Reartes-Peñafiel Diana L, Juárez-Ramírez Clara, Reyes-Morales Hortensia, Gutiérrez-Alba Gaudencio, Muños-Hernández José A
Instituto, Pensamiento y Cultura en América Latina (IPECAL), Tlalpan, CDMX, México.
Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública de México, Cuernavaca, Morelos, México.
Aten Primaria. 2025 Jul;57(7):103206. doi: 10.1016/j.aprim.2024.103206. Epub 2025 Jan 11.
To analyze the categories of risk and vulnerability based on the experience of health professionals who attended SARS-CoV-2.
Exploratory research. It was developed in different phases during 2020-2021, using concurrent mixed methods and pursuing multiple objectives. This article reports findings from a qualitative section, derived from the analysis of a subsample of participants.
First-level medical units in rural areas of five states in Mexico.
Thirty-two health care professionals were included: doctors, nurses and health promoters.
Three emergent categories were inferentially analyzed based on some constructivist grounded theory assumptions: a) harm reduction strategies used, b) perception of own vulnerability to SARS-CoV-2 and c) impact on personal life.
Perceptions of risk and vulnerability are two interdependent domains constructed from lived experience of health care professionals, meanings were developed as negative attributes were socially assigned: the cause of the infection was unknown, but it was a dangerous virus that caused the deaths of colleagues. A new risk culture for COVID-19 was constructed.
Subjective perceptions of risk perception and vulnerability correspond with objective perceptions and opportunities to implement coping strategies and risk reduction, including at the family level. To support health professionals in the face of future health emergencies, it is necessary to guarantee them job security.
基于参与诊治新型冠状病毒肺炎（SARS-CoV-2）的医护人员的经验，分析风险和脆弱性的类别。
探索性研究。于2020 - 2021年分不同阶段开展，采用并发混合方法并追求多个目标。本文报告了来自定性部分的研究结果，该结果源自对部分参与者子样本的分析。
墨西哥五个州农村地区的一级医疗单位。
纳入了32名医护人员：医生、护士和健康促进者。
基于一些建构主义扎根理论假设，对三个新出现的类别进行了推断性分析：a）所采用的减少伤害策略，b）对自身感染SARS-CoV-2脆弱性的认知，以及c）对个人生活的影响。
风险和脆弱性的认知是由医护人员的实际经历构建的两个相互依存的领域，随着负面属性被社会赋予而产生了意义：感染原因不明，但它是一种导致同事死亡的危险病毒。构建了一种新的新冠病毒风险文化。
风险认知和脆弱性的主观认知与客观认知以及实施应对策略和降低风险的机会相对应，包括在家庭层面。为了在未来卫生紧急情况中支持医护人员，有必要保障他们的工作安全。
