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新冠疫情隔离期间医护人员的心理社会经历:一项定性研究

The psychosocial experiences of healthcare workers (HCWs) during COVID-19 quarantine: a qualitative study.

作者信息

Abdulah Deldar Morad, Musa Dildar Haji, Liamputtong Pranee

机构信息

Community and Maternity Health Nursing Unit, College of Nursing, University of Duhok, Duhok, Iraqi Kurdistan.

Department of Surgery, College of Medicine, University of Duhok, Duhok, Iraqi Kurdistan.

出版信息

Postep Psychiatr Neurol. 2022 Dec;31(4):151-160. doi: 10.5114/ppn.2022.124358. Epub 2023 Jan 20.

Abstract

PURPOSE

Healthcare workers (HCWs) are more than others likely to be exposed to a viral overload regardless of the protective equipment and systems. Recent studies have reported that quarantine time is stressful for healthcare workers. We explored the impact of quarantine time as an external stressor on distress, sleep, healthy lifestyle behaviors, and familial relations among HCWs during the COVID-19 pandemic.

METHODS

A surgery team ( = 12) were working on a patient with confirmed thyroid cancer. This team was quarantined for 14 days as per the criteria of the local health government after the patient tested positive for COVID-19. We included and interviewed this team through a purposive technique in this qualitative study in Iraqi Kurdistan in 2020. Using the Graneheim and Lundman method, we analyzed the data via thematic content analysis with a deductive approach.

RESULTS

The participants experienced distress with mental health burdens during these difficult times. Some of them had to stay away from their families and friends for the first time. The first and last days were stressful for them due to fear of infection. The HCWs attempted to maintain their healthy lifestyles, including getting sufficient sleep, reducing stress levels, and creating a positive relationship with their families. The HCWs used the following coping strategies to alleviate the effects of COVID-19: beliefs, habits, and familial support. Familial and social support were their main strategies for maintaining a healthy lifestyle. The intensity level of familial and social relations was found to be a positive experience for HCWs during this stressful period.

CONCLUSIONS

This study showed that HCWs experienced psychological stress during the quarantine time of the COVID-19 outbreak. The HCWs' quality of sleep was affected adversely along with negative effects on their lifestyles. However, the level of support from familial and social relations increased during the COVID-19 outbreak. This was the major means for them to deal with stress during this difficult time of their lives.

摘要

目的

无论防护设备和系统如何,医护人员比其他人更有可能接触到病毒过载情况。最近的研究报告称,隔离期对医护人员来说压力很大。我们探讨了在新冠疫情期间,作为外部压力源的隔离期对医护人员的困扰、睡眠、健康生活方式行为和家庭关系的影响。

方法

一个外科手术团队(n = 12)正在为一名确诊甲状腺癌的患者进行手术。在该患者新冠病毒检测呈阳性后,根据当地卫生政府的标准,这个团队被隔离了14天。2020年,在伊拉克库尔德斯坦的这项定性研究中,我们采用目的抽样技术纳入并采访了这个团队。我们使用格兰海姆和伦德曼方法,通过演绎法进行主题内容分析来分析数据。

结果

在这些艰难时期,参与者经历了心理健康负担带来的困扰。他们中的一些人第一次不得不与家人和朋友分开。由于担心感染,第一天和最后一天对他们来说压力很大。医护人员试图保持健康的生活方式,包括充足的睡眠、减轻压力水平以及与家人建立积极的关系。医护人员采用以下应对策略来减轻新冠疫情的影响:信念、习惯和家庭支持。家庭和社会支持是他们保持健康生活方式的主要策略。在这个压力时期,家庭和社会关系的强度水平对医护人员来说是一种积极的体验。

结论

这项研究表明,在新冠疫情爆发的隔离期,医护人员经历了心理压力。医护人员的睡眠质量受到不利影响,同时对他们的生活方式也有负面影响。然而,在新冠疫情爆发期间,家庭和社会关系的支持水平有所提高。这是他们在人生这段艰难时期应对压力的主要方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bebc/10112528/8c0454627dc6/PPN-31-49985-g001.jpg

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