中国全科医学 ›› 2020, Vol. 23 ›› Issue (9): 1078-1082.DOI: 10.12114/j.issn.1007-9572.2020.00.261

所属专题: 新型冠状病毒肺炎最新文章合集

• 专题研究 • 上一篇    下一篇

临床一线医师面对新型冠状病毒肺炎疫情真实体验的质性研究

张瑜1,何苗2,李春华3*,许瑞家4   

  1. 518118广东省深圳市萨米医疗中心
    *通信作者:李春华,主治医师;E-mail:freeplum@126.com
  • 出版日期:2020-03-20 发布日期:2020-03-20

Experience of Frontline Clinicians Fighting against COVID-19:a Qualitative Study 

ZHANG Yu1,HE Miao2,LI Chunhua3*,XU Ruijia4   

  1. Shenzhen Samii Medical Center,Shenzhen 518118,China
    *Corresponding author:LI Chunhua,Attending physician;E-mail:freeplum@126.com
  • Published:2020-03-20 Online:2020-03-20

摘要: 背景 新型冠状病毒肺炎(COVID-19)具有潜伏期长、传染性强、人群普遍易感、缺乏特异性预防和治疗药物等特点,给社会带来了巨大恐慌,全国各地进入突发公共卫生事件一级响应,全国的医务人员尤其是临床一线医师,不仅要面对超负荷的工作压力,还要面临被感染的巨大风险,他们坚守职业岗位、抵御病毒、挽救患者,相关部门需要关注他们的心理体验,从而为后期的心理干预、应急预案的完善、公共卫生管理等提供依据。目的 了解临床一线医师面对COVID-19疫情的真实体验和感受,为采取相应的心理干预和疫情防控提供参考依据。方法 采用质性研究中的现象学研究法,对2020-02-01至2020-02-07全国部分省市各级医院直接接触疫情工作的15名临床一线医师进行深入访谈,运用Colaizzi 7步分析法对访谈资料进行分析、提炼主题。结果 临床一线医师在COVID-19疫情中的真实体验,主要提取6项主题:心理感受复杂多样(担心被感染、恐慌、气愤、无奈、自责)、临床经验不足、工作压力大、不被尊重和理解、以救死扶伤为己任、防护物资不足。结论 临床一线医师在COVID-19疫情中有担心被感染、恐慌等心理感受,还有工作压力大、不被尊重和理解等问题,医院管理部门需要关注临床一线医师在面对COVID-19疫情时的真实体验,在保障防护物资的基础上,提供心理指导和人文关怀,并加强一线医务人员专业知识和应急能力培训。

关键词: 新型冠状病毒, 新型冠状病毒肺炎, 临床一线医师, 疫情防控, 质性研究

Abstract: Background The COVID-19 is characterized by a long incubation period,high contagion and general susceptibility.Due to lack of specific preventive measures and targeted drugs,it brings great panic to the society.All regions across China launched first-level responses to this public health emergency.Medical workers in the county stick to their post to save patients,among them frontline clinicians fighting against COVID-19 have great pressure caused by excess workload with a high risk of infection,whose psychological status should be concerned and intervened by relevant departments.Moreover,the survey of their psychological status may also provide a basis for the improvement of emergency plan and public health management.Objective To investigate the experience and feelings of frontline clinicians fighting against COVID-19,providing a reference for the delivery of corresponding psychological intervention for this group and for epidemic control and prevention.Methods A qualitative study using in-depth individual interviews and a phenomenology method was implemented between February 1 and 7,2020.Participants were frontline clinicians fighting against COVID-19 from hospitals in some cities or provinces,China.The Colaizzi's method was adopted to analyze the interview results and extract themes.Results Six themes were extracted:complex and diverse feelings (fear of infection,panic caused by the epidemic,anger and helplessness induced by noncooperation of some patients and residents,and self-accusation caused by non-efficient life saving efforts ),insufficient clinical experience,high work pressure,being disrespected and misunderstood by some patients and residents,sense of responsibility and duty to heal the wounded and rescue the dying,and insufficient self-protective materials.Conclusion In view of the feelings(fear of infection,panic caused by the epidemic,great work pressure and being disrespected and misunderstood by some patients and residents,and so on) of frontline clinicians fighting against COVID-19,administrative departments of hospitals should provide them with appropriate psychological guidance,humanistic care and sufficient self-protection materials,as well as intensive education on professional knowledge and emergency management of this disease.

Key words: 2019-nCoV, COVID-19, Medical staff, Epidemic prevention and control, Qualitative research