Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, Peru.
Instituto de Neurociencias Aplicadas, Lima, Perú.
Brain Behav. 2023 Aug;13(8):e3140. doi: 10.1002/brb3.3140. Epub 2023 Jul 3.
The health emergency caused by COVID-19 revealed the shortcomings of health services (HS), but little is known about how this has impacted the mental health of health professionals (HP) when perceiving these difficulties.
Data were collected through an online survey administered to HP in Lima (Peru) between May and July 2020. A questionnaire was applied to identify perceived quality of health services (PHQS). A network analysis was performed, and the centrality measures of the variables were calculated and plotted.
A total of 507 HP completed the survey. In the network analysis of PHQS, four clusters were identified: (A) "empathy" and "recognition of competencies," (B) "logistical support," "protection," "personal early diagnosis," and "early family diagnosis"; C) "professional competence with regard to their treatment and treatment for their family," "equipment for their treatment and treatment for their family," "professional competence with regard to their treatment and treatment for their family," and "institutional support for them and their family"; and D) "fear of being infected or infecting their family," "fear of dying or death of a family member," "knowledge stability," "job burnout," and "role change." The variables of PHQS with the greatest centrality were "equipment for their treatment," "equipment for the treatment of their family," and "early family diagnosis."
The structure of the PHQS of HP describes direct and indirect influences of different variables in the context of COVID-19.
COVID-19 引发的卫生紧急情况暴露了卫生服务(HS)的缺点,但对于卫生专业人员(HP)在感知这些困难时,这些缺点如何影响他们的心理健康,知之甚少。
数据是通过 2020 年 5 月至 7 月期间在秘鲁利马对 HP 进行的在线调查收集的。应用问卷来确定感知的卫生服务质量(PHQS)。进行了网络分析,并计算和绘制了变量的中心度测量值。
共有 507 名 HP 完成了调查。在 PHQS 的网络分析中,确定了四个聚类:(A)“同理心”和“认可能力”;(B)“后勤支持”、“保护”、“个人早期诊断”和“早期家庭诊断”;(C)“他们对治疗和家庭治疗的专业能力”、“他们的治疗和家庭治疗的设备”、“他们对治疗和家庭治疗的专业能力”和“他们和他们的家庭的机构支持”;和 D)“害怕被感染或感染家人”、“害怕死亡或家人死亡”、“知识稳定性”、“职业倦怠”和“角色转变”。PHQS 中具有最大中心度的变量是“治疗设备”、“家庭治疗设备”和“早期家庭诊断”。
HP 的 PHQS 结构描述了在 COVID-19 背景下不同变量的直接和间接影响。