Puri Basant K, Miari Anastasia, Theodoratou Maria
University of Winchester.
C.A.R., Cambridge.
Health Psychol Res. 2024 Apr 14;12:94942. doi: 10.52965/001c.94942. eCollection 2024.
The COVID-19 pandemic has intensified the focus on mental health, particularly on the coping strategies of healthcare workers who have faced unparalleled stress due to their pivotal role in addressing health disparities and determinants of health. Constantly operating in high-risk environments and managing the surge of critically ill patients, these professionals' psychological resilience has been sternly tested, necessitating robust assessment tools.
This study aims to refine the extensive 54-item Toulouse Coping Scale into a more pragmatic and less time-consuming instrument while preserving its statistical integrity, to support the mental well-being of healthcare workers.
The setting for this study was amongst healthcare workers in Greece, during the COVID-19 pandemic, a period marked by significant psychological demands on medical staff.
We conducted an unbiased exploratory factor analysis on the Toulouse Coping Scale's 54 items, drawing from a sample of 144 healthcare workers, adhering to strict methodological criteria.
Data completeness was achieved across the sample, which comprised 40 (28%) males and 104 (72%) females, predominantly aged between 31 and 50 years. The final instrument, encapsulating two domains with a total of nine questions, demonstrated strong internal consistency, with an eigenvalue of 3.438 for the first domain and 1.478 for the second, validated by a scree plot.
The streamlined TCS-9 scale facilitates a more rapid assessment of coping strategies while reducing redundancy. The two-domain structure ensures that the revised scale retains the original's thoroughness in a more concise form.
By enabling quicker and more efficient evaluations, the TCS-9 enhances the practicality of assessing coping mechanisms in healthcare settings, thereby contributing to the sustenance of health systems and the promotion of health equity.
新冠疫情使人们更加关注心理健康，尤其是医护人员的应对策略。由于医护人员在解决健康差距和健康决定因素方面发挥着关键作用，他们面临着前所未有的压力。这些专业人员经常在高风险环境中工作，并应对重症患者的激增，他们的心理韧性受到了严峻考验，因此需要强大的评估工具。
本研究旨在将包含54个条目的图卢兹应对量表精简为一个更实用、耗时更少的工具，同时保持其统计完整性，以支持医护人员的心理健康。
本研究的背景是在希腊的医护人员中进行，处于新冠疫情期间，这一时期对医务人员提出了巨大的心理要求。
我们对图卢兹应对量表的54个条目进行了无偏探索性因素分析，样本来自144名医护人员，严格遵循方法学标准。
样本的数据完整性得以实现，其中包括40名（28%）男性和104名（72%）女性，主要年龄在31至50岁之间。最终工具包含两个领域，共九个问题，显示出很强的内部一致性，第一个领域的特征值为3.438，第二个领域为1.478，通过碎石图验证。
精简后的TCS-9量表有助于更快速地评估应对策略，同时减少冗余。两领域结构确保修订后的量表以更简洁的形式保留了原量表的全面性。
通过实现更快、更高效的评估，TCS-9增强了在医疗环境中评估应对机制的实用性，从而有助于维持卫生系统和促进健康公平。
