BACKGROUND & AIMS:
:COVID-19 research from China suggests health care workers are at risk of distress, have specific concerns, and need support. It remains unknown whether findings are applicable to UK health care staff and whether psychological support based on generic approaches is effective. We administered an online survey at a leading neuroscience hospital in the UK to examine how individual staff characteristics contribute to distress, concerns, and interventions most valued during the COVID-19 pandemic. We found a high incidence of distress, particularly in females and staff with previous mental health history. Concerns fell into three factors: 'risk of infection', 'work challenges', and 'social change', and were affected by professional role and contact with COVID-19 patients. These three factors predicted distress. Psychological support and clear updates were deemed most useful, with specific needs affected by age, professional role, and contact with COVID-19 patients. This is the first documentation of a high incidence of psychological distress predicted by three types of concerns in health care workers of a neuroscience hospital. Distress, concerns, and interventions most valued were all affected by individual staff characteristics. These findings highlight the importance of providing stratified, one to one support interventions, tailored to professional group, and background, rather than more generic approaches. PRACTITIONER POINTS: The COVID-19 pandemic has resulted in a high incidence of psychological distress in UK health care staff. Distress, concerns, and interventions most valued are influenced by individual staff characteristics. Stratified, one-to-one support interventions, tailored to professional group, and background, rather than more generic approaches for stress reduction and resilience, are crucial.
背景与目标:
:来自中国的COVID-19研究表明,医护人员有患病的风险,有特定的担忧并需要支持。研究结果是否适用于英国医护人员以及基于通用方法的心理支持是否有效仍然未知。我们在英国一家领先的神经科学医院进行了一项在线调查,以调查员工个人特征如何导致在COVID-19大流行期间最有价值的困扰,担忧和干预措施。我们发现困扰的发生率很高,尤其是在具有先前精神健康史的女性和员工中。关注分为三个因素:“感染风险”,“工作挑战”和“社会变化”,并且受到专业角色和与COVID-19患者接触的影响。这三个因素预示了困扰。心理支持和明确的更新被认为是最有用的,特定的需求会受到年龄,专业角色以及与COVID-19患者的接触的影响。这是神经科学医院医护人员对三种类型的担忧所预测的心理困扰高发的第一份文献。最受重视的困扰,担忧和干预措施均受员工个人特征的影响。这些发现强调了提供分层的一对一支持干预措施的重要性,这些干预措施是针对专业团体和背景量身定制的,而不是更通用的方法。医师要点:COVID-19大流行导致英国医护人员心理困扰的发生率很高。最有价值的困扰,担忧和干预措施受员工个人特征的影响。至关重要的是,针对专业团队和背景量身定制的分层,一对一的支持干预措施至关重要,而不是采用更为通用的方法来降低压力和抵御能力。