新冠肺炎疫情期间株洲地区医护人员心身状况调查与比较

目的对新型冠状病毒感染的肺炎(以下简称"新冠肺炎")疫情期间株洲地区抗疫一线及普通医护人员心身状况进行调查,分析疫情对工作人员的影响,制定有效的干预手段。方法随机抽取株洲地区抗疫一线及普通医护人员共812名,采用Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)以及自制问卷通过手机网络进行调查,采用excel365、spss19软件对数据进行统计学分析。结果新冠肺炎疫情期间,株洲地区抗疫一线及普通医护人员焦虑、抑郁总分与中国常模相比存在显著差异(P0.01)。抗疫一线与普通医护人员焦虑、抑郁总分比较存在显著差异(P0.01)。一线女性人员与男性比较,焦虑总分更高(P0.05);而抑郁总分无明显差异(P0.05)。普通女性与男性比较,焦虑、抑郁总分均存在显著差异(P0.01)。结论株洲地区抗疫一线及普通医护人员总体上焦虑倾向更严重;而抑郁倾向总体上反而较轻。相较于普通医护人员,抗疫一线医护人员的焦虑和抑郁倾向更加明显。相较于男性医护人员,女性医护人员的焦虑和抑郁倾向更加明显。     

新型冠状病毒肺炎疫情期间一线医护人员心理健康状况调查

目的 调查新型冠状病毒肺炎（COVID-19）疫情期间抗疫一线医护人员的心理健康状况，为对其进行有针对性的心理干预、改善心理健康状况提供参考。方法 纳入2021年10月-12月在甘肃省兰州市重粒子医院工作的162名一线医护人员为研究对象。采用自编一般资料调查表、焦虑自评量表（SAS）和抑郁自评量表（SDS）进行评定。结果 共144名医护人员完成有效问卷调查，检出存在焦虑和抑郁情绪者分别有17人（11.81%）、19人（13.19%）。不同抗疫工作时长的医护人员焦虑检出率差异有统计学意义（χ²=10.602，P<0.01）；不同职业、是否有抑郁家族史以及不同抗疫工作时长的医护人员抑郁检出率差异均有统计学意义（χ²=5.486、4.039、7.526，P均<0.05）。结论 COVID-19疫情期间，一线医护人员存在不同程度的焦虑和抑郁情绪，抗疫工作时间长者焦虑检出率更高，医生、有抑郁家族史以及抗疫工作时间长者抑郁检出率更高。     

防控新冠肺炎疫情境外输入风险一线医护人员抑郁情绪调查

目的对参加北京市新冠肺炎疫情境外输入风险防控的一线医护人员的抑郁情绪状况进行调查,并分析相关影响因素,为改善一线医护人员心理健康状况提供参考。方法通过问卷星发放电子问卷,使用患者健康问卷抑郁量表(PHQ-9)对支援北京小汤山定点医院参加入境人员新冠肺炎筛查和救治工作的984名一线医护人员进行调查。结果共回收问卷770份,回收率为78.3%,检出344人(44.7%)存在抑郁症状。Logistic回归分析显示,工作内容变化大(OR=2.206,P<0.01)、睡眠减少(OR=2.359,P<0.01)、睡眠不足6小时(OR=2.032,P<0.05)、每天关注疫情信息>1小时(OR=1.095,P<0.05)是抑郁的风险因素,规律的运动习惯(OR=0.473,P<0.01)是减少抑郁的保护因素。结论防控新冠肺炎疫情境外输入风险的一线医护人员抑郁症状检出率较高,采取科学的工作轮换机制、保持足够的睡眠、减少关注疫情的时间以及规律运动可能是维护其身心健康的有效措施。     

精神科护士心理健康状况及疲劳原因调查分析

精神科护士由于其特殊的工作对象和工作环境,经常承受着一些特殊的心理压力,出现头痛、头晕、失眠、易怒、情绪低落等心理疲劳症状。本文就精神科临床一线护士心理健康状况与综合性医院的临床一线护士心理健康状况作了调查比较,并就引起精神科护士心理疲劳的原因及缓冲对策进行了探讨。 资料与方法 本文研究对象为我市一所精神病专科医院及一所综合性医院的临床一线护士各60名,用SCL-90作为其心理健康状况的     

医护人员运用多元文化促进城乡一体化卫生事业的发展

随着社会的进步、人民生活水平的提高和新医改方案的出台,单一的医疗模式已远远不能满足社会人的需求,原来以疾病为中心的模式已不断向以人的健康为中心模式转变,这就使得公立医院应以多元文化为背景,公立医院中的医护人员除了应具备精湛的医疗护理技术以外,更应该掌握多方面的知识诸如心理、康复、营养、管理、宗教、沟通等多方面的     

精神科医护人员“新冠”疫情期间心理健康状况研究

正我们对某三级精神专科医院于2020年"新冠"疫情期间坚守在临床一线的医护人员进行了心理状况调查,并与去年同期进行比较,现将结果报告如下。1对象和方法对2020年3月至5月在我院精神科的医护人员进行心理状况调查。共收到答卷289份,剔除缺乏2019年心理健康数据者和1年内重大生活事件量表(LES)总分≥10分者。最终有效问卷185份,其中男32名,女153名;医生69名,护士116名;年龄21～57岁,平均(32.33±8.23)岁;本科以下42名,本科及以上141名;职称:初级92名,中级58名,高级35名;工作年限3～37年,平均(14.17±4.83)年;     

新冠肺炎疫情防控中基层精防医护人员心理健康状况及需求调查

目的调查在新冠肺炎疫情防控中基层精防医护人员的心理健康状况和物质及心理需求,为对基层精防医护人员给予心理危机干预服务提供参考。方法于2020年1月25日-2月8日采用简单随机抽样选取150名基层精防医护人员为研究对象并进行网络问卷调查。调查内容包括一般人口学资料、工作时长、疲劳程度、睡眠情况及心理服务需求;采用凯斯勒心理困扰量表(K6)调查基层精防医护人员的心理健康状况。结果 K6评定结果显示,108人(75. 00%)感到紧张,66人(45. 83%)感到烦躁不安,85人(59. 03%)的睡眠受到影响;6人(4. 17%)的K6评分≥13分,但这6人中无一人认为自己需要心理调适;基层精防医护人员的需求前两位分别为:110人(76. 39%)需要防护物资,105人(72. 91%)选择适当休假;在出现心理危机时,72人(50. 00%)选择自我调节。结论在疫情爆发初期,多数基层精防医护人员感到紧张并出现睡眠问题。近一半被调查者在出现心理问题时,更倾向于选择自我调节而不是寻求专业帮助。     

围手术期病人的心理护理

随着医学模式的转变,护理模式由单纯的生物模式转向以病人为中心的心理、社会模式。对病人实行围手术期的心理护理,使病人了解疾病的治疗过程,坚定战胜疾病的信心,在手术前能以良好的心态接受手术,手术中能与医护人员配合,术后能配合治疗,从而促使疾病早愈。现将我们的体会总结如下。1术前护理一般来讲,病人对手术会产生恐惧、不安、紧张、抑郁、焦虑、消极、悲观等不良心理状态,特别是接近手术日,处于这种精神状态下施行手术是非常不利的。它会影响病人的食欲、睡眠和休息,使病人健康状况下降,对手术的耐受能力下降。我们的具…     

严重精神障碍合并新冠病毒感染患者闭环管理策略探讨

在新冠肺炎疫情波动的环境下,严重精神障碍患者在疫情传播链条节点上的预防措施及应对策略,目前的研究结果尚不明确。从既往的防控经验来看,精神卫生专科医疗机构建立行之有效的新发传染病防控体系以及设立过渡病区等手段,有助于降低疫情传播的风险。然而,对于针对严重精神障碍合并新冠病毒感染的患者,其在诊疗过程中精神症状复发或加重,在方舱医院或传染病房无法配合诊疗的状况,目前的管理策略尚未清晰。本文基于抗疫一线实地调研,围绕严重精神障碍合并新冠病毒感染患者的管理现实困难、紧急状态处理策略、一线精神科医护人员的防护条件以及紧急状态下医护人员处理此类患者的法律依据等方面,对严重精神障碍患者在感染新冠病毒状态下的管理策略进行探讨。     

不同人群健康体检时心理需求与对策

目的了解健康体检不同人群的心理需求,达到增强医护人员主动服务意识,改进体检流程,使体检方便快捷。方法采用自行设计问卷对518例体检者从人口学资料,体检时心理需求如开单咨询清楚、体检项目个性化等20个项目用5分制模式调查。结果体检时最迫切的心理需求是服务态度占69.36%,医疗技术占72.45%,体检便捷占72.50%,报告解读清楚占68.47%,个性化选项占65.25%等10项。结论掌握体检者心理需求,实施人性化服务,缓解体检者心理焦虑,实行个性化健康指导。     

A preliminary study on the anxiety and depression situation and psychological intervention of the first-line medical staff in our hospital during the COVID-19 epidemic

To assess the anxiety and depression situation and psychological intervention effect of the first-line medical staff in our hospital during the COVID-19 epidemic. A total of 384 front-line medical staff in our hospital from January 25 to March 8, 2020 were selected as subjects, which were divided into group A and group B respectively. PHQ-9 depression scale and GAD-7 self-rating anxiety scale questionnaire were used to investigate their anxiety and depression. After 1 month, all subjects were re-self-assessed for anxiety and depression, which were named as A1 and B1 group respectively. The GAD-7 anxiety scale had mild, moderate, and severe anxiety scores before group A, which were significantly higher than those in group B (P < 0.05); after psychological intervention, group A1 had significantly reduced anxiety scores (P < 0.05). And there were no markedly difference of PHQ-9 scale scores before and after psychological intervention between groups A and B, A and A1, and B and B1 (P > 0.05). The first-line medical staff in our hospital have different degree of anxiety and depression during COVID-19. Early positive psychological intervention has an effect on ameliorating the anxiety.     

新冠肺炎疫情期间医疗机构工作人员心理健康状况及与职业倦怠的关系

目的:探究新型冠状病毒肺炎疫情期间医疗机构工作人员的心理健康状况及与职业倦怠的关系.方法:采用现况研究方法于2020年2月25日至3月25日对宁夏医疗机构工作人员进行问卷调查,包括自编一般情况调查表、匹兹堡睡眠质量指数(PSQI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、简易应对方式问卷(SCSQ)、安全感量表...     

Adverse effects of poor behavior management of an inpatient's difficult behaviors.

Behavior therapy has been shown to improve the functioning of institutionalized clients, but front-line staff often have difficulty implementing behavior therapy techniques. In the case described in this report, staff with inadequate training in behavior therapy inconsistently used negative and positive reinforcement in the attempt to reduce the aggressive behavior of an inpatient diagnosed as having schizophrenia, and the interventions were associated with an increase in assaults and related behavior. The case illustrates the effects of poor behavior management and the importance of data collection in evaluating clinical interventions.     

Barriers to Evidence-Based Practice Implementation: Results of a Qualitative Study

This study reports on a qualitative study of barriers to EBP implementation in one state that sought to implement supported employment and integrated dual diagnosis treatment. The study found that the most significant obstacles emanated from the behavior of supervisors, front-line staff and other professionals in the agency. A lack of synergy profoundly impeded implementation.     

Training and education needs of consumers,families, and front-line staff in behavioral health practice

Much of the behavioral health care delivered to people with serious mental illnesses and chronic addictive disorders is provided by front-line or direct service mental health workers. Issues related to the qualifications, training, and ongoing evaluation of the competencies of this important provider group have received scant attention in the behavioral health field. This paper explores the educational needs and best practices of the consumers and families who carry much of the burden of caring for disabled populations, as well as the front-line staff, many of whom are employed in state psychiatric hospitals and community mental health or addiction treatment systems. Within the overall context of culturally competent behavioral health care, specific recommendations are proposed in an attempt to move the field forward.     

Improved investment in mental health services: value for money?

BACKGROUND: This paper examines what has been achieved in the specialist mental health services by the vastly increased health expenditures that the National Health Service (NHS) has enjoyed in the past 5 years. AIMS: To describe the way money has been spent in specialist mental health services and examine why problems remain after such admirable changes to already available resources. METHOD: Changes in staff employed by mental health services, where the extra staff are deployed, and patterns of expenditure within the whole service and within community mental health teams are examined. RESULTS: Some of the new expenditure has been well spent, and has produced improvements in the service. However, one must also take account of the costs of the greatly increased numbers of managers, who impose two sorts of costs: that of their own salaries, and the opportunity costs of front-line staff having to attend meetings and write reports rather than seeing patients. Throughout the rest of the NHS, money has been wasted on needless reorganisations, on consultant and general practitioner contracts, and on information technology that has so far failed to deliver tangible advantages. CONCLUSIONS: The emphasis on central control undermines local initiatives and wastes resources. Some central control is inevitable, but policies need to be developed in collaboration with clinicians. At local level, expenditure by primary care trusts and mental health trusts also needs to be scrutinised by committees that should include representatives of front-line mental health staff.     

The effect of challenging behaviour,and staff support,on the psychological wellbeing of staff working with older adults

This study aimed to investigate the relationship between levels of challenging behaviour in older adults living in residential settings, the degree of staff support and the psychological wellbeing of staff. Fifty-one staff working in mental health and 45 staff working in nursing home settings rated residents on the frequency of 25 challenging behaviours, and completed measures of staff support and psychological wellbeing. Staff in the mental health settings had a higher level of perceived staff support than those working in the nursing home settings. Psychological wellbeing in staff was found to be positively correlated to the degree of staff support perceived by staff, and not related to levels of resident challenging behaviour. The implications of these findings, including the need to adopt a more psychological framework to care provision in nursing home settings, are discussed.     

Community Workers’ Social Support and Sleep Quality during the Coronavirus Disease 2019 (COVID-19): A Moderated Mediation Model

To explore the relationship between social support and sleep quality of community workers in Wuhan during the coronavirus disease 2019 (the COVID-19 infection epidemic), this research constructed a mediating effect model to explore the mediating psychological mechanism of social support influencing sleep quality of front-line community workers. A total of 500 front-line community workers in Wuhan were investigated. We used the perceived social support scale (PSSS), the Connor-Davidson Resilience Scale (CD-RISC), the perceived stress scale (PSS), and the Pittsburgh sleep quality index (PSQI) to measure social support, psychological resilience, perceived stress and sleep quality. Specifically, the higher the PSQI, the worse the sleep quality. Pearson correlation structural equation model was used to analyze the relationship between these factors. The results showed that: (1) There was a significant negative correlation between social support, psychological resilience, and perceived stress of community workers and PSQI, that means, the higher the level of social support, psychological resilience, and perceived stress, the higher the sleep quality. (2) Social support positively predicted psychological resilience and perceived stress, and perceived stress negatively predicted PSQI. (3) Social support can affect sleep quality through the mediating role of psychological resilience and perceived stress, and the mediating role includes two paths: the single mediating role of perceived stress and the chain mediating role of psychological resilience-perceived stress. (4) Gender moderates the relationship between social support and perceived stress, and the influence of social support on perceived stress of women is higher than that of men. Gender moderates the relationship between psychological resilience and PSQI, and only women’s psychological resilience had a negatively predictive effect on PSQI, while men did not, which means that psychological resilience of female frontline community workers can positively predict sleep quality. This research reveals the relationship between social support and sleep quality and its mechanism and verifies that social support can indirectly affect physical health through psychological resilience and perceived stress. It provides reference suggestions and intervention guidance for improving the sleep quality of community workers.     

Mediating the relation between workplace stressors and distress in ID support staff: Comparison between the roles of psychological inflexibility and coping styles

The present study examined how different patterns of coping influence psychological distress for staff members in programs serving individuals with intellectual disabilities. With a series of path models, we examined the relative usefulness of constructs (i.e., wishful thinking and psychological inflexibility) from two distinct models of coping (i.e., the transactional model and the psychological flexibility models, respectively) as mediators to explain how workplace stressors lead to psychological distress in staff serving individuals with intellectual disabilities. Analyses involved self-report questionnaires from 128 staff members (84% female; 71% African American) from a large, state-funded residential program for individuals with intellectual and physical disabilities in the southern United States of America. Cross-sectional path models using bootstrapped standard errors and confidence intervals revealed both wishful thinking and psychological inflexibility mediated the relation between workplace stressors and psychological distress when they were included in separate models. However, when both variables were included in a multiple mediator model, only psychological inflexibility remained a significant mediator. The results suggest psychological inflexibility and the psychological flexibility model may be particularly useful for further investigation on the causes and amelioration of workplace-related stress in ID settings.