Division of Psychiatry, University College London, London, United Kingdom.
Department of Applied Health Research, University College London, London, United Kingdom.
PLoS One. 2024 Sep 19;19(9):e0308089. doi: 10.1371/journal.pone.0308089. eCollection 2024.
We aimed to explore the experiences, needs, and mental health impact of family members of healthcare workers (HCWs) before and during the COVID-19 pandemic. Eleven quantitative and nine qualitative studies were included in this review. Based on the narrative synthesis, we identified five outcomes: 'Mental health outcomes', 'Family relationships, 'Coping skills and resilience', 'Quality of life and social life', and 'Practical outcomes'. Our findings indicated that there was a high risk to the mental health and well-being of families of healthcare workers both before and during the pandemic. However, with the COVID-19 pandemic, some experiences and mental health issues of families were worsened. There was also a negative association between working long hours/shift work and family relationships/communication, family social life, and joint activities, and family members taking on more domestic responsibilities. Families tended to use both positive and negative coping strategies to deal with their loved one's job stress. Organisations and support services working with people in health care work should consider widening support to families where possible. With this understanding, HCWs and their families could be supported more effectively in clinical and organisational settings. Trial registration: Systematic Review Registration Number: CRD42022310729. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022310729.
我们旨在探讨 COVID-19 大流行前后医护人员（HCW）家属的经历、需求和心理健康影响。本综述纳入了 11 项定量研究和 9 项定性研究。基于叙述性综合分析，我们确定了五个结果：“心理健康结果”、“家庭关系”、“应对技巧和韧性”、“生活质量和社会生活”和“实际结果”。我们的研究结果表明，在大流行前后，医护人员家属的心理健康和福祉都面临着高风险。然而，随着 COVID-19 大流行，一些家庭的经历和心理健康问题恶化了。工作时间长/轮班工作与家庭关系/沟通、家庭社会生活和共同活动以及家庭成员承担更多的家务之间也存在负面关联。家庭倾向于使用积极和消极的应对策略来应对亲人的工作压力。与医疗保健工作者一起工作的组织和支持服务机构应尽可能扩大对家庭的支持。有了这种理解，HCW 和他们的家属可以在临床和组织环境中得到更有效的支持。试验注册：系统评价登记号：CRD42022310729。https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022310729。
