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战时乌克兰医护人员的心理韧性、身心健康及支持需求:一项横断面研究。

Resilience, psychosomatic health, and support needs of Ukrainian healthcare professionals in wartime: A cross-sectional study.

作者信息

Sydorenko Anastasiia Yuriivna, Kiel Lennart, Spindler Helle

机构信息

Department of Psychology and Behavioral Sciences, Aarhus University, Bartholins Allé 11, DK-8000 Aarhus C, Denmark; Department of General and Medical Psychology, Bogomolets National Medical University, Beresteiskyi Avenue 34, 03057, Kyiv, Ukraine.

Department of Psychology and Behavioral Sciences, Aarhus University, Bartholins Allé 11, DK-8000 Aarhus C, Denmark.

出版信息

J Psychosom Res. 2025 Jan;188:111995. doi: 10.1016/j.jpsychores.2024.111995. Epub 2024 Nov 20.

DOI:10.1016/j.jpsychores.2024.111995
PMID:39579586
Abstract

BACKGROUND

As Ukraine enters its third year of war, healthcare professionals (HPs) continue to face ongoing challenges to their adaptability and resilience. This study aimed to assess the emotional and physical well-being of HPs, evaluate their resilience levels, and identify the most anticipated types of psychological support that would benefit them.

METHODS

Emotional and somatic states were assessed using the Hospital Anxiety and Depression Scale (HADS) and the Patient Health Questionnaire (PHQ-15). Resilience was measured by the Connor-Davidson Resilience Scale (CD-RISC-10). Open-ended questions were used to identify anticipated measures of psychological support.

RESULTS

A total of 1442 HPs participated in the study. The majority exhibited high levels of anxiety and depression. Resilience scores showed negative correlations with anxiety (r = -0.34), depression (r = -0.53), and somatic symptom severity (r = -0.36). The most desired types of psychological support included psychological counselling, spiritual support, and opportunities for rest.

CONCLUSION

It is essential to address the primary needs of HPs in Ukraine to support their professional and personal resilience during wartime. Psychological support should not only focus on treating symptoms and distress but also respond to deeper needs that foster hope and faith in a better future.

摘要

背景

随着乌克兰进入战争的第三个年头,医疗保健专业人员(HPs)在适应能力和恢复力方面仍面临持续挑战。本研究旨在评估医疗保健专业人员的情绪和身体健康状况,评估他们的恢复力水平,并确定最期望得到的、对他们有益的心理支持类型。

方法

使用医院焦虑抑郁量表(HADS)和患者健康问卷(PHQ - 15)评估情绪和躯体状态。通过Connor - Davidson恢复力量表(CD - RISC - 10)测量恢复力。采用开放式问题来确定预期的心理支持措施。

结果

共有1442名医疗保健专业人员参与了该研究。大多数人表现出高度的焦虑和抑郁。恢复力得分与焦虑(r = -0.34)、抑郁(r = -0.53)和躯体症状严重程度(r = -0.36)呈负相关。最期望得到的心理支持类型包括心理咨询、精神支持和休息机会。

结论

满足乌克兰医疗保健专业人员的首要需求对于在战时支持他们的专业和个人恢复力至关重要。心理支持不仅应专注于治疗症状和痛苦,还应回应那些能培养对美好未来的希望和信念的更深层次需求。

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