2020年SARS- CoV -2冠状病毒引起的急性呼吸道疾病大流行期间医护人员自我生活质量评估监测

O. Fedorenko, K. Kolyadenko
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摘要

对2020年期间年轻医学生生活质量(QoL)自我评估指标变化的比较分析显示,在慢性压力状况的主要负面影响背景下,他们被迫学习和工作的时间存在一定的相关性由于SARS-CoV-2冠状病毒引起的急性呼吸道疾病大流行,在长达数月的隔离条件下,每天需要与不同的患者接触。这一传染性流行病的总体负面影响以及由此对公众意识造成的恐惧是完全可以预料到的。具有不同临床经验和资质的医务工作者(护生和医生),由于日常专业接触各种躯体疾病患者,其中一些患者可能已经处于冠状病毒病理临床病程的潜伏期,因此对感染冠状病毒的潜在危险反应相当情绪化。这直接降低了他们对生活质量的自尊,在某些情况下,这可能是导致他们出现心身疾病的一个因素,作为一种躯体职业病理,特别是由于人口发病率和死亡率高,封锁限制持续时间长(数月)。结果表明,对生活质量各组成部分自尊变化的监测很大程度上取决于每个被测者的个人心理特征表达和调查时间(2020-2021年春季-夏末-冬季)。
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Monitoring of self­assessment by health care workers of the quality of own life during the pandemic of acute respiratory disease caused by SARS-­CoV­-2 coronavirus in 2020
Comparative analysis of changes in self-assessment of quality of life (QoL) indicators by young medical students during 2020 revealed certain correlations depending on the time during which they were forced to study and work against the background of the predominantly negative influence of the chronic stressful situation — the need to daily contact with different patients in conditions of many months of quarantine due to pandemic of acute respiratory disease caused by the SARS-CoV-2 coronavirus. The overall negative impact of the infectious pandemic and the resulting fears on public consciousness were quite expected. Medical workers with different clinical experiences and qualifications (nursing students and doctors), quite emotionally reacted to the potential danger of being infected with coronavirus infection due to daily professional contacts with various patients who had somatic diseases, some of which might already be in the incubation period of clinical course of coronavirus pathology. This directly reduces their self-esteem of QOL and, in certain situations, can be a factor that leads to the appearance of psychosomatic disorders in them as a kind of somatic occupational pathology, especially with prolonged (many months) continuation of lockdown restrictions due to the high level of morbidity and mortality of the population. The monitoring of changes in self-esteem of individual components of QoL turned out to be quite dependent both on the expression of individual psychological traits of each tested person and on the time of the survey (spring—late summer—winter 2020—2021).
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