Psychological Care of Health Workers during the COVID-19 Outbreak in Italy: Preliminary Report of an Occupational Health Department (AOUP) Responsible for Monitoring Hospital Staff Condition
Psychological Care of Health Workers during the COVID-19 Outbreak in Italy: Preliminary Report of an Occupational Health Department (AOUP) Responsible for Monitoring Hospital Staff Condition
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DOI：
10.3390/su12125039
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发表时间：
2020-06-01
期刊：
影响因子：
3.9
通讯作者：
Cristaudo, Alfonso
中科院分区：
文献类型：
--
作者：
Buselli, Rodolfo;Baldanzi, Sigrid;Cristaudo, Alfonso
最近全球爆发的COVID-19疫情及时反映了应对疫情前线医护人员的心理健康需求。除了国际准则之外，地方机构还需要在不同人群和比赛中容易复制的快速和实用的方法。本文的主要目的是强调和分享职业健康部门在SARS-COV-2大流行第一阶段负责监测医院员工状况的经验。意大利中部一家大型大学医院职业健康部（AOUP）的多学科团队制定了一项名为PsicoCovid 19的具体方案，旨在根据新的心理社会风险因素，为参与COVID-19紧急情况的工作人员提供有针对性的帮助，以保护医院员工的健康。截至本报告之日，106名工人（79名女性，27名男性，平均年龄分别为51 +/- 9.8岁，45.7 +/- 10.1岁）要求这项服务，报告轻度至中度主观痛苦。约81%的参与者在疫情爆发前已接受监测。在总样本中，60%的患者接受了既往治疗方案的重塑。与此同时，7%的患者从精神病治疗转为联合治疗，并增加了心理治疗。结果表明，那些寻求帮助的人主要是已经出现心理健康脆弱性的女护士。需要一种更有性别针对性的临床方法。
The recent worldwide COVID-19 outbreak provided a timely demonstration of the mental health needs of health care workers on the front lines of the response to the pandemic. In addition to international guidelines, local institutions demand rapid and practical approaches easily replicable in different populations and contests. The principal aim of this paper is to highlight and share the experience of an Occupational Health Department responsible for monitoring hospital staff conditions during the SARS-COV-2 pandemic phase 1. The multidisciplinary team of the Occupational Health Department of a major university hospital in central Italy (AOUP) developed a specific protocol calledPsicoCovid19in order to provide targeted help, based on new psychosocial risk factors, to workers involved in the COVID-19 emergency to preserve hospital staff health. As of the date of this report, 106 workers (79 female, 27 male, mean age respectively, 51 +/- 9.8, 45.7 +/- 10.1) requested this service, reporting mild to moderate subjective distress. Approximately 81% of all the participants were already monitored before the outbreak of the pandemic. Among the total sample, 60% received a remodeling of a previous therapeutic program. Meanwhile, 7% passed from a psychiatric therapy to a combination therapy with the addition of a psychological treatment. The results demonstrate that those who asked for help were primarily female nurses who already presented with mental health vulnerabilities. A more gender-specific, clinical approach is needed.