Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China
Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China
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DOI：
10.12659/msm.924171
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发表时间：
2020-04-15
影响因子：
3.1
通讯作者：
Zhuang, Quan
中科院分区：
文献类型：
--
作者：
Cai, Haozheng;Tu, Baoren;Zhuang, Quan
背景资料：在中国各地，在湖北省最近的疫情期间，一线医务人员负责追踪2019冠状病毒病（COVID-19）感染患者的接触者。本研究旨在调查2020年1月至3月湖南省一线医务人员在新冠肺炎疫情期间的心理影响和应对策略。材料/方法：采用横断面观察研究方法，于2020年1月至3月对湖南省的医生、护士和其他医院工作人员进行调查。研究问卷包括五个部分和67个问题（得分，0-3）。结果：534名一线医护人员完成了调查问卷。这些答复表明，他们认为自己有继续长时间工作的社会和职业义务。医护人员对自己及其家人的安全感到焦虑，并报告了COVID-19感染导致死亡的报告所带来的心理影响。严格的感染控制指南、专业设备的可用性、医院管理层和政府对他们努力的认可以及COVID-19报告病例的减少提供了心理上的好处。结论：湖北省的COVID-19疫情导致邻近湖南省的医务人员压力增加。医院管理层及政府对医护人员的持续肯定、提供感染控制指引、管理COVID-19感染的专门设备及设施，应被视为可能鼓励医护人员在未来疫情期间工作的因素。
Background: Throughout China, during the recent epidemic in Hubei province, frontline medical staff have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). This study aimed to investigate the psychological impact and coping strategies of frontline medical staff in Hunan province, adjacent to Hubei province, during the COVID-19 outbreak between January and March 2020.Material/Methods: A cross-sectional observational study included doctors, nurses, and other hospital staff throughout Hunan province between January and March 2020. The study questionnaire included five sections and 67 questions (scores, 0-3). The chi-squared chi(2) test was used to compare the responses between professional groups, age-groups, and gender.Results: Study questionnaires were completed by 534 frontline medical staff. The responses showed that they believed they had a social and professional obligation to continue working long hours. Medical staff were anxious regarding their safety and the safety of their families and reported psychological effects from reports of mortality from COVID-19 infection. The availability of strict infection control guidelines, specialized equipment, recognition of their efforts by hospital management and the government, and reduction in reported cases of COVID-19 provided psychological benefit.Conclusions: The COVID-19 outbreak in Hubei resulted in increased stress for medical staff in adjacent Hunan province. Continued acknowledgment of the medical staff by hospital management and the government, provision of infection control guidelines, specialized equipment and facilities for the management of COVID-19 infection should be recognized as factors that may encourage medical staff to work during future epidemics.