Pedrosa Bárbara, Cardoso Graça, Azeredo-Lopes Sofia, Gonçalves-Pereira Manuel, Aluh Deborah Oyine, Grigaitė Ugnė, Santos-Dias Margarida, Silva Manuela, Caldas-de-Almeida José
Lisbon Institute of Global Mental Health, Lisbon, Portugal.
Comprehensive Health Research Centre (CHRC), NOVA Medical School, Faculdade de Ciências Médicas, NMS, FCM, Universidade Nova de Lisboa, Lisbon, Portugal.
Port J Public Health. 2024 Jul 16;42(3):206-220. doi: 10.1159/000539431. eCollection 2024 Dec.
Few studies analysed the impact of COVID-19 on supported accommodations (SAs) for people with serious mental disorders. This study aimed to analyse staff's assessments of work challenges in SAs during COVID-19, the impact of the pandemic on staff, their perception of the impact on residents, and associated factors.
To assess work challenges and the impact of the pandemic on staff and their perception of the impact on residents, a questionnaire was administered to the staff of SAs. Multilevel logistic regression analyses were conducted, involving work challenges and staff's sociodemographic characteristics, and impact on staff.
In total, 117 staff from 32 SAs responded. A challenging environment was felt by most participants (68.4%). There were significant differences in work challenges experienced by staff, namely, according to profession and years working in mental health. A negative impact of COVID-19 was reported by 26.5% of staff, which was associated with their feeling that residents were no longer getting an acceptable service (OR = 7.04, 95% CI [1.43, 34.65], = 0.016) and with staff feeling at risk of infection at work (OR = 7.99, 95% CI [1.39, 45.86], = 0.020). Relapse and deterioration of residents' mental health were perceived by 43.6% of staff.
Several work challenges occurred in SAs during COVID-19, which had a negative impact on staff and reportedly on residents. Implications range from the organisational to the clinical levels and may apply internationally and in similarly challenging situations.
很少有研究分析新冠疫情对严重精神障碍患者支持性住所（SA）的影响。本研究旨在分析新冠疫情期间工作人员对SA工作挑战的评估、疫情对工作人员的影响、他们对居民所受影响的认知以及相关因素。
为评估工作挑战、疫情对工作人员的影响以及他们对居民所受影响的认知，对SA的工作人员进行了问卷调查。进行了多层次逻辑回归分析，涉及工作挑战、工作人员的社会人口学特征以及对工作人员的影响。
共有来自32个SA的117名工作人员做出回应。大多数参与者（68.4%）感觉工作环境具有挑战性。工作人员所经历的工作挑战存在显著差异，具体而言，取决于职业和在心理健康领域的工作年限。26.5%的工作人员报告称受到新冠疫情的负面影响，这与他们认为居民不再能获得可接受的服务的感觉相关（比值比=7.04，95%置信区间[1.43, 34.65]，P = 0.016），也与工作人员感觉在工作中有感染风险相关（比值比=7.99，95%置信区间[1.39, 45.86]，P = 0.020）。43.6%的工作人员察觉到居民心理健康出现复发和恶化。
新冠疫情期间SA出现了若干工作挑战，对工作人员以及据报告对居民都产生了负面影响。影响范围从组织层面到临床层面，可能在国际上以及类似的具有挑战性的情况下都适用。
