Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control
Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control
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公众、协助控制 COVID-19 的医疗队成员和非成员所遭受的替代性创伤
DOI：
10.1016/j.bbi.2020.03.007
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发表时间：
2020-08-01
影响因子：
15.1
通讯作者：
Yang, Chun
中科院分区：
文献类型：
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作者：
Li, Zhenyu;Ge, Jingwu;Yang, Chun
自2019年12月以来，已有超过79，000人被诊断感染2019冠状病毒病（COVID-19）。大量医务人员被派往武汉市和湖北省，以协助COVID-19控制。心理压力，尤其是COVID-19大流行造成的替代性创伤，不应被忽视。为了解决这个问题，这项研究共雇用了214名普通公众和526名护士（即，234名一线护士和292名非一线护士）通过基于移动的应用程序的问卷评估替代创伤评分。前线护士参与为COVID-19患者提供护理的过程。结果显示，一线护士的替代性创伤评分（包括生理反应和心理反应）显著低于非一线护士（P < 0.001）。普通人群的替代性创伤评分显著高于一线护士（P < 0.001），而与非一线护士相比差异无统计学意义（P > 0.05）。因此，在新冠肺炎疫情蔓延和控制的形势下，医护人员，尤其是非一线护士，以及广大公众的心理问题应得到更多关注。早期的战略，旨在预防和治疗替代性创伤的医务人员和公众是非常必要的。
Since December 2019, more than 79,000 people have been diagnosed with infection of the Corona Virus Disease 2019 (COVID-19). A large number of medical staff was sent to Wuhan city and Hubei province to aid COVID-19 control. Psychological stress, especially vicarious traumatization caused by the COVID-19 pandemic, should not be ignored. To address this concern, the study employed a total of 214 general public and 526 nurses (i.e., 234 front-line nurses and 292 non-front-line nurses) to evaluate vicarious traumatization scores via a mobile appbased questionnaire. Front-line nurses are engaged in the process of providing care for patients with COVID-19. The results showed that the vicarious traumatization scores for front-line nurses including scores for physiological and psychological responses, were significantly lower than those of non-front-line nurses (P < 0.001). Interestingly, the vicarious traumatization scores of the general public were significantly higher than those of the front-line nurses ( P < 0.001); however, no statistical difference was observed compared to the scores of non-front-line nurses (P > 0.05). Therefore, increased attention should be paid to the psychological problems of the medical staff, especially non-front-line nurses, and general public under the situation of the spread and control of COVID-19. Early strategies that aim to prevent and treat vicarious traumatization in medical staff and general public are extremely necessary.