新冠肺炎疫情下居家隔离医务人员身心状况的质性研究

目的:探讨新冠肺炎疫情下居家隔离医务人员的身心状况,以期为以后的心理疏导、继续投入工作及政府、医疗机构的组织管理、培训提供依据。方法:运用现象学研究方法,对重庆市某三甲医院2020年1月20日~2月29日因各种原因被居家隔离的10名医务人员进行质性访谈,将获取的资料运用Colaizzi法进行分析。结果:提炼出3个主题医务人员隔离期间出现了焦虑等负性心理或伴有睡眠异常;隔离期间的期望是获得社会支持、疫情相关信息及为疫情做贡献;隔离后体会到防控意识、防护物资的重要性。结论:医疗机构应提高医务人员应对传染性疾病的人文素质,增强抗压能力,良好的社会支持是其应对压力的关键,加强医务人员对重大公共卫生事件的核心应急能力,优化物资管理以保障足够的防护物资应对疫情。     

新型冠状病毒肺炎定点收治医院一线医务人员的生活管理

总结突发新型冠状病毒肺炎疫情中定点收治医院一线医务人员的生活管理方法。医院对一线医务人员实行生活照顾与隔离相结合的管理模式,成立生活保障组,对一线医务人员实施床位安排、消毒隔离、体温监测、营养保障及心理支持等生活照顾和生命体征监测管理,未发生医务人员感染新型冠状病毒肺炎。     

新冠肺炎疫情中抗疫医务人员抑郁和焦虑状态的研究进展

在新冠肺炎疫情中,抗疫医务人员在临床一线,与病患第一时间零距离接触,其心理状态(尤其是抑郁和焦虑)值得关注.抗疫医务人员的负面心理应激状态会严重影响其身心健康及日常工作和生活.本文就新冠肺炎疫情中,抗疫医务人员抑郁和焦虑状态的研究进展进行综述.     

新冠肺炎疫情期间肿瘤内科患者的护理管理

总结了新冠肺炎疫情期间肿瘤医院内科住院患者的护理管理体会。主要护理管理对策包括:病区管理、人员管理、病情观察、心理支持、出院管理等,本科室护理管理的重点是加强医院感染的防控工作。通过有效的护理管理和医院感染控制措施的落实,医院在疫情期间未发生医务人员及患者感染新冠肺炎的情况。     

B超室应对新型冠状病毒肺炎疫情的管理体会

本文总结了新型冠状病毒肺炎疫情期间B超室的管理体会,从环境管理(包括物表环境管理、超声机房的管理、候诊区分级分区的管理、自主设备的管理)、医务人员的管理(包括培训、监控、个人卫生防护、心理建设)、特殊时期患者的管理(如何分流、如何正确佩戴口罩、心理疏导等)以及预检护士如何筛查患者等方面进行阐述。注重特殊时期医务人员及患者的心理护理,加强心理建设,旨在不断提高医务人员的职业防护技能与个人防护意识,使其掌握新型冠状病毒肺炎的防护要点。     

重新审视社区卫生服务的功能和定位

今年上半年，在完全没有准备的情况下我们与SARS打了一场遭遇战。在抗“非”取得阶段性胜利的今天，回顾这几个月的历程，社区卫生服务机构和社区医务人员在群防群控、对外来人员的登记体检、开展环境卫生消毒工作、对所有发热病人的管理和追踪调查以及社区的健康教育、心理安抚等方面发挥了重要的作用，为有效地控制疫情，减轻疫情对     

消化内科病房复工复产应对新冠肺炎疫情的防控管理策略探讨

新型冠状病毒肺炎疫情在我国本土已基本控制,防控工作已由应急状态转为常态化。消化内科普通病房时刻面临复工复产与疫情防控的矛盾焦点,做好复工复产与疫情防控“两手抓”是目前的首要工作。本文从患者与家属的管理、医务人员及工勤人员的管理、突发情况及应急策略、落实病区环境管理、加强心理支持及干预5个方面总结了普通病房新冠肺炎疫情复工复产后的防控策略管理,旨在为临床护理管理提供参考。     

某三级传染病医院新冠肺炎救治过程中多模式职业防护实践

〖HT5"H〗摘要 目的 总结某新型冠状病毒肺炎感染患者定点收治医疗机构在救治过程中医务人员职业防护相关内容。方法 依据统一指挥、分级负责，从流程优化、门诊及病区管理、防护物资保障体系、人员配置、培训演练和重点环节管理等方面进行多模式、多部门医院感染防护体系构建。结果 该定点医院医院感染管理有序进行，无死亡病例、医护人员零感染，医疗机构应对突发传染性疾病事件的感染防控能力和医务人员抵御职业风险的能力得到极大提升。结论 多模式感染管理可以有效促进疫情防控管理流程化和科学化，在疫情防控工作中对降低医院感染，特别是医务人员零感染起到积极作用，保护了医患安全，增强了抗击新冠肺炎疫情的救治力量。     

临床医务人员家属面对新型冠状病毒肺炎疫情的心理状况及其影响因素分析

目的了解临床医务人员家属面对新型冠状病毒肺炎疫情的心理状况,分析其影响因素,为有效的心理干预提供理论依据.方法便利抽样选取某市3所三级甲等医院临床医务人员家属525名,采用一般资料问卷、症状自评量表(symptom check list 90,SCL-90)进行问卷调查.结果临床医务人员家属中有93人(17.71%)出现心理问题,平均SCL-90得分与常模比较差异有统计学意义(P<0.05).年龄、家人(医务人员)是否在疫区工作、是否患有基础疾病为临床医务人员家属心理状况的主要影响因素(均P<0.05).结论在新冠肺炎疫情期间,部分临床医务人员家属会产生心理应激反应,应加强此类人群的心理预防工作,采取有针对性的措施进行心理干预.     

新型冠状病毒肺炎疫情期间发热门诊分区管理的临床实践

总结浙江大学医学院附属第一医院在新型冠状病毒肺炎疫情期间发热门诊分区管理方法。通过专用单通道和诊疗分区限制发热患者活动范围;利用信息化将新型冠状病毒感染疑似患者和其他发热患者精确分流并进行区域管理;结合新型冠状病毒肺炎特点加强防护、落实隔离、快速识别重症患者并密切监护、加强细节管理预防医院感染,给予心理关怀,保证患者和医务人员安全,提升护理质量。发热门诊分区管理可为疫情时期有效应对突发公共安全事件提供借鉴。     

Factors associated with nurses emotional distress during the COVID-19 pandemic

BackgroundNurses are among the frontline healthcare workers directly impacted by the burden of the coronavirus disease of 2019 (COVID-19) pandemic. This study aimed to examine the prevalence of emotional distress and the associated factors among nurses practicing in South Dakota during the COVID-19 pandemic.MethodsAn online survey was conducted among practicing, licensed nurses in South Dakota during the pandemic (July 2020 – August 2020). Emotional distress was measured using the Depression, Anxiety, and Stress Scale (DASS-21). Logistic regression models were performed to examine the association of emotional distress and the three DASS-21 subscales with: sociodemographic and work environment factors (e.g., work setting, job satisfaction, number of COVID-19 cases seen at the facility, preparedness, concerns with worsening pre-exiting mental health conditions due to the pandemic, and contracting the illness).ResultsAmong 1505 participants, overall emotional distress was reported by 22.2%, while anxiety, depression and stress were 15.8%, 14.5% and 11.9%, respectively. Factors associated with moderate to severe emotional distress, depression, anxiety, and stress were as follows: concerns for worsening of pre-existing mental health conditions, job dissatisfaction, encountering higher number of COVID-19 cases at one's work facility, feeling unprepared for the pandemic, and concern for contracting the illness (all p < 0.05).ConclusionsOur study suggests a high prevalence of emotional distress among nurses and highlights the factors associated with emotional distress during the COVID-19 pandemic. Promoting appropriate support is imperative to reduce nurses' emotional distress and promote psychological well-being during the COVID-19 world health crisis and in future pandemics.     

Mental health nurses' experience of resilience during COVID-19: A qualitative inquiry

The COVID-19 pandemic created unprecedented demands and additional stress for nurses in mental health settings. There is no prior evidence on nurses' experience of building and maintaining resilience in the context of work during COVID-19. The aim of this study was to explore the experience and impacts of the COVID-19 pandemic on the resilience of nurses in mental health settings. Data from semi-structured interviews with 20 nurses from an Australian mental health service were analysed using reflexive thematic analysis. Four main themes were generated: experiencing significant disruptions; making sense of shared chaos; having professional commitment; and growing through the challenges. Nurses' practice and teamwork were disrupted by COVID-19 related changes to care models and infection prevention policies. They successfully adjusted by having awareness of self and others' emotions, using mental and emotional self-regulatory strategies, engaging in self-care, using ‘bricolage’ to create different ways to provide care, and having mutually supportive relationships. Nurses connected to their sense of purpose and professional commitment to fuel their therapeutic work and sustain care delivery. They experienced personal and professional growth with an increased understanding of their strengths and resilience. In the post-pandemic period, although the challenges presented by the pandemic have lessened, there are ongoing negative impacts on nurses' wellbeing. To maintain and strengthen their wellbeing and practice, the findings indicate the importance of professional development in emotional regulation skills, and strategies to strengthen self-care and build collegial relationships in teams. Resilience education can be implemented to support nurses' resilient practice skills.     

Evaluation of physical and psychological status of health care workers infected with COVID-19 during a hospital outbreak in Japan

PurposeCOVID-19 causes physical and psychological impacts on health care workers (HCWs), especially when it occurs during an outbreak. As there are few reports on outcomes of HCWs infected with COVID-19 during a hospital outbreak, we investigated the physical and psychological impacts on HCWs infected with COVID-19 during an outbreak in our hospital.MethodsDuring the outbreak in our hospital, 231 people were infected with COVID-19 including patients, HCWs and their families. Among them, 83 HCWs were enrolled in this study. Current quality of life (QOL) was assessed with the EuroQol-visual analogue scales (EQ-VAS), and motivation to keep on working was evaluated by a 10-point analogue scale. Physiological recovery rates including return to work (RTW) period were also analyzed.ResultsOne nurse quit work due to anxiety regarding re-infection with COVID-19. The median period to RTW from the diagnosis was 14.0 (12.0–17.0) days. Motivation to keep on working was slightly reduced, and the EQ-VAS was 75.0 (65.0–83.6). There were no significant differences in QOL and motivation between male and female HCWs, nurses and other HCWs, treatment and non-treatment group, and supplemental and non-supplemental oxygen group. The most frequent persistent symptoms at 1,3 and 6 months after infection were anosmia followed by fatigue.ConclusionAlthough QOL and motivation to keep on working were slightly reduced, only one HCW quit work. No severe persistent symptoms were observed, and the RTW period was relatively short.     

An evaluation of the impact of the Coronavirus (COVID 19) pandemic on interventional radiographers' wellbeing

BackgroundInterventional radiographers have substantially contributed to patient care during the pandemic by providing imaging guidance during minimally invasive procedures. The aim of this research is to quantify the impact of the pandemic on an interventional radiographers’ wellbeing during the COVID-19 pandemic.MethodsEthical approval was obtained at the outset of this study. An explanatory sequential mixed methods approach, using questionnaires and interviews, was used to explore and evaluate interventional radiographers' wellbeing; physical, mental and social. An electronic self-administered questionnaire was administered to interventional radiographers and a semi-structured interview was conducted on two respondents.ResultsResponses were received from 40 interventional radiographers. Physical, mental and social wellbeing of interventional radiographers deteriorated since the onset of COVID-19. All forms of wellbeing were negatively impacted during the pandemic with mental wellbeing (82.5%) the most impacted, closely followed by physical (75%) and social wellbeing (50%). Half of responding interventional radiographers reported being “highly stressed” while working during COVID-19. Physical activity levels decreased, caffeine consumption increased and consumption of a healthy diet decreased. Almost all interventional radiographers (95%) had anxiety about passing the virus onto family or friends and 60% of noted a deterioration in relationship with friends. Three key themes identified included the importance of teamwork, the physical demand and mental impacts of working in interventional radiology during the pandemic.ConclusionsThe COVID-19 pandemic has had a negative effect on interventional radiographers' wellbeing. The implications of staff having a diminished sense of wellbeing is that productivity is likely to have been reduced and potentially related burnout can lead to illness. This research highlights the need to focus on identifying methods of addressing the shortcomings in support services and identifying the specific needs of interventional radiographers to improve their wellbeing.     

Academic stress,COVID-19 anxiety,and quality of life among nursing students: The mediating role of resilience

Aim

This study investigated the mediating role of resilience in the relationship between academic stress, COVID-19 anxiety, and quality of life (QoL) among Filipino nursing students during the COVID-19 pandemic.

Background

The COVID-19 pandemic has impacted the QoL of nursing students who are experiencing mental health issues. The mediating role of resilience in mitigating the effects of academic stress and COVID-19 anxiety on nursing students’ QoL remains understudied.

Methods

This study employed a correlational cross-sectional design, with a convenience sample of 611 Filipino nursing students. Data were collected using the scales Connor and Davidson Resilience, Brunnsviken Brief Quality of Life, COVID-19 Anxiety, and Perception of Academic Stress and analyzed using Pearson's r, bivariate analysis, and multistage regression analyses.

Results

Academic stress and COVID-19 anxiety negatively correlated with QoL and resilience. Resilience was positively associated with QoL and reduced the effect of academic stress on QoL, indicating that resilience is a crucial mediating variable between academic stress and QoL. Finally, resilience had a significant mediating influence on QoL, as evidenced by a reduction in the effect of COVID-19 anxiety on QoL among nursing students.

Conclusions

Filipino nursing students' QoL was affected by academic stress and COVID-19–related anxiety. However, resilience mediated this impact, preserving QoL.

Implications for nursing and health policy

Nursing colleges and affiliated hospitals must collaborate to monitor academic stress and pandemic-related anxiety. Nursing students should be provided with programs such as seminars and team-building activities to enhance their resilience.     

Risk perception and emotional wellbeing in healthcare workers involved in rapid response calls during the COVID-19 pandemic: A substudy of a cross-sectional survey

BackgroundCoronavirus disease-2019 (COVID-19) has effected major changes to healthcare delivery within acute care settings. Rapid response calls (RRCs) in healthcare organisations have been effective at identifying and urgently managing acute clinical deterioration. Code-95 RRC were introduced to prewarn healthcare workers (HCWs) attending to patients suspected or confirmed with COVID-19 infection.AimsThe primary aim of the study was to identify the personal impact of the COVID-19 pandemic on HCWs involved in attending Code-95 RRC. We sought to evaluate their perception of risks and effects on wellbeing and identify potential opportunities for improvement at organisational levels.MethodsWe undertook a detailed survey on HCWs attending Code-95 RRCs, including questions that sought to understand the impact of the pandemic as well as their perception of infection risk and emotional wellbeing. This was a substudy of the prospective cross-sectional single-centre survey of HCWs that was conducted over a 3-week period at Frankston Hospital, Victoria, Australia. We adopted a quantitative content analysis approach for free-text responses in this secondary analysis.ResultsFour hundred two free-text comments were received from 297 respondents and were analysed. More than two-thirds (68%, 223/297) were female. Of all comments, 39% (155/402) were related to organisational issues including communication, confusion due to constantly changing infection control policies, and insufficient training. Thirty-three percent of comments (133/402) raised issues regarding the adequacy of personal protective equipment. Anxiety was reported in 25% of comments (101/402) with concerns predominantly relating to emotional stress and fatigue, risks of virus exposure and transmitting the infection to others, and COVID-19 precautions impairing care delivery.Conclusion(s)Our study raises important issues that have relevance for all healthcare organisations in the management of patients with COVID-19. These include the importance of improving communication, especially when infection control policies are revised, optimising training, maintaining adequate personal protective equipment, and HCW support. Early recognition and management of these issues are crucial to maintain optimal healthcare delivery.     

Linking chronic stress to insomnia symptoms in older adults: The role of stress co-occurrence during the pandemic

Studies examining the associations of chronic stressors with sleep health in older adults have shown conflicting results. While the COVID-19 pandemic increased perceived stress at the population level, less is known about chronic stressors experienced by older adults in the context of the COVID-19 pandemic and its impact on sleep health in an aging population. This study aims to examine the association of older adults' chronic stress with insomnia symptoms during the first year of the COVID-19 pandemic. A cross-sectional analysis was performed using early-release COVID-19 data from the Health and Retirement Study. Data on chronic stressors and insomnia symptoms in older adults (N = 2021; mean age = 68.8) were examined. Co-occurrence network analysis, latent class analysis, Rao–Scott χ² tests, and multivariable logistic regression were used to characterize the co-occurrence of chronic stressors and associations with insomnia symptoms. The most common co-occurring chronic stressors during the first year of the COVID-19 pandemic were self-health issues, family-health issues, and financial stress. Older adults experiencing frequent stress co-occurrence had 91% higher odds of difficulty initiating sleep (p < 0.001), 40% higher odds of frequent nocturnal awakening (p = 0.028), and 83% higher odds of nonrestorative sleep (p < 0.001). However, adjustment for health risk factors and COVID-19 concerns attenuated the effects, leaving strongest association for difficulty initiating sleep (odds ratio = 1.51, p = 0.010). Frequent stress co-occurrence plays an important role linking chronic stress to insomnia symptoms in an aging population. Ongoing research is needed to examine the lingering effects of frequent stress co-occurrence on older adults' sleep health in the post COVID-19 era.     

The Impact of Mindful Meditation on Health Care Workers During the COVID-19 Pandemic

BackgroundThe COVID-19 pandemic placed a spotlight on health care workers as the world struggled with mental health crises. As the number of COVID-19 cases rose exponentially, this also paralleled health care workers’ perceived stress burden and increased risk for mental health trauma. This research project assessed the impact of a mobile mindful meditation application on health care workers’ perceived stress levels during a pandemic.MethodologyThrough quasi-experimental design, researchers assessed the effect of using a mobile mindful meditation (Synctuition) app on health care workers’ stress levels. Participants listened for 20 to 30 minutes daily for 30 days. Participants perceived stress levels were measured with Cohen’s Perceived Stress Scale.ResultsOf the 100 participants, there was a statistically significant decrease in perceived stress reduction between the groups across various categories. The pretest perceived stress scores were reduced from moderate to low stress postintervention after using the mindful meditation application.Implications for PracticeReducing stress in health care workers can potentially increase the quality of life for health care workers. and lowering stress levels can potentially improve the quality of care provided.