在COVID-19的前线医疗保健工作者中进行远程危机干预和自杀风险管理
Rebeca Robles1, Sara Infante2, Miriam Feria2
1Global Mental Health Research Center, Ramón de la Fuente Muñiz National Institute of Psychiatry, Mexico City, Mexico.
Frontiers in psychology
|November 29, 2023
概括
远程基于证据的实践 (EBP) 在COVID-19期间有效地减少了墨西哥医疗保健工作者的情绪痛苦和自杀风险. 这项研究证明了在中等收入国家远程提供心理健康支持的可行性.
科学领域:
- 心理健康 心理健康
- 公共卫生 公共卫生
- 远程医疗远程医疗
背景情况:
- 对于低收入和中等收入国家弱势群体的远程基于证据的实践 (EBP) 的研究有限.
- 随着COVID-19的流行,人们越来越需要为医疗保健工作者 (HCW) 提供可访问的心理健康服务.
研究的目的:
- 描述和评估简要,远程,手动的EBP的实施和临床影响,用于危机干预和自杀风险管理.
- 评估这些干预措施在墨西哥COVID-19-HCWs中的有效性.
主要方法:
- 实施涉及社区参与,多学科团队,手工化和远程培训.
- 收集的数据包括COVID-19-HCWs的干预前后情绪困扰评级.
- 治疗师记录了诊断,严重程度,自杀风险,使用的技术和患者感知的改善.
主要成果:
- 使用了所有干预技术.
- 在干预前,65.9%的COVID-19-HCW患者有中度至重度疾病 (CGI-S).
- 干预后,79.4%的患者表现出显著改善 (CGI-I),情绪困扰的显著减少 (p < 0.001).
结论:
- 在中等收入国家,远程EBP实施是可行的,有利于减少COVID-19-HCWs的情绪困扰和自杀风险.
- 限制包括缺乏对照组和依赖治疗师评级以改善.
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