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探讨冠状病毒大流行期间医护人员在处理尸体时面临的挑战和风险:横断面调查研究。

Exploring the challenges and risks of dead body handling faced by healthcare professionals during the coronavirus pandemic: Cross sectional survey study.

机构信息

Department of Industrial and Management Systems Engineering, West Virginia University, Morgantown, WV, 26506, USA.

出版信息

Appl Ergon. 2024 Jul;118:104280. doi: 10.1016/j.apergo.2024.104280. Epub 2024 Mar 31.

DOI:10.1016/j.apergo.2024.104280
PMID:38560964
Abstract

The coronavirus pandemic shocked the already overwhelmed global healthcare system, challenging its preparedness to deal with mass fatalities. Our research examines the safety issues faced by healthcare workers when handling dead (deceased) bodies, highlighting the need for better strategies in the event of mass fatalities. Healthcare providers involved in dead body handling during the COVID-19 pandemic in the U.S. were eligible to participate in our study. Using a web-based survey, we analyzed responses of 206 participants across 43 U.S. states. We used the Systems Engineering Initiative for Patient Safety (SEIPS) framework to deduce themes from participants' open-ended responses. The study showed how routine tasks become extraordinarily challenging during pandemic due to increased workload, emotional stress, and resource constraints. Tasks such as lifting and transferring bodies, underscored physical and emotional toll on workers. The mental strain induced by mass fatalities and the complexities of communicating with families and peers were also prominent, adding to the overall burden on healthcare workers. The participants emphasized the importance of specialized training, policy refinements, and improvements in its implementation. In conclusion, our study contributes to understanding the complexities of dead body handling during a pandemic. It underscores the need for emergency response planning and systemic changes in healthcare policies and practices to ensure the safety and well-being of healthcare workers engaged in these critical tasks.

摘要

冠状病毒大流行使本已不堪重负的全球医疗体系受到冲击,考验了其应对大量死亡的准备能力。我们的研究考察了医护人员在处理遗体时面临的安全问题,强调了在发生大量死亡事件时需要更好的应对策略。有资格参与我们研究的是在美国 COVID-19 大流行期间参与处理遗体的医护人员。我们使用基于网络的调查,分析了来自美国 43 个州的 206 名参与者的回复。我们使用患者安全系统工程倡议(SEIPS)框架,从参与者的开放式回复中推断出主题。研究表明,由于工作量增加、情绪压力和资源限制,常规任务在大流行期间变得异常具有挑战性。例如,搬运和转移尸体等任务给工作人员带来了身体和情绪上的负担。大量死亡引起的精神压力以及与家人和同事沟通的复杂性也很突出,增加了医护人员的整体负担。参与者强调了专门培训、政策完善以及改进实施的重要性。总之,我们的研究有助于了解大流行期间处理遗体的复杂性。它强调了需要制定应急响应计划,并对医疗政策和实践进行系统改革,以确保参与这些关键任务的医护人员的安全和福祉。

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