcare workers at a regional hospital in Nantou County, Taiwan. The questionnaire collected personal characteristics, data on the impact and coping behaviors of the pandemic, and Impact of Event Scale-Revised (IES-R). A total of 354 valid questionnaires were collected. The statistical methods employed were univariate and multivariate stepwise regression, and logistic regression.

RESULTS

Perceived impact and coping behaviors were found to be moderate in degree, and traumatic stress was lower than that in other countries. However, our data identified the following subgroups that require special attention: those with young age, those living with minor children, nurses, those with self-rated poor mental health, and those with insufficient COVID-19-related training.

CONCLUSION

Managers should pay particular attention to helping healthcare workers in high-risk groups, strengthen COVID-19 training, provide adequate protective equipment and shelter, and offer psychological counseling.

摘要

目的

本研究旨在探讨 COVID-19 大流行早期医护人员所承受的心理影响、应对行为和创伤性应激,并制定有效的支持策略,供医院和政府决策者实施,以帮助医护人员应对疫情。

方法

本横断面研究招募了台湾南投县一家地区医院的临床医护人员。问卷收集个人特征、大流行的影响和应对行为以及事件影响量表修订版(IES-R)数据。共收集了 354 份有效问卷。采用的统计方法有单变量和多变量逐步回归以及逻辑回归。

结果

感知影响和应对行为程度中等,创伤性应激低于其他国家。然而,我们的数据确定了以下需要特别关注的亚组:年龄较小、与未成年子女同住、护士、自我评估心理健康较差以及 COVID-19 相关培训不足的人员。

结论

管理人员应特别关注帮助高风险群体的医护人员,加强 COVID-19 培训,提供充足的防护设备和庇护所,并提供心理咨询。

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