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支持医疗保健工作者的心理健康和心理弹性:证据差距和行动紧迫性。

Supporting Mental Health and Psychological Resilience Among the Health Care Workforce: Gaps in the Evidence and Urgency for Action.

机构信息

Department of Neurosurgery, Mayo Clinic Rochester, Minnesota

Department of Neurosurgery, Mayo Clinic Rochester, Minnesota.

出版信息

Ann Fam Med. 2023 Feb;21(Suppl 2):S100-S102. doi: 10.1370/afm.2933.

DOI:10.1370/afm.2933
PMID:36849469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9970679/
Abstract

Since the COVID-19 pandemic started, health care workers have faced various challenges to their mental health due to extreme working conditions. Yet these workers have continued to deliver care in the face of stressors and death among their patients, family, and social networks. The pandemic highlighted weaknesses within our health care work environment, especially pertaining to a need to provide increased psychological resilience to clinicians. There has been little research to determine the best practices for psychological health in workplaces and interventions to improve psychological resilience. Although some studies have attempted to provide solutions, there are noteworthy gaps in the literature on effective interventions to use in the time of crisis. The most common include an absence of preintervention data concerning the overall mental well-being of health care workers, inconsistent application of interventions, and a lack of standard assessment tools across studies. There is an urgent need for system-level strategies that not only transform the way workplaces are organized, but also destigmatize, recognize, support, and treat mental health conditions among health care workers. There is also need for more evidence-based resources to improve resilience on the job, and thereby increase clinicians' capacity to address new medical crises. Doing so may mitigate rates of burnout and other psychological conditions in times of crisis among health care workers.

摘要

自 COVID-19 大流行开始以来,医护人员由于极端的工作条件,其心理健康面临着各种挑战。然而,这些医护人员在面对患者、家属和社交网络中的压力源和死亡时,仍继续提供护理。大流行凸显了我们医疗保健工作环境中的弱点,特别是需要为临床医生提供更强的心理适应力。几乎没有研究来确定工作场所心理健康的最佳实践和改善心理适应力的干预措施。尽管一些研究试图提供解决方案,但在危机时期使用的有效干预措施方面,文献中存在明显的差距。最常见的问题包括缺乏有关医护人员整体心理健康的干预前数据、干预措施的应用不一致以及研究之间缺乏标准评估工具。现在迫切需要制定系统层面的战略,不仅要改变工作场所的组织方式,还要消除医护人员心理健康问题的污名化,承认、支持和治疗这些问题。还需要更多基于证据的资源来提高工作中的适应力,从而提高临床医生应对新的医疗危机的能力。这样做可能会减轻医护人员在危机时期的倦怠和其他心理问题的发生率。

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