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心理健康:巴西新冠疫情背景下卫生工作者的叙述

Mental health: health worker narratives in the context of COVID-19 in Brazil.

作者信息

Mometti-Braz Daniele, Onocko-Campos Rosana Teresa

机构信息

Programa de Pós-Graduação em Saúde Coletiva, Faculdade de Ciências Médicas, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil.

Departamento de Saúde Coletiva, Faculdade de Ciências Médicas, UNICAMP, Campinas, SP, Brazil.

出版信息

Rev Bras Med Trab. 2023 Nov 24;21(3):e20231130. doi: 10.47626/1679-4435-2023-1130. eCollection 2023 Jul-Sep.

DOI:10.47626/1679-4435-2023-1130
PMID:38313791
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10835413/
Abstract

INTRODUCTION

During the pandemic, "staying at home" was not an option for many people, especially health workers, who were on the front lines in the fight against COVID-19 and whose mental health was threatened.

OBJECTIVES

This study highlights the psychological repercussions of the pandemic and the coping strategies used by health workers in an effort to develop mental health resources.

METHODS

This qualitative exploratory study investigated the narratives of 14 health workers from an online focus group between August and September 2020, transcribing the meetings and performing thematic content analysis.

RESULTS

The analysis resulted in 3 categories of experience: 1) the professional as a patient, especially the fear of suffering or dying based on daily experience; 2) the fine line between providing care and being a vector of transmission, which identified worries about infecting family members and work overload; and 3) coping strategies and mental health on an individual level, such as routines, care, faith, and learning lessons, as well as on a collective level, such as prevention measures and public policies.

CONCLUSIONS

Studies such as this can contribute to a framework of knowledge about coping strategies to maintain mental health among health workers. They also provide an opportunity to listen, which produces meaning, empathy, and recognition for these professionals.

摘要

引言

在疫情期间,“居家”对许多人来说并非一种选择,尤其是医护人员,他们身处抗击新冠疫情的前线,心理健康受到威胁。

目的

本研究强调了疫情的心理影响以及医护人员所采用的应对策略,以期开发心理健康资源。

方法

这项定性探索性研究调查了2020年8月至9月期间一个在线焦点小组中14名医护人员的叙述,对会议进行转录并进行主题内容分析。

结果

分析得出三类经历:1)专业人员作为患者,尤其是基于日常经历对患病或死亡的恐惧;2)提供护理与成为传播媒介之间的微妙界限,这体现了对感染家庭成员的担忧和工作负担过重;3)个人层面的应对策略和心理健康,如日常习惯、护理、信仰和吸取教训,以及集体层面的应对策略和心理健康,如预防措施和公共政策。

结论

此类研究有助于构建一个关于医护人员维持心理健康应对策略的知识框架。它们还提供了倾听的机会,从而为这些专业人员带来意义、同理心和认可。

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本文引用的文献

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COVID‑19 in Northern Italy: An integrative overview of factors possibly influencing the sharp increase of the outbreak (Review).意大利北部的 COVID-19 疫情:可能影响疫情急剧爆发的因素综合概述(综述)。
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Remote consultations in the era of COVID-19 pandemic: Preliminary experience in a regional Australian public acute mental health care setting.远程会诊在 COVID-19 大流行时期:澳大利亚地区公立急性精神卫生保健机构的初步经验。
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Was SARS a mental health catastrophe?非典是一场心理健康灾难吗?
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Narratives: use in qualitative health-related research.叙述:在定性健康相关研究中的应用。
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