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印度新冠疫情期间医疗保健专业人员的感知压力水平以及基于新型简短COPE-4因素结构的应对方法评估:一项多模式横断面研究

Health care professional's perceived stress levels and novel brief COPE-4 factor structure-based assessment of coping methods during COVID-19 pandemic in India: A multi-modal cross-sectional study.

作者信息

Tirukkovalluri Sree Sucharitha, Rangasamy Pradeep, Ravi Vijaya Lakshmi, Julius Angeline, Chatla Chakrapani, Mahendiran Balaji Sivaram, Manoharan Aravind

机构信息

Department of Community Medicine, Tagore Medical College Hospital, Bharath Institute of Science and Technology, BIHER, Chennai, India.

Department of Psychiatry, Madha Medical College, Bharath Institute of Science and Technology, BIHER, Chennai, India.

出版信息

J Family Med Prim Care. 2022 Jul;11(7):3891-3900. doi: 10.4103/jfmpc.jfmpc_2612_20. Epub 2022 Jul 22.

Abstract

BACKGROUND

SARS-CoV-19 or popularly known as COVID-19 is recognized as a global public health emergency and a pandemic necessitating readiness of the health system and its operational work force to address the unprecedent challenge.

OBJECTIVE

To assess perceived stress and coping methods using novel brief COPE-4 factor structure and narrate thematic testimonials among health care professionals involved in COVID care in India.

SETTINGS AND DESIGNS

Health care settings and multi-state cross-sectional study.

METHODS AND MATERIAL

A cross sectional mixed-methods study, with multi-modal aids was undertaken during April-May, 2020 using a novel brief COPE-4 Factor structure. Oral informed consent was obtained to document narrative testimonials verbatim from interviews among doctors, nurse practitioners.

STATISTICAL ANALYSIS USED

The web-survey data from Google forms analyzed using STATA (Ver 12.0) statistical package. The interview content was subjected to manual inductive thematic coding, grouped into piles to identify broad themes as main categories.

RESULTS

Among total 218 respondents, 75 (34.4%) were female and 143 (65.6%) male, mean age of 34.71 (SD = 8.9) years. Majority of the respondents were medical post-graduates on duty (38%) followed by nurses (25%) and public health professionals (14%). Slightly higher levels of stress seen among respondents involved in COVID-19 duty, compared to those not involved (p < 0.001) and positive thinking is the major coping method adopted.

CONCLUSIONS

Appraising the coping mechanisms of health care professionals reveals positive outlook amidst medium levels of perceived stress while providing COVID-19 pandemic related health care services.

摘要

背景

严重急性呼吸综合征冠状病毒2(SARS-CoV-2),即广为人知的2019冠状病毒病(COVID-19),被视为全球突发公共卫生事件和大流行病,这使得卫生系统及其一线工作人员必须做好准备,以应对这一前所未有的挑战。

目的

采用新型简短应对方式4因素结构评估感知压力和应对方法,并叙述印度参与COVID-19护理的医护人员的主题性见证。

设置与设计

医疗机构及多州横断面研究。

方法与材料

2020年4月至5月期间,采用新型简短应对方式4因素结构进行了一项多模式辅助的横断面混合方法研究。获得了口头知情同意,以便逐字记录医生、执业护士访谈中的叙述性见证。

所用统计分析方法

使用STATA(版本12.0)统计软件包对谷歌表单的网络调查数据进行分析。访谈内容进行了手动归纳主题编码,归类成堆以识别作为主要类别的广泛主题。

结果

在总共218名受访者中,女性75名(34.4%),男性143名(65.6%),平均年龄34.71岁(标准差=8.9)。大多数受访者是在职医学研究生(38%),其次是护士(25%)和公共卫生专业人员(14%)。与未参与COVID-19工作的受访者相比,参与COVID-19工作的受访者中感知到的压力水平略高(p<0.001),积极思考是主要采用的应对方法。

结论

评估医护人员的应对机制发现,在提供与COVID-19大流行相关的医疗服务时,尽管感知到中等程度的压力,但他们仍保持积极的态度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5386/9648295/dd23bb01af5c/JFMPC-11-3891-g001.jpg

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