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。

IF 1 4区 医学 Q4 CLINICAL NEUROLOGY Noropsikiyatri Arsivi-Archives of Neuropsychiatry 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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引用次数: 0

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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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Archives of Neuropsychiatry (Arch Neuropsychiatry) is the official journal of the Turkish Neuropsychiatric Society. It is published quarterly, and four editions annually constitute a volume. Archives of Neuropsychiatry is a peer reviewed scientific journal that publishes articles on psychiatry, neurology, and behavioural sciences. Both clinical and basic science contributions are welcomed. Submissions that address topics in the interface of neurology and psychiatry are encouraged. The content covers original research articles, reviews, letters to the editor, and case reports.
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