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1.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(6): 620-626, 2020 Jun 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-32879117

RESUMO

OBJECTIVES: To investigate the insomnia status and relevant factors for the medical staff in the medical aid team for Hubei Province during the outbreak of coronavirus disease 2019. METHODS: A convenient sampling survey was conducted among 1 056 medical staff in the national medical team of Hubei Province by using the Insomnia Severity Index (ISI) and the Regulatory Emotional Self-Efficacy (RES). RESULTS: The incidence from moderate to severe insomnia was 35.14%, and the total self-efficacy of emotion regulation was 3.60±0.91. Univariate analysis showed that the incidence of insomnia in female medical workers in Hubei Province was higher than that of male medical workers, which was increased with the elongation of work time and frequency. In addition, insomnia was associated with age, perceived ambient exposure and infection, and RES scores. Stepwise regression analysis showed that the occurrence of insomnia was mainly related to gender, perceived peripheral exposure, infection, and RES scores. CONCLUSIONS: Insomnia is very common among medical workers in Hubei Province during the COVID-19 epidemic. Insomnia is related to the medical work status, the gender and their own emotional management and regulation in the epidemic area.


Assuntos
Infecções por Coronavirus/psicologia , Corpo Clínico/psicologia , Pneumonia Viral/psicologia , Distúrbios do Início e da Manutenção do Sono/etiologia , Betacoronavirus , China , Regulação Emocional , Feminino , Humanos , Masculino , Pandemias , Fatores Sexuais
2.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(6): 633-640, 2020 Jun 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-32879119

RESUMO

OBJECTIVES: To explore the psychological status of medical staff in the epidemic period of coronavirus disease 2019 (COVID-19), and to analyze its influential factors. METHODS: A total of 373 medical staff from Xiangya Hospital and the Second Xiangya Hospital of Central South University were enrolled for this study. The General Sociological Data Questionnaire, Symptom Check-List 90 (SCL-90), and self-designed public opinion response questionnaire were used to assess general sociological data, mental health scores, and ability to respond to COVID-19 related public opinion information of medical staff. The mental health scores of medical staff with different general sociological data and public opinion information coping abilities were compared. Influential factors of mental health were analyzed. RESULTS: The average score of 10 factors in SCL-90 of 373 medical staff was less than 2 points. 14.21% medical staff had one or more factor scores more than two points, including 11.26% with terror symptoms, 7.77% with compulsive symptoms, and 5.63% with anxiety. The main sources of COVID-19 information for medical staff included WeChat, microblog, Jinri toutiao, TV and radio. 66.22% medical staff regularly verified information about COVID-19 through official websites or formal channels. A great deal of COVID-19 information in WeChat could make medical staff nervous (34.05%), anxious (30.29%), and insecure (29.22%). 68.63% medical staff sometimes were worried about getting infected because they knew information about COVID-19. Different departments of medical staff, getting cough or having a fever recently, and the degree of fear of infection had an impact on the SCL-90 score of medical staff, the differences were all statistically significant (all P<0.05). Stepwise regression analysis showed that the impact of COVID-19 information on their life in WeChat, getting cough or having a fever recently, insomnia-early caused by COVID-19 information in WeChat, different departments, and the degree of fear of infection COVID-19 were the influential factors for the mental health of medical staff (all P<0.05). CONCLUSIONS: During the epidemic of COVID-19, medical staff suffered from psychological problems to various degrees. It is necessary to establish a psychological assistance platform and guide the direction of public opinion correctly to promote the mental health of medical staff.


Assuntos
Infecções por Coronavirus/psicologia , Nível de Saúde , Corpo Clínico/psicologia , Saúde Mental , Pneumonia Viral/psicologia , Ansiedade , Betacoronavirus , China , Comportamento Compulsivo , Infecções por Coronavirus/epidemiologia , Medo , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Inquéritos e Questionários
4.
Artigo em Inglês | MEDLINE | ID: mdl-32650614

RESUMO

INTRODUCTION: The ongoing severe acute respiratory syndrome (SARS)-CoV-2 pandemic has expanded globally. The aim of the current study is to investigate the knowledge, attitudes, and practices (KAP) of health care professionals in Greece towards SARS-CoV-2. METHODS: From 10-25 February 2020, 500 health care workers were approached. Knowledge, attitudes, and practices towards SARS-CoV-2 were assessed via a personal interview questionnaire. For knowledge, each correct answer was given 1 point; attitudes, or concerns aimed at prevention of SARS-CoV-2 infection, and practices, or behaviors towards performing preventive practices, were assigned 1 point each. Points were summed and a score for each category was calculated. RESULTS: A total of 461 health care workers returned the questionnaire and were included in the analysis (mean age ± SD: 44.2 ± 10.78 years, 74% females). The majority were nurses (47.5%), followed by physicians (30.5%) and paramedics (19%). The majority of subjects (88.28%) had a good level of knowledge (knowledge score equal to 4, or more). The majority of participants (71%) agreed with the temporary traveling restrictions ban. The uptake of a future vaccine against SARS-CoV-2 was estimated at 43%. Knowledge score was significantly associated with both attitudes score (p = 0.011) and practices score (p < 0.001), indicating that subjects with a high knowledge score demonstrated a more positive perception on preventive measures and would practice more preventive measures. Attitudes score was significantly associated with practices score (p = 0.009) indicating that subjects with a higher attitudes score are more likely to perform practices towards the prevention of SARS-CoV-2 transmission. CONCLUSION: There is a high level of knowledge concerning SARS-CoV-2 pandemic among Greek health care workers and this is significantly associated with positive attitudes and practices towards preventive health measures. The high level of knowledge of health professionals about SARS-CoV-2 may have contributed considerably to the successful management of the pandemic in Greece. Tailored educational campaigns aiming to increase the proportion of health care workers willing to accept a potential SARS-CoV-2 vaccine could be of paramount importance in future proactive vaccine educational campaigns.


Assuntos
Atitude do Pessoal de Saúde , Infecções por Coronavirus , Conhecimentos, Atitudes e Prática em Saúde , Corpo Clínico/estatística & dados numéricos , Pandemias , Pneumonia Viral , Adulto , Betacoronavirus , Infecções por Coronavirus/prevenção & controle , Feminino , Grécia , Pessoal de Saúde , Humanos , Masculino , Corpo Clínico/psicologia , Pessoa de Meia-Idade , Inquéritos e Questionários , Vacinas Virais
5.
Eur Rev Med Pharmacol Sci ; 24(10): 5778-5782, 2020 May.
Artigo em Inglês | MEDLINE | ID: covidwho-541069

RESUMO

Since the end of 2019, China and other regions around the world have been facing a pandemic of novel coronavirus pneumonia (COVID-19). The virus is highly transmissible, and the human population is generally susceptible. Most patients with osteoporosis are postmenopausal women or elderly people with hypoimmunity, so the osteoporosis clinic has become a new hotspot for corona virus infection. During the COVID-19 pandemic, it is necessary to establish standardized out-patient protocols to provide safe and effective treatment for osteoporosis patients and medical staff. In an osteoporosis clinic, we advocate the following suggestions to prevent and control osteoporosis during the pandemic period: (1) specialized diagnosis and treatment techniques for osteoporosis patients in the outpatient care, including enhancing the prevention for outpatient medical staff, strengthening awareness of COVID-19 prevention, strictly screening outpatients with COVID-19 infection, and insistent administration of anti-osteoporosis drugs during outbreaks; (2) home prevention for osteoporosis patients including keeping windows open, exposing them to sunlight, supplementing them with enough protein, exercising regularly, and administrating calcium supplements; and (3) simplifying the follow-up and evaluation of osteoporosis using online platforms.


Assuntos
Infecções por Coronavirus/diagnóstico , Osteoporose/patologia , Pneumonia Viral/diagnóstico , Betacoronavirus , Conservadores da Densidade Óssea/uso terapêutico , Cálcio/administração & dosagem , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Suplementos Nutricionais , Humanos , Estilo de Vida , Corpo Clínico/psicologia , Medicina Tradicional Chinesa , Osteoporose/complicações , Osteoporose/tratamento farmacológico , Pacientes Ambulatoriais , Pandemias , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Vitamina D/administração & dosagem
6.
Eur Psychiatry ; 63(1): e65, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32476633

RESUMO

BACKGROUND: The COVID-19 outbreak required the significantly increased working time and intensity for health professionals in China, which may cause stress signs. METHODS: From March 2-13 of 2020, 4,618 health professionals in China were included in an anonymous, self-rated online survey regarding their concerns on exposure to the COVID-19 outbreak. The questionnaires consisted of five parts: basic demographic information and epidemiological exposure; occupational and psychological impact; concerns during the episode; coping strategies; and the Huaxi Emotional-Distress Index (HEI). RESULTS: About 24.2% of respondents experienced high levels of anxiety or/and depressive symptoms since the COVID-19 outbreak. Respondents who worried about their physical health and those who had COVID-19 infected friends or close relatives were more likely to have high HEI levels, than those without these characteristics. Further, family relationship was found to have an independent protective effect against high HEI levels. Their main concerns were that their families would not be cared for and that they would not be able to work properly. Compared to respondents with clear emotional problems, those with somewhat hidden emotional issues adopted more positive coping measures. CONCLUSIONS: About a quarter of medical staff experienced psychological problems during the pandemic of COVID-19. The psychological impact of stressful events was related to worrying about their physical health, having close COVID-19 infected acquaintances and family relationship issues. Therefore, the psychological supprot for medical staff fighting in the COVID-19 pandemic may be needed.


Assuntos
Ansiedade/psicologia , Infecções por Coronavirus/epidemiologia , Corpo Clínico/psicologia , Pneumonia Viral/epidemiologia , Estresse Psicológico/psicologia , Adaptação Psicológica , Adulto , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/transmissão , Estudos Transversais , Surtos de Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/transmissão , Inquéritos e Questionários
7.
Eur Rev Med Pharmacol Sci ; 24(10): 5778-5782, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32495915

RESUMO

Since the end of 2019, China and other regions around the world have been facing a pandemic of novel coronavirus pneumonia (COVID-19). The virus is highly transmissible, and the human population is generally susceptible. Most patients with osteoporosis are postmenopausal women or elderly people with hypoimmunity, so the osteoporosis clinic has become a new hotspot for corona virus infection. During the COVID-19 pandemic, it is necessary to establish standardized out-patient protocols to provide safe and effective treatment for osteoporosis patients and medical staff. In an osteoporosis clinic, we advocate the following suggestions to prevent and control osteoporosis during the pandemic period: (1) specialized diagnosis and treatment techniques for osteoporosis patients in the outpatient care, including enhancing the prevention for outpatient medical staff, strengthening awareness of COVID-19 prevention, strictly screening outpatients with COVID-19 infection, and insistent administration of anti-osteoporosis drugs during outbreaks; (2) home prevention for osteoporosis patients including keeping windows open, exposing them to sunlight, supplementing them with enough protein, exercising regularly, and administrating calcium supplements; and (3) simplifying the follow-up and evaluation of osteoporosis using online platforms.


Assuntos
Infecções por Coronavirus/diagnóstico , Osteoporose/patologia , Pneumonia Viral/diagnóstico , Betacoronavirus , Conservadores da Densidade Óssea/uso terapêutico , Cálcio/administração & dosagem , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Suplementos Nutricionais , Humanos , Estilo de Vida , Corpo Clínico/psicologia , Medicina Tradicional Chinesa , Osteoporose/complicações , Osteoporose/tratamento farmacológico , Pacientes Ambulatoriais , Pandemias , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia , Vitamina D/administração & dosagem
8.
Psychol Trauma ; 12(S1): S141-S142, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32478557

RESUMO

The current COVID-19 pandemic places maternity staff at risk of engaging in clinical practice that may be in direct contravention with evidence; professional recommendations; or, more profoundly, deeply held ethical or moral beliefs and values, as services attempt to control the risk of cross-infection. Practice changes in some settings include reduction in personal contacts for tests, treatments and antenatal and postnatal care, exclusion of birth partners for labor and birth, separation of mother and baby in the immediate postnatal period, restrictions on breastfeeding, and reduced capacity for hands-on professional labor support through social distancing and use of personal protective equipment. These enforced changes may result in increasing levels of occupational moral injury that need to be addressed at both an organizational and a personal level. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Infecções por Coronavirus/prevenção & controle , Serviços de Saúde Materna , Corpo Clínico , Recursos Humanos de Enfermagem , Doenças Profissionais , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Trauma Psicológico , Adulto , Humanos , Serviços de Saúde Materna/ética , Serviços de Saúde Materna/organização & administração , Corpo Clínico/ética , Corpo Clínico/psicologia , Princípios Morais , Recursos Humanos de Enfermagem/ética , Recursos Humanos de Enfermagem/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/psicologia , Trauma Psicológico/etiologia , Trauma Psicológico/psicologia
9.
J Health Psychol ; 25(7): 883-887, 2020 06.
Artigo em Inglês | MEDLINE | ID: covidwho-186607

RESUMO

The COVID-19 pandemic is producing a huge health care burden with millions of cases and thousands of deaths. The coronavirus' high virulence and contagiousness and the frequent sudden onset of illness is overwhelming critical care and frontline healthcare staff. Frontline professionals are exposed to unprecedented levels of intensive existential threat requiring systematic, specialized psychological intervention and support. New psychological services need to be urgently implemented to manage the mental healthcare needs of frontline medical staff working with patients with COVID-19. The COVID-19 pandemic is a watershed moment: health care systems universally require a step-change to improve our preparedness for future pandemics.


Assuntos
Infecções por Coronavirus , Corpo Clínico/psicologia , Serviços de Saúde Mental , Pandemias , Pneumonia Viral , Betacoronavirus , Defesa Civil , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Humanos , Saúde Mental , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia
10.
Psychiatry Res ; 289: 113042, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32387792

RESUMO

In order to manage the urgent psychological need for support in response to the anticipated reaction of the population to the COVID-19 pandemic, we developed a new psychological crisis intervention model by implementing a centralised psychological support system for all of Tunisia. We set up a helpline which is accessible throughout the country, including those without access to Internet. This model integrates medical students, child and adolescent psychiatrists, psychiatrists, psychologists and social services to provide psychological intervention to the general population and medical staff. It will make a sound basis for developing a more effective psychological crisis intervention response system.


Assuntos
Infecções por Coronavirus/psicologia , Intervenção na Crise/métodos , Linhas Diretas/métodos , Pneumonia Viral/psicologia , Sistemas de Apoio Psicossocial , Adolescente , Adulto , Betacoronavirus , Criança , Feminino , Implementação de Plano de Saúde , Humanos , Masculino , Corpo Clínico/psicologia , Pessoa de Meia-Idade , Pandemias , Tunísia/epidemiologia , Adulto Jovem
12.
J Health Psychol ; 25(7): 883-887, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32370621

RESUMO

The COVID-19 pandemic is producing a huge health care burden with millions of cases and thousands of deaths. The coronavirus' high virulence and contagiousness and the frequent sudden onset of illness is overwhelming critical care and frontline healthcare staff. Frontline professionals are exposed to unprecedented levels of intensive existential threat requiring systematic, specialized psychological intervention and support. New psychological services need to be urgently implemented to manage the mental healthcare needs of frontline medical staff working with patients with COVID-19. The COVID-19 pandemic is a watershed moment: health care systems universally require a step-change to improve our preparedness for future pandemics.


Assuntos
Infecções por Coronavirus , Corpo Clínico/psicologia , Serviços de Saúde Mental , Pandemias , Pneumonia Viral , Betacoronavirus , Defesa Civil , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Humanos , Saúde Mental , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia
13.
Eur Heart J Acute Cardiovasc Care ; 9(3): 241-247, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: covidwho-133576

RESUMO

The COVID-19 pandemic is an unprecedented challenge for society. Supporting the mental health of medical staff and affiliated healthcare workers (staff) is a critical part of the public health response. This paper details the effects on staff and addresses some of the organisational, team and individual considerations for supporting staff (pragmatically) during this pandemic. Leaders at all levels of health care organisations will find this a valuable resource.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Corpo Clínico/psicologia , Saúde Mental/normas , Pneumonia Viral/psicologia , Comunicação , Infecções por Coronavirus/epidemiologia , Intervenção na Crise/organização & administração , Cuidados Críticos/psicologia , Cuidados Críticos/estatística & dados numéricos , Assistência à Saúde/organização & administração , Empoderamento , Pessoal de Saúde/estatística & dados numéricos , Humanismo , Humanos , Controle de Infecções/métodos , Relações Interpessoais , Liderança , Corpo Clínico/estatística & dados numéricos , Pandemias , Médicos/psicologia , Pneumonia Viral/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Traumático Agudo/epidemiologia , Transtornos de Estresse Traumático Agudo/psicologia
14.
JMIR Public Health Surveill ; 6(2): e18887, 2020 04 06.
Artigo em Inglês | MEDLINE | ID: covidwho-38763

RESUMO

As the medical landscape changes daily with the coronavirus disease (COVID-19) pandemic, clinical researchers are caught off-guard and are forced to make decisions on research visits in their ongoing clinical trials. Although there is some guidance from local and national organizations, the principal investigator (PI) is ultimately responsible for determining the risk-benefit ratio of conducting, rescheduling, or cancelling each research visit. The PI should take into consideration the ethical principles of research, local/national guidance, the community risk of the pandemic in their locale, staffing strain, and the risk involved to each participant, to ultimately decide on the course of action. While balancing the rights and protection of the human subject, we seldom examine patients' views and opinions about their scheduled research visit(s). This article discusses the ethical principles of beneficence and autonomy in helping the decision-making process. We discuss ways to weigh-in local and national guidance, staffing strain, and institutional support into the decision-making process and outline potential changes needed for regulatory bodies depending on the decision. Further, we discuss the need to weigh-in the individual risk-benefit ratio for each participant and present a decision tree to navigate this complex process. Finally, we examine participant and caregiver perspectives on their fears, sense of preparedness, and factors that they consider before deciding whether to keep or postpone the research appointments. This entry also provides PIs ways to support their research participants in both scenarios, including provision of psychological support.


Assuntos
Infecções por Coronavirus , Pandemias , Pneumonia Viral , Betacoronavirus , Cuidadores/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Corpo Clínico/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pesquisadores , Medição de Risco
15.
Eur Heart J Acute Cardiovasc Care ; 9(3): 241-247, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32342698

RESUMO

The COVID-19 pandemic is an unprecedented challenge for society. Supporting the mental health of medical staff and affiliated healthcare workers (staff) is a critical part of the public health response. This paper details the effects on staff and addresses some of the organisational, team and individual considerations for supporting staff (pragmatically) during this pandemic. Leaders at all levels of health care organisations will find this a valuable resource.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Corpo Clínico/psicologia , Saúde Mental/normas , Pneumonia Viral/psicologia , Comunicação , Infecções por Coronavirus/epidemiologia , Intervenção na Crise/organização & administração , Cuidados Críticos/psicologia , Cuidados Críticos/estatística & dados numéricos , Assistência à Saúde/organização & administração , Empoderamento , Pessoal de Saúde/estatística & dados numéricos , Humanismo , Humanos , Controle de Infecções/métodos , Relações Interpessoais , Liderança , Corpo Clínico/estatística & dados numéricos , Pandemias , Médicos/psicologia , Pneumonia Viral/epidemiologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Transtornos de Estresse Traumático Agudo/epidemiologia , Transtornos de Estresse Traumático Agudo/psicologia
16.
JMIR Public Health Surveill ; 6(2): e18887, 2020 04 06.
Artigo em Inglês | MEDLINE | ID: mdl-32250281

RESUMO

As the medical landscape changes daily with the coronavirus disease (COVID-19) pandemic, clinical researchers are caught off-guard and are forced to make decisions on research visits in their ongoing clinical trials. Although there is some guidance from local and national organizations, the principal investigator (PI) is ultimately responsible for determining the risk-benefit ratio of conducting, rescheduling, or cancelling each research visit. The PI should take into consideration the ethical principles of research, local/national guidance, the community risk of the pandemic in their locale, staffing strain, and the risk involved to each participant, to ultimately decide on the course of action. While balancing the rights and protection of the human subject, we seldom examine patients' views and opinions about their scheduled research visit(s). This article discusses the ethical principles of beneficence and autonomy in helping the decision-making process. We discuss ways to weigh-in local and national guidance, staffing strain, and institutional support into the decision-making process and outline potential changes needed for regulatory bodies depending on the decision. Further, we discuss the need to weigh-in the individual risk-benefit ratio for each participant and present a decision tree to navigate this complex process. Finally, we examine participant and caregiver perspectives on their fears, sense of preparedness, and factors that they consider before deciding whether to keep or postpone the research appointments. This entry also provides PIs ways to support their research participants in both scenarios, including provision of psychological support.


Assuntos
Infecções por Coronavirus , Pandemias , Pneumonia Viral , Betacoronavirus , Cuidadores/psicologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Corpo Clínico/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pesquisadores , Medição de Risco
19.
Br J Nurs ; 29(4): 248-249, 2020 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-32105533

RESUMO

Emeritus Professor Alan Glasper, from the University of Southampton, discusses the ongoing NHS Employers initiative which is designed to support the NHS employees' emotional health.


Assuntos
Promoção da Saúde/métodos , Corpo Clínico/psicologia , Saúde Mental , Recursos Humanos de Enfermagem/psicologia , Saúde do Trabalhador , Esgotamento Profissional/prevenção & controle , Humanos , Estresse Ocupacional/psicologia , Medicina Estatal , Reino Unido
20.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi ; 37(11): 835-839, 2019 Nov 20.
Artigo em Chinês | MEDLINE | ID: mdl-31826549

RESUMO

Objective: To explore the mental health status and influencing factors of medical staff after blood-borne occupational exposure, and to provide scientific basis for effective psychological intervention. Methods: From January 2017 to December 2018, 178 medical staff with blood-borne occupational exposure in three hospitals of Shandong Province were collected as the contact group, and 100 routine medical staff as the control group during the same period. Questionnaires were conducted among medical staff in the two groups, including general information questionnaire, symptom checklist 90 (SCL-90) , post-traumatic stress disorder self-rating scale (PCL-C) , coping style scale (CPS) , social support scale (SSRS) . The basic situation and mental health level of medical staff in the two groups, as well as the coping and social support status of medical staff exposed to hematogenous occupational exposure were analyzed. Relevant influencing factors. Results: The total score of SCL-90 was 1.66+0.33, 45 (38.14%) were positive, and 21 (21.00%) were positive in the control group. The difference was statistically significant (χ(2)=7.529, P<0.05) . Compared with the control group, the scores of SCL-90 somatization, obsessive-compulsive symptoms, depression, anxiety, hostility, paranoia and total scores of medical staff in the exposure group increased significantly (P<0.05) . The total PCL-C score of exposure group was 36.84+9.50, PTSD positive 47 (39.83%) and control group 13 (13.00%) . The difference was statistically significant (χ(2)=19.534, P<0.05) . Compared with the control group, PCL-C re-experience, avoidance, vigilance factor scores and total scores of medical staff in the contact group increased significantly (P<0.05) . The problem solving, help seeking and subjective support of the medical staff in the positive mental health group with blood-borne occupational exposure were significantly lower than those in the negative group, while self-blame, fantasy and withdrawal were significantly higher than those in the negative group (P<0.05) . The mental health level of medical staff with occupational exposure was negatively correlated with problem solving, help seeking and subjective support, and positively correlated with self-blame, fantasy and withdrawal (P<0.05) . Problem solving, help seeking and subjective support were protective factors of mental health (OR=2.121, 1.616, 1.371) , and self-blame and withdrawal were risk factors of mental health (OR=0.160, 0.484) . Conclusion: Medical personnel exposed to blood-borne occupational exposure are prone to psychological problems and PTSD. Solving problems, seeking help and subjective support are protective factors for mental health, while self-blame and withdrawal are risk factors for mental health.


Assuntos
Corpo Clínico , Saúde Mental , Exposição Ocupacional , Humanos , Corpo Clínico/psicologia , Corpo Clínico/estatística & dados numéricos , Saúde Mental/estatística & dados numéricos , Exposição Ocupacional/estatística & dados numéricos , Inquéritos e Questionários
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