2019冠状病毒病(COVID-19)大流行期间医护人员的身心健康、压力和复原力——以地区教学医院为例

Ching-Yi Hsu, Li-Chun Huang
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摘要

在本横断面研究中,研究对象为某地区教学医院护理确诊或疑似冠状病毒病2019 (COVID-19)患者的医务人员。从2021年6月1日至2021年7月30日,共登记了100份问卷。研究工具是一份包含身心健康、工作压力和恢复力分量表的问卷。采用描述性统计、独立样本t检验、Pearson积差相关系数和回归分析对研究结果进行分析。医务人员身心健康、工作压力与心理弹性呈负相关(r= - 0.55, p <0.01;r =−0.61,p < 0.01)。此外,影响医务人员心理弹性的主要预测因子包括:身心健康、文化程度和心理弹性(F=33.7, p<0.001),解释了52.0%的变异。研究结果表明:(1)应为医务人员提供心理评估和护理等缓解压力的渠道;(2)营造友好的团队氛围,加强支持体系;(3)提供完整、适当的防疫培训和足够的防护装备。本研究可为医院管理层制定相关政策提供参考。
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Physical and Mental Health, Stress, and Resilience among Healthcare Workers during the Coronavirus Disease 2019 (COVID-19) Pandemic using a Regional Teaching Hospital as an Example
In this cross-sectional study, the subjects were medical staff caring for patients with confirmed or suspected coronavirus disease 2019 (COVID-19) in a regional teaching hospital. A total of 100 questionnaires were enrollment from 1 June 2021 to 30 July 2021. The study tool was a questionnaire containing physical and mental health, work stress, and resilience sub-scales. Study results were analyzed using descriptive statistics, independent sample t-test, and Pearson product-moment correlation coefficient and regression analysis. In medical staff, physical and mental health and work stress were negatively correlated with resilience ( r=−0.55, p <0.01 ; r=−0.61, p<0.01). Furthermore, the main predictors affecting resilience in medical staff included: physical and mental health, education level, and resilience (F=33.7, p<0.001), which explained 52.0% of variation. The study results indicated the following: (1) a channel for relieving stress such as psychological assessment and care should be provided for medical staff; (2) a friendly team atmosphere should be created and the support system should be strengthened; and (3) complete and appropriate epidemic control training and sufficient protective equipment should be provided. This study can be used as a reference for formulation of relevant policies through hospital management.
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