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乌克兰全面战争爆发后,在波兰为乌克兰移民妇女提供产妇护理的助产士的压力应对方式。

Stress-coping styles of midwives providing maternity care to Ukrainian migrant women in Poland after the outbreak of the full-scale war in Ukraine.

作者信息

Szlendak Beata, Baranowska Barbara, Nenko Ilona, Sahraoui Nina, Tataj-Puzyna Urszula, Durka Anna, Węgrzynowska Maria

机构信息

Department of Midwifery, Centre of Postgraduate Medical Education, Warsaw, Poland.

Department of Environmental Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland.

出版信息

Midwifery. 2025 Sep;148:104464. doi: 10.1016/j.midw.2025.104464. Epub 2025 May 20.

Abstract

PROBLEM

The type of the stress-coping styles used by the healthcare providers is associated with their level of stress, health outcomes and risks of work-related burnout.

BACKGROUND

The war in Ukraine and following it increased migration has led to an increased workload for health professionals in Poland, both due to the increased number of women seeking care and the additional time needed to care for migrant women.

AIM

The aim of this study was to describe the stress-coping styles used by midwives in Poland in while carrying for Ukrainian migrant women.

METHODS

Five focus group interviews with a total of 32 midwives who cared for migrants from Ukraine after the outbreak of the full-scale war were conducted between March and June 2023.

FINDINGS

In order to cope with the difficulties, midwives took actions that fit into the task-oriented style of coping with stress, including 1. mobilization and participation in aid; 2. striving for effective communication and 3. providing support and education.

DISCUSSION

Midwives who participated in the study experienced stress due to increased workload, which was intensified by a feeling of lack of system support. The empathy enabled them to effectively cope with the emotional challenges in this challenging situation. .

CONCLUSION

Midwives' ability to effectively cope with stress, mainly through a task-oriented style increased their chances of offering high-quality maternity care. These underscore the importance of support for medical personnel and the need for further research to develop effective strategies for coping with stress in crisis situations.

摘要

问题

医疗服务提供者所采用的压力应对方式类型与他们的压力水平、健康状况以及工作相关倦怠风险相关。

背景

乌克兰战争以及随之而来的移民增加导致波兰医疗专业人员的工作量增加,这既是由于寻求护理的女性数量增加,也是由于照顾移民女性需要额外的时间。

目的

本研究的目的是描述波兰助产士在照顾乌克兰移民女性时所采用的压力应对方式。

方法

2023年3月至6月期间,对总共32名在全面战争爆发后照顾乌克兰移民的助产士进行了五次焦点小组访谈。

研究结果

为了应对困难,助产士采取了符合以任务为导向的压力应对方式的行动,包括1. 动员和参与援助;2. 努力进行有效沟通;3. 提供支持和教育。

讨论

参与研究的助产士因工作量增加而感到压力,缺乏系统支持的感觉加剧了这种压力。同理心使他们能够在这种具有挑战性的情况下有效应对情感挑战。

结论

助产士主要通过以任务为导向的方式有效应对压力的能力增加了她们提供高质量产妇护理的机会。这些强调了支持医务人员的重要性以及进一步研究以制定危机情况下应对压力的有效策略的必要性。

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