在医疗危机期间,手术室工作人员的自我治疗:一种混合方法的研究,研究了患病率,预测因素和生活经验
Farzad Abaszadeh1,2, Mobin Mottahedi3, Shahpar Bagheri4
1Student Research Committee, Faculty of Allied Medicine, Kerman University of Medical Sciences, Kerman, Iran.
BMC health services research
|December 3, 2025
概括
在手术室 (OR) 工作人员中,由于压力和工作场所压力,自我治疗是很常见的. 解决这些因素对于医疗保健工作者福祉和患者安全至关重要.
科学领域:
- 医疗保健工作者的福祉
- 患者的安全性 患者安全性
- 手术环境中的职业健康.
背景情况:
- 医疗保健专业人员的自我治疗对个人和患者构成重大风险.
- 手术室 (OR) 工作人员面临着独特的压力因素,包括高急性护理和苛刻的日程安排,增加了对自我治疗的脆弱性.
- 有限的研究存在于OR劳动力内部的自我治疗实践.
研究的目的:
- 调查手术室 (OR) 工作人员中自我治疗的流行率和决定因素.
- 探索影响该人口自我治疗行为的心理和工作场所因素.
- 了解自我治疗对医疗保健提供者和患者安全在COVID-19流行病等危机期间的影响.
主要方法:
- 进行了一项解释性的顺序混合方法研究.
- 定量阶段:400名OR人员填写了一份关于自我治疗行为和相关因素的验证问卷.
- 定性阶段:20个半结构面试进行并进行主题分析,随后进行数据整合.
主要成果:
- 在OR工作人员中观察到65%的自我治疗率.
- 心理压力 (β=0.35) 和工作场所压力 (β=0.30) 是自我治疗的最强预测因素.
- 定性发现揭示了心理压力,自我治疗作为应对机制,工作场所压力和情绪后果的主题,形成一个强化循环的压力和系统障碍.
结论:
- 在危机期间,在OR人员中,自我治疗很普遍,受心理和系统因素的影响.
- 干预措施必须针对工作场所的直接压力因素和医疗保健系统内的系统性障碍.
- 保护医疗保健提供者和确保患者安全需要采取双重方法,解决个人和系统问题.
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