Survey on the psychosocial impact of COVID-19 on the Sri Lankan mental healthcare system and the needs of frontline healthcare workers in the post-covid era.

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
Chamara Wijesinghe, Miyuru Chandradasa, Piyumi Ranwella, Achini Samaranayake, Prabath Wickrama, Nilanga Gamage, Gayani Siriwardane, Narmada Goonathilake, Sayuri Perera, Dulangi Dahanayake, Jayan Mendis, Ranasinghe Kapila
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引用次数: 0

Abstract

Introduction: The COVID-19 pandemic severely strained the health care in Sri Lanka. The subsequent economic crisis compounded this issue. Priority was given to treating those afflicted with COVID-19 and preventing its spread, and healthcare staff faced immense difficulties dealing with the situation. The psychosocial impact of COVID on health care staff has not been properly assessed or addressed.

Objectives: A study was conducted to identify the psychosocial impact of COVID-19 among four different categories of health care workers, and perform a needs assessment among these groups.

Methods: A convenient sample of frontline health workers, mental health teams, 1926 mental health helpline workers and 1990 Suwa Sariya emergency ambulance service staff were assessed via a self-administered questionnaire for mental health impact, work capacities and needs.

Results: Among frontline workers (n=188), 42.5% experienced anxiety symptoms, 12.8% depressive symptoms and 4.1% suicidal thoughts. Most (58.9%) lacked a psychological support system at the workplace. Only 20% have accessed specific programs or services at their workplace to obtain support for mental health issues, and all have benefitted from them. All categories of health workers lacked training and resources.

Conclusion: The findings demonstrate that a significant amount of health care workers undergo psychological problems in the course of their work especially in the aftermath of the COVID-19 pandemic. The analysis reveals that Sri Lanka lacks structured psychological support systems for health workers and needs more resources and training. Psychological support for health workers through strengthening resources and training should be prioritised when planning service development.

COVID-19对斯里兰卡精神卫生系统的心理社会影响及后疫情时代一线医护人员需求调查
2019冠状病毒病(COVID-19)大流行给斯里兰卡的卫生保健造成了严重压力。随后的经济危机加剧了这一问题。优先考虑的是治疗COVID-19患者并防止其传播,医护人员在应对这种情况时面临巨大困难。COVID对卫生保健人员的心理社会影响尚未得到适当评估或解决。目的:开展了一项研究,以确定COVID-19对四种不同类别卫生保健工作者的心理社会影响,并对这些群体进行需求评估。方法:采用自填问卷对一线卫生工作者、心理卫生团队、1926名心理卫生热线工作者和1990名Suwa Sariya急救服务人员进行心理健康影响、工作能力和需求评估。结果:188名一线工作者中,有焦虑症状的占42.5%,有抑郁症状的占12.8%,有自杀念头的占4.1%。大多数(58.9%)在工作场所缺乏心理支持系统。只有20%的人在工作场所参加了具体的方案或服务,以获得对心理健康问题的支持,而且所有人都从中受益。各类卫生工作者都缺乏培训和资源。结论:研究结果表明,大量医护人员在工作过程中存在心理问题,特别是在COVID-19大流行之后。分析显示,斯里兰卡缺乏面向卫生工作者的结构化心理支持系统,需要更多的资源和培训。在规划服务发展时,应优先考虑通过加强资源和培训为卫生工作者提供心理支持。
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来源期刊
Ceylon Medical Journal
Ceylon Medical Journal MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
16
期刊介绍: The Ceylon Medical Journal, is the oldest surviving medical journal in Australasia. It is the only medical journal in Sri Lanka that is listed in the Index Medicus. The CMJ started life way back in 1887 as the organ of the Ceylon Branch of the British Medical Association. Except for a brief period between 1893 and 1904 when it ceased publication, the CMJ or its forbear, the Journal of the Ceylon Branch of the British Medical Association, has been published without interruption up to now. The journal"s name changed to the CMJ in 1954.
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