Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID).

Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID).
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DOI:
10.2196/21692
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发表时间:
2020-10-05
影响因子:
5
通讯作者:
Abad Bouzán C
Abad Bouzán C
中科院分区:
医学2区
文献类型:
--
作者:
Mira JJ;Vicente MA;Lopez-Pineda A;Carrillo I;Guilabert M;Fernández C;Pérez-Jover V;Martin Delgado J;Pérez-Pérez P;Cobos Vargas A;Astier-Peña MP;Martínez-García OB;Marco-Gómez B;Abad Bouzán C

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2019冠状病毒病于二零二零年三月成为重大公共卫生问题。由于COVID-19在短时间内的高住院率,医护人员和其他相关工作人员承受着巨大的工作量和高度的情绪困扰。本研究的目的是开发一种数字工具,提供支持资源,以预防和考虑医护人员和其他支持人员因COVID-19大流行而产生的急性压力反应。数字平台的内容是通过循证审查和共识会议创建的。该网站使用Google Blogger工具创建。Android版本的应用程序是使用Android Studio 3.6版本以Java和XML语言开发的,iOS版本是使用Xcode 11.5版本以Swift语言开发的。该应用程序由安达卢西亚医疗质量机构进行外部评估。我们了解前线医护人员的需要和迫切情况,然后提出一系列建议和支援资源,以解决这些问题。根据收到的反馈意见重新设计了这些资源。使用这些内容开发了三种不同语言(西班牙语、英语和葡萄牙语)的网站和一个移动的应用程序,并向该应用程序授予AppSaludable质量印章。该工具已在几个拉丁美洲国家使用,并考虑到文化差异进行了调整。网站的资源部分是访问量最大的部分,在68,913次访问中有18,516次(26.9%),“自我报告急性压力量表”是访问量最大的资源,在18,516次访问中有6,468次(34.9%)。我们开发并推出Be +对抗COVID平台(网站及应用程序),提供一系列建议及支援资源,旨在保障医护人员的心理健康及工作士气。这是一个不同于通常的心理援助热线的创新举措。
COVID-19 became a major public health concern in March 2020. Due to the high rate of hospitalizations for COVID-19 in a short time, health care workers and other involved staff are subjected to a large workload and high emotional distress. The objective of this study is to develop a digital tool to provide support resources that might prevent and consider acute stress reactions in health care workers and other support staff due to the COVID-19 pandemic. The contents of the digital platform were created through an evidence-based review and consensus conference. The website was built using the Google Blogger tool. The Android version of the app was developed in the Java and XML languages using Android Studio version 3.6, and the iOS version was developed in the Swift language using Xcode version 11.5. The app was evaluated externally by the Andalusian Agency for Healthcare Quality. We detected the needs and pressing situations of frontline health care workers, and then, we proposed a serial of recommendations and support resources to address them. These resources were redesigned using the feedback received. A website in three different languages (Spanish, English, and Portuguese) and a mobile app were developed with these contents, and the AppSaludable Quality Seal was granted to the app. A specific self-report scale to measure acute stress and additional tools were included to support the health care workforce. This instrument has been used in several Latin American countries and has been adapted considering cultural differences. The resources section of the website was the most visited with 18,516 out of 68,913 (26.9%) visits, and the “Self-Report Acute Stress Scale” was the most visited resource with 6468 out of 18,516 (34.9%) visits. The Be + against COVID platform (website and app) was developed and launched to offer a pool of recommendations and support resources, which were specifically designed to protect the psychological well-being and the work morale of health care workers. This is an original initiative different from the usual psychological assistance hotlines.
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