新冠肺炎大流行期间基层卫生中心护士面对社区耻辱的准备情况分析

Tatiana Siregar, Diah Ratnawati
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引用次数: 0

摘要

COVID-19疫情导致公众对传播感染的恐惧。护士在应对新冠肺炎疫情时也因患者受到歧视而受到污名化。本研究的目的是确定决定护士在护理COVID-19患者时所经历的耻辱感发生的主导因素。本研究采用定性与定量相结合的方法,采用方便抽样法,选取121名初级卫生保健中心护士为研究对象。多元线性回归数据分析显示,总体而言,护士预防新冠肺炎知识与个人能力、组织能力对社会污名的感知存在显著相关,方差分析或F检验结果(229.427),p = 0.000。知识、自我效能感和组织能力对社区污名的影响显著(R方= 0.964)。t检验显示,影响耻感的主导因素是自我能力= 14,828 (p=0.001),其次是组织能力= -8,790(0.001),知识= 5.050 (p=0.001)。结论认为,人力资源的限制和COVID-19患者的特殊基础设施是导致污名化的原因。希望从决策一级开始,加强对在大规模疾病暴发期间发挥关键作用的保健工作者的支持,从而把维持保健工作者的福祉放在首位。心理上的影响大多是消极的,迫切需要更多的关注来减轻,可能通过心理学家的参与,给予更好的认识和教育。预计进一步的研究人员可以探索患有COVID-19的护士在处理发生在他们身上的耻辱时的经历。
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Analysis of the Readiness of Primary Health Center Nurses in Encountering Community Stigma during the COVID-19 Pandemic
The COVID-19 outbreak has resulted in public fear of transmitting infection. Nurses in dealing with the COVID-19 outbreak also obtained stigmatized due to discrimination received by COVID-19 sufferers. The objective of the study is to identify the dominant factor to determine the occurrence of stigma experienced by nurses when caring for COVID-19 patients. The research design was qualitative and quantitative, with a sample of 121 Primary Health Center nurses who were performed by convenience sampling. Data analysis with Multiple Linear Regression presented that overall, there was a significant correlation between knowledge in preventing COVID-19, Personal Ability and Organizational Ability to stigma from society experienced by nurses with ANOVA or F test results (229.427) with p = 0.000. Morever, there is a strong and significant relationship between knowledge, self-efficacy and organizational ability to community stigma (R Square = 0.964). The dominant factor that affects stigma as seen from the t-test is self-ability = 14,828 (p=0.001) followed by organizational ability= -8,790 (0.001) and knowledge = 5.050 (p=0.001). It was concluded that the limitations of human resources and special infrastructure for people with COVID-19 were the trigger for the occurrence of stigma. It is hoped that the maintenance of well-being among health workers is at the forefront by beginning at the policy-making level to offer enhanced support for health workers who play a critical role during large-scale disease outbreaks. The psychological implications are mostly negative and urgently need greater attention to be mitigated, potentially through the involvement of psychologists, given better awareness and education. It is expected that further researchers can explore the phenomenon of the experience of nurses who suffer from COVID-19 in dealing with the stigma that occurs to them.
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