Ma Hsiang-Yu, Chiang Nein-Tsu, Kao Rui-Hsin, Lee Chih-Ying
Department of Ocean and Border Management, National Quemoy University, Kinmen, Taiwan.
J Multidiscip Healthc. 2024 Aug 2;17:3691-3713. doi: 10.2147/JMDH.S464285. eCollection 2024.
Research indicates that a significant number of healthcare workers accounted for all confirmed Coronavirus disease 2019 (COVID-19) cases, and many of the infected healthcare workers were asymptomatic. During the COVID-19 outbreak, a considerable number of people in Taiwan contracted the disease. Therefore, health workers in Taiwan often experienced lack of medical resources, and this problem is worse for outer island areas. In terms of stress and mental health, this study investigated the effect of poor healthcare capacity and high workload on health workers during the COVID-19 pandemic. This study also explored mindfulness-based stress reduction and resilience in health workers.
This study conducted an in-depth interview to investigate stress perceived by health workers in a hospital located on an outer island of Taiwan as well as their mental health and stress relieving strategies.
It was found that during the COVID-19 outbreak, some common sources of stress for health workers included exposure to infectious diseases, heavy workloads, facing ethical dilemma in clinical decision-making, and unfamiliar problems from the pandemic. These types of stress cause worries, anxiety, and depression in health workers, which affects their mental and physical health as well as their patient-care performance.
This study proposed that mindfulness-based stress reduction and protecting mental health are important for health workers.
研究表明，在所有确诊的2019冠状病毒病（COVID-19）病例中，有相当数量的医护人员被感染，而且许多受感染的医护人员没有症状。在COVID-19疫情期间，台湾有相当多的人感染了这种疾病。因此，台湾的医护人员经常面临医疗资源短缺的问题，外岛地区的情况更糟。在压力和心理健康方面，本研究调查了COVID-19大流行期间医疗服务能力差和工作量大对医护人员的影响。本研究还探讨了医护人员基于正念的减压方法和心理韧性。
本研究进行了深入访谈，以调查台湾一个外岛医院的医护人员所感受到的压力以及他们的心理健康状况和减压策略。
研究发现，在COVID-19疫情期间，医护人员一些常见的压力源包括接触传染病、工作量大、在临床决策中面临伦理困境以及疫情带来的陌生问题。这些类型的压力会导致医护人员产生担忧、焦虑和抑郁情绪，进而影响他们的身心健康以及患者护理表现。
本研究提出，基于正念的减压方法和保护心理健康对医护人员很重要。
