COVID-19大流行期间医务工作者的精神卫生保健

L. Yuryeva
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引用次数: 3

摘要

在由SARS-CoV-2病毒引起的大流行期间,卫生保健工作者处于战斗的最前线,不仅承受着巨大的身体压力,而且还承受着巨大的精神压力。与此同时,医务工作者被认为是2019冠状病毒病的高危人群。长期处于持续的情绪压力状态会导致精神和身体疾病的出现。本文旨在对COVID-19患者医疗机构工作人员心理健康一致性原则进行文献综述。进行了系统的文献检索,结果选择了32篇报告大流行期间精神和行为障碍的文章进行分析。主要的障碍是焦虑抑郁谱系障碍。根据各种来源,从四分之一到三分之一的医务工作者有临床上明显的焦虑,约三分之一患有抑郁症。也有研究表明,在为COVID-19患者提供医疗服务的个人中,睡眠障碍的发生率很高。从长远来看,创伤后应激障碍的水平预计会增加。文章还提供了关于流行病和流行病的社会心理影响的现代观点。对COVID-19问题的过度关注,特别是在社交媒体上对COVID-19问题的过度关注,使克服这一流行病的实际问题的斗争大大复杂化。事实证明,过度关注与COVID-19相关的问题是最终患广泛性焦虑症风险增加的一个因素。因此,心理健康保护和医务工作者的社会心理支持是抗击新冠肺炎疫情的重要方向。大流行病期间的心理危机管理应以个人和整个社会层面的心理卫生和心理预防措施为基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mental health care of medical workers during COVID-19 pandemic
During the pandemic caused by the SARS-CoV-2 virus, healthcare workers are at the forefront of the battle undergoing not only significant physical but also emotional stress. At the same time medical workers are considered to be at high risk for the incidence of COVID-19. Staying in a state of constant emotional stress over time leads to the emergence of both mental and somatic disorders. The purpose of this article is to conduct a literature review on the principles of consistency regarding the mental health of staff members of medical institutions providing care to patients with COVID-19. A systematic literature search has been carried out, as a result of which 32 articles with reports of mental and behavioral disorders during the pandemic have been selected for analysis. The main group of disorders are disorders of the anxious-depressive spectrum. According to various sources, from a quarter to a third of medical workers have clinically significant anxiety, about a third – depression. Significant prevalence of sleep disorders in individuals providing medical care to patients with COVID-19 has also been indicated. In the long term, the expectation of an increase in the level of post-traumatic stress disorder has been indicated. The article also provides modern views on the socio-psychological effects of epidemics and pandemics. Excessive attention, especially on social media devoted to the problem of COVID-19 significantly complicates the fight against the real problem of overcoming the pandemic. It has been proven that overconcentration on problems associated with COVID-19 is a factor of the increased risk of developing generalized anxiety disorder in the end. Thus, the protection of mental health and the socio-psychological support of medical workers are some of the important directions in the fight against the coronavirus pandemic. The management of psychological crises during pandemics should be based on psycho-hygienic and psycho-preventive measures both at the level of the individual and society as a whole.
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