新型冠状病毒肺炎疫情防控期间北京协和医院首批发热门诊医务人员基本需求的定性研究

目的 探讨新型冠状病毒肺炎疫情期间发热门诊医务人员的基本需求,为全球抗疫医疗队提供借鉴.方法 设计半结构式定性访谈提纲,包括:(1)工作层面:发热门诊工作时间、工作强度和安全保障;(2)生活层面:饮食、睡眠和身体舒适度;(3)心理层面:情绪、压力、应对方式和人际资源等开放式问题.采取整群抽样方法对北京协和医院首批发热门...

Basic Needs of the First Batch of Medical Staff in the Fever Clinic of Peking Union Medical College Hospital during Coronavirus Disease 2019 Outbreak: A Qualitative Study

  Objective  The objective of this study was to investigate the basic needs of medical staff during the coronavirus disease 2019 pandemic in a fever clinic, so as to provide a reference for the global epidemic medical teams.  Methods  A semi-structured qualitative interview outline was designed, including: (1) work level: working hours, working intensity, and safety guarantee in a fever clinic; (2)life level: diet, sleep, and physical comfort; (3)psychological level: emotion, pressure, coping style, and interpersonal resources. The basic needs of the first batch of the fever clinic in Peking Union Medical College Hospital was studied by open telephone interviews.  Results  A total of 37 medical staff were interviewed, including 8 males (21.6%) and 29 females (78.4%). Among them, there were 16 doctors (43.2%), 19 nurses (51.4%), and 2 medical technicians (5.4%). In terms of work settings, the ideal continuous working time was 4-6 hours per shift. There should be pro re nata positions during extremely high workload, and sufficient personal protective equipment was the key to safety. In terms of living conditions, providing meals according to different shifts was important for dietary needs, and sleeping pills were temporarily needed for sleep. In terms of psychological reactions, nervousness and worrying were relatively common. Family and colleagues were important resources of support. Sport could help relieve physical and psychological stress, and psychological support from psychologists was helpful in reducing their negative emotions.  Conclusions  The basic needs of medical staff should be respected so as to keep the efficacy of their work. We suggest that medical staff can rest after each 4-6 h working shift. Personal protective equipment should be sufficient. Psychological support should be noted in all of them and provided when necessary.