School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, China.
Department of Orthopedic Surgery, Qilu Hospital of Shandong University, Jinan, China.
BMJ Open. 2022 Oct 27;12(10):e059879. doi: 10.1136/bmjopen-2021-059879.
To explore the physical and mental health problems of front-line healthcare workers fighting COVID-19 across the three phases of the epidemic rescue mission (before, during and after) in China.
A qualitative study was adopted using face to face, in-depth semistructured interviews. Phenomenological research methods and Colaizzi's seven-step analysis method were used in the study.
The setting of the study was the offices of healthcare workers in 12 tertiary hospitals.
Thirty-one front-line healthcare workers from 16 provinces in China, who carried out rescue missions in Hubei Province, were interviewed from October to November 2020.
Physical and mental health problems existed before, during and after the COVID-19 rescue mission. Eleven themes emerged during the three phases. Two themes appeared before rescue mission: basic diseases, anxiety before rescue mission. Five themes appeared during rescue mission: basic physical function disorder, physical exhaustion, negative cognition, negative emotions and negative behaviour. Four themes appeared after rescue mission: physical dysfunction, negative emotions, stigmatisation and hypochondriasis.
Both physical and mental health problems occurred throughout the three phases. The study results pointed that a comprehensive prevention and control system that addresses both physical and mental health problems of front-line healthcare workers throughout the three phases of epidemic rescue mission (before, during and after), and that involves themselves, their families, hospitals, the government and social organisations is needed.
探讨中国新冠肺炎疫情防控一线医护人员在疫情救援任务的三个阶段(前、中、后)的身心健康问题。
采用面对面、深入的半结构式访谈进行定性研究。研究采用现象学研究方法和科莱兹的七步分析法。
研究地点为 12 家三级医院医护人员的办公室。
2020 年 10 月至 11 月,对来自中国 16 个省参与湖北省救援任务的 31 名一线医护人员进行了访谈。
在新冠肺炎救援任务前、中、后均存在身心健康问题。三个阶段共出现 11 个主题。救援任务前出现 2 个主题:基础疾病、救援前焦虑。救援任务中出现 5 个主题:基础生理功能障碍、身体疲惫、消极认知、消极情绪和消极行为。救援任务后出现 4 个主题:身体机能障碍、消极情绪、污名化和疑病症。
在三个阶段都存在身心健康问题。研究结果表明,需要建立一个全面的防控体系,涵盖一线医护人员在疫情救援任务的三个阶段(前、中、后)的身心健康问题,包括他们自己、他们的家人、医院、政府和社会组织。