COVID-19 大流行初期心理健康支持热线就诊医护人员的临床特征。

Annals of Iowa Pub Date : 2023-11-16 eCollection Date: 2023-01-01 DOI:10.29399/npa.28297
Ejder Akgün Yıldırım, Abdülkadir Sencer Tabakcı, Münevver Hacıoğlu Yıldırım, Sevilay Umut Kılınç, Gamze Karabacak Sağman
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摘要

引言本研究旨在分析和报告在 COVID-19 大流行早期阶段与医护人员进行的会谈的结果:研究样本由 130 名医护人员组成,他们在 COVID-19 大流行的前十天内连续拨打了全国范围内的社会心理支持热线,接受了 30 分钟的视频会话和心理急救,并使用社会人口学数据表进行了评估。在首次访谈和后续访谈中,使用 CGI(临床总体印象)评估心理状态的严重程度和进展:90.4%的申请者为女性,50.4%为护士,34.4%为医生,68.8%为一线工作者,而二线医护人员的精神病史比例明显更高。感染病毒(83 人,66.4%)和感染他人(72 人,57.6%)是引起焦虑程度最高的情况。最常见的精神症状是焦虑(107 人,占 85.6%)、烦躁不安(80 人,占 64%)、恐惧(72 人,占 64.0%)和失眠(68 人,占 57.6%)。对 36.8%(人数=46)的求助者进行了第二次治疗,结果发现 93.48%(人数=43)的求助者能够控制自己的压力,其中 33 人表示主诉的严重程度有所减轻:我们的研究结果表明,在 COVID-19 大流行的早期阶段,医护人员的焦虑和失眠症状严重。有精神病史的医护人员无论其职位如何,都应被视为弱势群体。
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Clinical Characteristics of Healthcare Workers Attended to a Mental Health Support Line in the Very Early Phase of COVID-19 Pandemic.

Introduction: This study aimed to analyze and report findings from the sessions conducted with healthcare workers during the early phase of COVID-19 pandemic.

Method: The study sample consisted of 130 healthcare workers who have consecutively reached out to nationwide psychosocial support line within the first ten days of COVID-19 pandemic and had a 30-minute video session and received psychological first aid and were evaluated using a socio-demographic data form. Mental state severity and progress were assessed using CGI (clinical global impressions) at the first and follow-up interviews.

Results: 90.4% of the applicants were female, 50.4% were nurses, 34.4% were doctors, 68.8% were frontline workers, whereas second-line healthcare workers had significantly higher rates of psychiatric illness history. Contracting the virus (n=83, 66.4%), infecting others (n=72, 57.6%) were the situations that caused the highest level of anxiety. Most common psychiatric complaints were anxiety (n=107, 85.6%), restlessness (n=80, 64%), fear (n=72, 64.0%) and insomnia (n=68, 57.6%). A second session was conducted with 36.8% (n=46) of the callers, and it was detected that 93.48% (n=43) of them were able to manage their stress and 33 of them reported that the severity of their complaints decreased.

Conclusion: Our findings have shown that healthcare workers were significantly affected in the early stage of COVID-19 pandemic with a significant level of anxiety and insomnia symptoms. Healthcare workers with a history of psychiatric illness should be considered as a vulnerable group regardless of their position.

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