切换至 "中华医学电子期刊资源库"

中华临床医师杂志(电子版) ›› 2021, Vol. 15 ›› Issue (11) : 824 -827. doi: 10.3877/cma.j.issn.1674-0785.2021.11.005

专题笔谈

新型冠状病毒肺炎疫情后医务工作者创伤后应激障碍探讨
席金川1, 牛文博1, 王飞飞1, 刘友强1, 李保坤1, 王贵英2,()   
  1. 1. 050000 石家庄,河北医科大学第四医院外二科
    2. 050000 石家庄,河北医科大学第四医院外二科;050051 石家庄,河北医科大学第三医院外科
  • 收稿日期:2021-07-21 出版日期:2021-11-15
  • 通信作者: 王贵英

Post-traumatic stress disorder of medical workers after COVID-19

Jinchuan Xi1, Wenbo Niu1, Feifei Wang1, Youqiang Liu1, Baokun Li1, Guiying Wang2,()   

  1. 1. The Second Department of General Surgery, the Fourth Hospital, Hebei Medical University, Shijiazhuang 050000, China
    2. The Second Department of General Surgery, the Fourth Hospital, Hebei Medical University, Shijiazhuang 050000, China; Department of Surgery, the Third Hospital, Hebei Medical University, Shijiazhuang 050051, China
  • Received:2021-07-21 Published:2021-11-15
  • Corresponding author: Guiying Wang
引用本文:

席金川, 牛文博, 王飞飞, 刘友强, 李保坤, 王贵英. 新型冠状病毒肺炎疫情后医务工作者创伤后应激障碍探讨[J]. 中华临床医师杂志(电子版), 2021, 15(11): 824-827.

Jinchuan Xi, Wenbo Niu, Feifei Wang, Youqiang Liu, Baokun Li, Guiying Wang. Post-traumatic stress disorder of medical workers after COVID-19[J]. Chinese Journal of Clinicians(Electronic Edition), 2021, 15(11): 824-827.

创伤后应激障碍(PTSD)是人在遭受重大压力或创伤后出现的一种心理失调现象。新型冠状病毒肺炎(COVID-19)疫情在全球迅速蔓延,对各行各业造成了巨大影响。医务工作者作为该次“战役”的冲锋者,其本身也必然遭受重大影响,特别是部分被病毒感染的医务工作者。随着疫情防控进入常态化,在积极组织疫情防控的情况下,也需要更加关注医务工作者的心理健康状态,对已经出现或者可能出现PTSD的群体做好提前干预。

Post-traumatic stress disorder (PTSD) is a psychological problem that occurs after severe stress or trauma. The COVID-19 epidemic spreads rapidly around the world, causing a great impact on everybody. Healthcare workers, as the pacesetters of this "battle", are bound to suffer a great impact themselves, especially some of the medical staff who have been infected by the virus. As epidemic control becomes more normal, more attention should be paid to the mental health of healthcare workers. Early intervention is necessary for those who have or are at risk of developing PTSD.

1
孙燕, 徐勇, 张克让, 等. "非典"患者创伤后应激障碍追踪研究 [J]. 中国健康教育, 2005, 21(8): 572-575
2
Mahase E. COVID-19: many ICU staff in England report symptoms of PTSD, severe depression, or anxiety, study reports [J]. BMJ, 2021, 372: n108.
3
Hong N, Du XK. Avascular necrosis of bone in severe acuterespiratory syndrome [J]. Clin Radiol, 2004, 59(7): 602-608.
4
Griffith JF, Antonio GE, Kumta SM. Osteonecrosis of hip and knee inpatients with severe acute respiratory syndrome treated with steriods [J]. Radiology, 2005, 235(1): 168–175.
5
Chiu PKY, Chiu KH, Griffith JF, et al. Post-SARS avascularnecrosis. Challenges of severeacute respiratory syndrome [M]. Hong Kong: Elsevier (Singapore) PteLtd., 2006: 590.
6
袁彬, 刘钰. SARS患者的心理问题及护理措施 [J]. 中华护理杂志, 2003, 38(6): 418-419.
7
徐勇, 张克让, 薛云珍, 等. SARS一线医务人员创伤后应激反应研究 [J]. 护理研究, 2004, 18(2): 179-181.
8
Maunder R.The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto: lessons learned [J]. Philos Trans R Soc Lond B Biol Sci, 2004, 359(1447): 1117-1125.
9
Carmassi C, Foghi C, Dell'Oste V, et al. PTSD symptoms in healthcare workers facing the three coronavirus outbreaks: what can we expect after the COVID-19 pandemic [J]. Psychiatry Res, 2020, 292: 113312.
10
Li X, Li S, Xiang M, et al. The prevalence and risk factors of PTSD symptoms among medical assistance workers during the COVID-19 pandemic [J]. J Psychosom Res, 2020, 139: 110270.
11
Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019 [J]. JAMA Netw Open, 2020, 3(3): e203976.
12
Wang YX, Guo HT, Du XW, et al. Factors associated with post-traumatic stress disorder of nurses exposed to corona virus disease 2019 in China [J]. Medicine (Baltimore), 2020, 99(26): e20965.
13
Gainer DM, Nahhas RW, Bhatt NV, et al. Association between proportion of workday treating COVID-19 and depression, anxiety, and PTSD outcomes in U.S. physicians [J]. J Occup Environ Med, 2021, 63(2): 89-97.
14
Blekas A, Voitsidis P, Athanasiadou M, et al. COVID-19: PTSD symptoms in Greek health care professionals [J]. Psychol Trauma, 2020, 12(7): 812-819.
15
Greenberg N, Weston D, Hall C, et al. Mental health of staff working in intensive care during COVID-19 [J]. Occup Med (Lond), 2021, 71(2): 62-67.
16
Di Tella M, Romeo A, Benfante A, et al. Mental health of healthcare workers during the COVID-19 pandemic in Italy [J]. J Eval Clin Pract, 2020, 26(6): 1583-1587.
17
刘欢, 周娟, 施琪嘉. 5·12汶川地震后一年半医务人员创伤后应激障碍影响因素研究和症状分析 [J]. 神经损伤与功能重建, 2010, 5(4): 277-281, 300.
18
Song X, Fu W, Liu X, et al. Mental health status of medical staff in emergency departments during the Coronavirus disease 2019 epidemic in China [J]. Brain Behav Immun, 2020, 88: 60-65
19
Luceo-Moreno L, Talavera-Velasco B, García-Albuerne Y, et al. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic [J]. Int J Environ Res Public Health, 2020, 17(15): 5514.
[1] 武玺宁, 欧阳云淑, 孟华, 姜玉新, 张一休, 戴晴, 徐钟慧, 李建初. 新型冠状病毒肺炎疫情防控期间北京协和医院产科超声工作量的同比及环比分析[J]. 中华医学超声杂志(电子版), 2022, 19(09): 990-993.
[2] 李逸群, 王娜, 莫红楠, 兰波, 王佳妮, 温霆宇, 马飞. 早期乳腺癌患者新型冠状病毒肺炎疫苗接种情况及影响因素调查[J]. 中华乳腺病杂志(电子版), 2023, 17(01): 30-35.
[3] 李振华, 解宝江, 易为, 李丽, 卫雅娴, 周明书, 伊诺. 82例孕产妇对新型冠状病毒肺炎疫情防控认知的心理干预及常态化疫情防控应对要点[J]. 中华实验和临床感染病杂志(电子版), 2023, 17(03): 173-179.
[4] 陈彩玲, 吉金峰, 王玉红, 徐静, 朱湘安, 李伟, 郝喜燕, 李爱琴. 新冠肺炎疫情防控期间急诊腹部多发伤一体化救治管理及对策[J]. 中华普外科手术学杂志(电子版), 2022, 16(05): 560-563.
[5] 刘扬, 左兴华, 陈志航. 新型冠状病毒肺炎疫情常态化下医院人员管理挑战及对策[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(05): 611-614.
[6] 张彬霞, 王宁, 李端芳, 刘勇, 陈珍珍. 新型冠状病毒肺炎患者分级评估及康复治疗研究进展[J]. 中华肺部疾病杂志(电子版), 2022, 15(06): 912-915.
[7] 栾恒钰, 赛晓勇. 创伤后应激障碍的治疗现状及研究进展[J]. 中华神经创伤外科电子杂志, 2023, 09(02): 112-118.
[8] 李雪珠, 谢剑锋, 李晓青, 夏泽燕, 鲁玲, 顾晓霞, 马绍磊, 黄英姿. 循环式筛查与五色区域分类模式在方舱医院管理中的应用[J]. 中华重症医学电子杂志, 2023, 09(03): 316-320.
[9] 刘玲, 赵慧颖, 李绪言, 程渊, 罗巧侠, 俞云, 杨毅, 邱海波. 新型冠状病毒肺炎患者自主呼吸努力的床旁监测方法[J]. 中华重症医学电子杂志, 2022, 08(04): 367-370.
[10] 刘玲, 李绪言, 徐永昊, 赵慧颖, 罗巧侠, 欧晓峰, 宋雷, 程渊, 周娟, 曾以萍, 刘爱华, 边巴穷达, 张烁, 吕杰, 王玺, 鲁燕云, 陈佰绪, 达珍, 俞云, 邵佳, 中华医学会重症医学分会重症呼吸学组, 西藏医学会高原医学暨心血管专业委员会, 中国医师协会重症医学医师分会. 高原地区新型冠状病毒肺炎重症患者(重型/危重型)诊疗专家共识[J]. 中华重症医学电子杂志, 2022, 08(04): 340-346.
[11] 黄文鹏, 刘杰, 李莉明, 侯佳蒙, 高剑波. 双源双能量CT成像在新型冠状病毒肺炎中的应用价值[J]. 中华消化病与影像杂志(电子版), 2022, 12(04): 198-203.
[12] 刘广杰, 王光林, 樊少青, 王贵英. 局部新型冠状病毒感染疫情下肿瘤患者负性情绪和行为的诱因及应对措施[J]. 中华临床医师杂志(电子版), 2023, 17(01): 93-96.
[13] 蔡晓雯, 丘婕, 李慧景, 杨翼帆, 陈秀梅. 基于心身整体护理系统的心理干预对肝癌患者心理健康的影响[J]. 中华介入放射学电子杂志, 2023, 11(04): 368-371.
[14] 刘敏, 彭才静, 王金能. 重庆市新型冠状病毒肺炎疫情前后儿童支气管肺炎痰培养结果分析[J]. 中华诊断学电子杂志, 2023, 11(02): 97-103.
[15] 耿文奇, 曹锦亚, 段艳平, 魏镜, 蒋静, 赵晓晖. 新型冠状病毒肺炎疫情早期对北京协和医院发热门诊医务人员心理支持特点分析[J]. 中华卫生应急电子杂志, 2022, 08(05): 293-299.
阅读次数
全文


摘要