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2019年冠状病毒病疫情对卫生应急和灾害风险管理系统的影响:对医护人员心理健康支持的范围综述

Impact of the COVID-19 pandemic on health emergency and disaster risk management systems: a scoping review of mental health support provided to health care workers.

作者信息

Amarsanaa Jargalmaa, Batsaikhan Oyundari, Jargalsaikhan Badamtsetseg, Kubo Tatsuhiko, Ghotbi Nader, Kayano Ryoma, Chimed-Ochir Odgerel

机构信息

Department of Public Health and Health Policy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minamiku, Hiroshima 734-8553,  Japan.

College of Asia Pacific Studies, Ritsumeikan Asia Pacific University, 1-1 Jumonjibaru, Beppu, Oita 874-8577,  Japan.

出版信息

J Occup Health. 2025 Jan 7;67(1). doi: 10.1093/joccuh/uiaf020.

Abstract

OBJECTIVES

This systematic scoping review examined the strategies used by different countries and institutions to support the mental health of health care workers (HCWs) during the COVID-19 pandemic, to identify effective practices and the lessons learned in dealing with the associated challenges.

METHODS

Of 1330 retrieved articles from PubMed, Scopus, and the Web of Science, 34 articles were ultimately included in the final analysis.

RESULTS

The analysis revealed that mental health consultation services, especially telephone support lines, online interventions, and apps, played a critical role in addressing the psychological burden experienced by HCWs. Group activities and peer support strategies offered personalized support, and educational programs offered crucial information regarding stress management. Improvements in the work environment, such as the addition of dedicated rest areas, enhanced the well-being of HCWs. However, many interventions suffered from low participation and a lack of tailored content, despite their apparent effectiveness.

CONCLUSIONS

Many interventions have focused on psychological support and resilience-building for HCWs, but they often overlook systemic issues. Comprehensive mental health support must address these systemic factors, such as adequate staffing, training, and resource allocation. Future strategies should emphasize leadership commitment to tackling root causes and actively involve HCWs in program design to ensure relevance and effectiveness. Educational resources and wellness interventions, although reported as effective, need to be tailored and adapted to specific emergencies. Additionally, research gaps, especially in low-resource settings, highlight the need for further studies to enhance preparedness for future crises.

摘要

目的

本系统综述考察了不同国家和机构在新冠疫情期间为支持医护人员心理健康所采用的策略,以确定有效做法及应对相关挑战的经验教训。

方法

从PubMed、Scopus和Web of Science检索到1330篇文章,最终34篇文章纳入最终分析。

结果

分析表明,心理健康咨询服务,尤其是电话支持热线、在线干预和应用程序,在减轻医护人员心理负担方面发挥了关键作用。团体活动和同伴支持策略提供了个性化支持,教育项目提供了有关压力管理的重要信息。工作环境的改善,如增设专用休息区,提升了医护人员的幸福感。然而,许多干预措施参与度低且缺乏针对性内容,尽管其效果明显。

结论

许多干预措施侧重于医护人员的心理支持和复原力建设,但往往忽视系统性问题。全面的心理健康支持必须解决这些系统性因素,如充足的人员配备、培训和资源分配。未来策略应强调领导层致力于解决根本原因,并积极让医护人员参与项目设计,以确保相关性和有效性。教育资源和健康干预措施虽被报告有效,但需要针对具体紧急情况进行调整和适配。此外,研究空白,尤其是在资源匮乏地区,凸显了进一步开展研究以加强应对未来危机准备工作的必要性。

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