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调查新冠疫情对南非姆普马兰加省罗布·费雷拉医院医护人员的心理影响。

Investigating the psychological impact of COVID-19 on Rob Ferreira Hospital healthcare workers in Mpumalanga Province, South Africa.

作者信息

Raphela Tlou D, Happiness Magagula

机构信息

Disaster Management Training and Education Centre for Africa, University of the Free State, Bloemfontein, South Africa.

出版信息

Front Psychol. 2025 Jul 29;16:1553866. doi: 10.3389/fpsyg.2025.1553866. eCollection 2025.

Abstract

INTRODUCTION AND AIM

The psychological impacts of the COVID-19 pandemic on healthcare workers (HCWs) were profound and far-reaching. This study, therefore, investigated these effects among HCWs at Rob Ferreira Hospital in Mpumalanga Province, South Africa, focusing on mental health measures that include stress, anxiety, depression, burnout and compassionate fatigue experienced amid the COVID-19 pandemic with the aim to determine existing coping mechanisms and institutional support systems.

METHODOLOGY

Using a quantitative research approach, data were collected through semi-structured questionnaires and analyzed quantitatively for 100 HCWs who participated, providing a comprehensive perspective on their psychological well-being during the pandemic.

RESULTS

Key findings revealed shows the intersectionality of mental health vulnerability, showing how language and caregiving roles interact with the emotional burden of a disaster. Therefore, targeted mental health interventions should focus on providing linguistically accessible services and outreach programs. The results also highlight the critical role of staff support in influencing how individuals cope and how effective they perceive their coping methods. The study found that institutional support systems were perceived as insufficient, with counseling services not being adequately utilised, contributing to increased frustration and resentment toward management. Additionally, coping mechanisms provided by the hospital, including peer support groups, were deemed ineffective by most participants.

DISCUSSION AND CONCLUSIONS

The study concluded that the psychological well-being of HCWs required immediate and sustained attention. The implementation of structured mental health programs, including regular debriefing sessions, easily accessible counseling services, and stress management training, is recommended by this study. This study conclude that there is weak evidence of institutional support affecting HCWs' training and preparedness to use mental health systems during COVID-19.

摘要

引言与目的

新冠疫情对医护人员产生了深远的心理影响。因此,本研究调查了南非姆普马兰加省罗布·费雷拉医院医护人员受到的这些影响,重点关注心理健康指标,包括在新冠疫情期间经历的压力、焦虑、抑郁、职业倦怠和同情疲劳,旨在确定现有的应对机制和机构支持系统。

方法

采用定量研究方法,通过半结构化问卷收集数据,并对100名参与的医护人员进行定量分析,以全面了解他们在疫情期间的心理健康状况。

结果

主要研究结果显示了心理健康脆弱性的交叉性,表明语言和护理角色如何与灾难的情感负担相互作用。因此,有针对性的心理健康干预应侧重于提供语言上可及的服务和外展项目。研究结果还凸显了员工支持在影响个体应对方式以及他们认为自身应对方法有效性方面的关键作用。研究发现,机构支持系统被认为不足,咨询服务未得到充分利用,这导致对管理层的挫败感和怨恨情绪增加。此外,医院提供的应对机制,包括同伴支持小组,被大多数参与者认为无效。

讨论与结论

该研究得出结论,医护人员的心理健康需要立即且持续的关注。本研究建议实施结构化的心理健康项目,包括定期汇报会、易于获得的咨询服务和压力管理培训。本研究得出结论,关于机构支持影响医护人员在新冠疫情期间使用心理健康系统的培训和准备情况,证据不足。

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