A psychological health support scheme for medical teams in COVID-19 outbreak and its effectiveness

被引：25
作者：
Cheng, Wenhong [1 ]
Zhang, Fang [2 ]
Liu, Zhen [3 ]
Zhang, Hao [2 ]
Lyu, Yifan [2 ]
Xu, Hao [4 ]
Hua, Yingqi [5 ]
Gu, Jiarong [6 ]
Yang, Zhi [7 ,8 ]
Liu, Jun [9 ]
机构：
[1] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Shanghai Mental Hlth Ctr, Sch Med,Dept Psychiat, Shanghai, Peoples R China
[2] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Psychiat, Shanghai, Peoples R China
[3] Shanghai Jiao Tong Univ, Sch Med, Shanghai Mental Hlth Ctr, Dept Psychiat, Shanghai, Peoples R China
[4] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Cardiol, Shanghai, Peoples R China
[5] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Sci Res Adm, Shanghai, Peoples R China
[6] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Adm, Shanghai, Peoples R China
[7] Shanghai Jiao Tong Univ, Shanghai Mental Hlth Ctr, Sch Med, Lab Psychol Hlth & Imaging, Shanghai, Peoples R China
[8] Shanghai Jiao Tong Univ, Inst Psychol & Behav Sci, Shanghai, Peoples R China
[9] Shanghai Jiao Tong Univ, Shanghai Gen Hosp, Sch Med, Dept Nephrol, Shanghai, Peoples R China
来源：
GENERAL PSYCHIATRY | 2020年 / 33卷 / 05期
基金：
中国国家自然科学基金;
关键词：
global burden of disease; psychology; medical; crisis intervention; SPONTANEOUS SELF-AFFIRMATION; JOB-SATISFACTION; TURNOVER INTENTION; WORK ENGAGEMENT; CARE; BURNOUT; STRESS; CHINA; EFFICACY; NURSES;
D O I：
10.1136/gpsych-2020-100288
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Background Medical staff fighting the COVID-19 pandemic are experiencing stress from high occupational risk, panic in the community and the extreme workload. Maintaining the psychological health of a medical team is essential for efficient functioning, but psychological intervention models for emergency medical teams are rare. Aims To design a systematic, full-coverage psychological health support scheme for medical teams serving large-scale emergent situations, and demonstrate its effectiveness in a real-world study in Leishenshan Hospital during the COVID-19 epidemic in Wuhan, China. Methods The scheme integrates onsite and online mental health resources and features team-based psychosocial support and evidence-based interventions. It contained five modules, including a daily measurement of mood, a daily mood broadcast that promotes positive affirmation, a daily online peer-group activity with themes based on the challenges reported by the team, Balint groups and an after-work support team. The daily mood measurement provides information to the other modules. The scheme also respects the special psychological characteristics of medical staff by promoting their strengths. Results The scheme economically supported a special medical team of 156 members with only one onsite psychiatrist. Our data reflected that the entire medical team maintained an overall positive outlook (7-9 out of 10 in a Daily Mood Index, DMI) for nearly 6 weeks of continuous working. Since the scheme promoted self-strengths and positive self-affirmation, the number of self-reports of life-related gains were high and played a significant effect on the DMI. Our follow-up investigations also revealed that multiple modules of the scheme received high attention and evaluation levels. Conclusion Our quantitative data from Leishenshan hospital, Wuhan, China, show that the programme is adequate to support the continuous high workload of medical teams. This scheme could be applied to medical teams dealing with emergent situations.
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页数：9
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