МЕДИЦИНА КАТАСТРОФ №4•2021

https://doi.org/10.33266/2070-1004-2021-4

Обзорная статья

Меры поддержки психического здоровья медицинских специалистов в условиях пандемии COVID-19: мировой и отечественный опыт

Плутницкий А.Н.,1,2, Родионова А.Д.2, Савченко Н.А.2

Скачать статью в формате pdf

1 ФГБУ «ГНЦ – Федеральный медицинский биофизический центр им. А.И.Бурназяна»  ФМБА России, Москва, Россия

2 Министерство здравоохранения Российской Федерации, Москва, Россия

УДК 614.23:616.89-008.454:578.834.1

С. 27–31

Резюме. Новая коронавирусная инфекция COVID-19 объявлена Всемирной организацией здравоохранения (ВОЗ) пандемией. Медицинские специалисты, играющие ведущую роль в борьбе с распространением опасного вируса, работают в условиях высокого продолжительного стресса. Существует острая необходимость в оказании психологами мер поддержки медицинским специалистам с целью поддержания и сохранения их психического здоровья.

Для определения состояния психического здоровья медицинских специалистов и оценки мирового и отечественного опыта по реализации мер по его поддержке проанализированы научные публикации за 2020 г., посвященные вопросу психического здоровья медицинских работников в условиях пандемии COVID-19.

Сделан вывод, что использование положительного отечественного и мирового опыта организации оказания психологической помощи и психологического сопровождения медицинских специалистов позволит сохранить их психическое здоровье в период пандемии.

Ключевые слова: депрессия, новая коронавирусная инфекция COVID-19, медицинские специалисты, меры поддержки, пандемия, психическое здоровье, психологи, стресс, тревога

Для цитирования: Плутницкий А.Н., Родионова А.Д., Савченко Н.А. Меры поддержки психического здоровья медицинских специалистов в условиях пандемии COVID-19: мировой и отечественный опыт // Медицина катастроф. 2021. №4. С. 27–31. https://doi.org/10.33266/2070-1004-2021-4-27-31

СПИСОК ИСТОЧНИКОВ

  1. Listings of WHO’s Response to COVID-19. URL: www.who.int/news/item/29-06-2020-covidtimeline.
  2. URL: www.arcgis.eom/apps/opsdashboard/index.html#/bda75 94740fd40299423467b48e9ecf6. Johns Hopkins University.
  3. URL: https://www.who.int/ru/news-room/events/detail/2020/06/30/default-calendar/1st-who-infodemiotogy-conference
  4. Xiaoming Xu, Wo Wang, Jianmei Chen, Ming Ai, Lei Shi, Lixia Wang, Su Hong, Qi Zhang, Hua Hu, Xuemei Li, Jun Cao, Zhen Lv, Lian Du, Jing Li, Handan Yang, Xiaoting He, Xiaorong Chen, Ran Chen, Qinghua Luo, Xinyu Zhou, Jian Tan, Jing Tu, Guanghua Jiang, Zhiqin Han, Li Kuang. Suicidal and Self-Harm Ideation among Chinese Hospital Staff during the COVID-19 Pandemic. Prevalence and Correlates. Psychiatry Research. 2021;296:113654. ISSN 0165-1781. doi.orq/10.1016/j.psychres.2020.113654.
  5. Официальный интернет-ресурс для информирования населения РФ по вопросам коронавируса (COVID-19).
  6. Atefeh Zandifar, Rahim Badrfam, Nami Mohammadian Khonsari, Marzieh Assareh, Hossein Karim, Mehdi Azimzadeh, Mohammad Noori Sepehr, Ramin Tajbakhsh, Fatemeh Rahimi, Nima Ghanipour, Arash Agoushi, Saeed Hassani Gelsefid, Fateme Etemadi, Mostafa Qorbani. COVID-19 and Medical Staff’s Mental Health in Educational Hospitals in Alborz Province. Iran. Psychiatry and Clinical Neurosciences. June 2020. doi:10.1111 /pcn.13098.
  7. Jing Huang, Fangkun Liu, Ziwei Teng, Jindong Chen, Jingping Zhao, Xiaoping Wang, Renrong Wu. Care for the Psychological Status of Frontline Medical Staff Fighting Against Coronavirus Disease 2019 (COVID-19). Clinical Infectious Diseases. 2020;71;12:3268-3269. doi.org/10.1093/cid/ciaa385.
  8. Huang L., Lei W., Xu F., Liu H., Yu L. Emotional Responses and Coping Strategies in Nurses and Nursing Students during Covid-19 Outbreak: a Comparative Study. PLoS ONE. 2020;15;8:e0237303. doi.org/10.1371/journal.pone.0237303.
  9. Greenberg N., Docherty M., Gnanapragasam S., Wessely S. Managing Mental Health Challenges Faced by Healthcare Workers during COVID-19 Pandemic. BMJ. 2020. doi.org/10.1136/bmj.m1211.
  10. Carrieri D., Briscoe S., Jackson M., et al. ‘Care Under Pressure’: a Realist Review of Interventions to Tackle Doctors’ Mental Ill-Health and its Impacts on the Clinical Workforce and Patient Care. BMJ Open. 2018;8:e021273. doi.org/10.1136/bmjop en-2017-021273.
  11. Xiang Y.T., Yang Y., Li W., Zhang L., Zhang Q., Cheung T., et al. Timely Mental Health Care for the 2019 Novel Coronavirus Outbreak is Urgently Needed. Lancet Psychiatry. 2020;7;3:228-229. doi.org/10.1016/S2215-0366(20)30046-8.
  12. Расторгуева Т.И., Карпова О.Б., Проклова Т.Н. Психологическое сопровождение деятельности медицинских работников // Бюллетень национального научно-исследовательского института общественного здоровья имени Н.А. Семашко. 2018. № 5. С. 85-98. doi:10.25742/NRIPH.2018.05.010
  13. Maciaszek J., Ciulkowicz M., Misiak B., Szczesniak D., Luc D., Wieczorek T., Fila-Witecka K., Gawlowski P., Rymaszewska J. Mental Health of Medical and Non-Medical Professionals during the Peak of the COVID-19 Pandemic. A Cross-Sectional Nationwide Study. J. Clin. Med. 2020;9:2527. doi.org/10.3390/jcm9082527.
  14. Zhang Y., Xie S., Wang P., Wang G., Zhang L., Cao X., Wu W., Bian Y., Huang F., Luo N., Luo M., Xiao Q. Factors Influencing Mental Health of Medical Workers During the COVID-19 Outbreak. Front. Public Health. 2020;8:491. doi: 10.3389/fpubh.2020.00491.
  15. Galehdar N., Kamran A., Toulabi T., et al. Exploring Nurses’ Experiences of Psychological Distress during Care of Patients with COVID-19. A Qualitative Study. BMC Psychiatry. 2020;20:489. doi.orq/10.1186/s12888-020-02898-1.
  16. Man M.A., Toma C., Motoc N.S., Necrelescu O.L., Bondor C.I., Chis A.F., Lesan A., Pop C.M., Todea D.A., Dantes E., Puiu R., Rajnoveanu R.-M. Disease Perception and Coping with Emotional Distress during COVID-19 Pandemic. A Survey Among Medical Staff. Int. J. Environ. Res. Public Health. 2020;17:4899. doi.org/10.3390/ijerph17134899.
  17. Васильева А.В., Караваева Т.А., Лукошкина Е.П. Диагностика и терапия посттравматического стрессового расстройства в клинике пограничных расстройств и соматической медицине // Диагностика и лечение психических и наркологических расстройств: современные подходы: Сборник методических рекомендаций. СПб., 2019. Т2. С. 300-323.
  18. Бойко О.М., Медведева Т.И., Ениколопов С.Н., Воронцова О.Ю., Казьмина О.Ю. Психологическое состояние людей в период пандемии COVID-19 и мишени психологической работы // Психологические исследования. 2020. Т.13, № 70. С. 1. https://psystudy.ru.
  19. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., et al. Mental Health Care for Medical Staff in China during the COVID-19 Outbreak. Lancet Psychiatry. 2020;7;4:e15-16.
  20. Kang L., Li Y., Hu S., Chen M., Yang C., Yang B.X., et al. The Mental Health of Medical Workers in Wuhan, China Dealing with the 2019 Novel Coronavirus. Lancet Psychiatry. 2020;7;3:e1.
  21. Koh D. Occupational Risks for COVID-19 Infection. Occup Med (Lond). 2020;70;1:3-5.
  22. Bell V., Wade D. Mental Health of Clinical Staff Working in High-Risk Epidemic and Pandemic Health Emergencies a Rapid Review of the Evidence and Living Meta-Analysis. Soc Psychiatry Psychiatr Epidemiol. 2021;56:1-11. dog.org/10.1007/s00127-020-01990-x
  23. Deemah A. AlAteeq, Sumayah Aljhani, Ibrahim Althiyabi, Safaa Majzoub. Mental Health among Healthcare Providers during Coronavirus Disease (COVID-19) Outbreak in Saudi Arabia. Journal of Infection and Public Health. 2020;13;10:1432-1437. ISSN 1876-0341. doi.org/10.1016/j.jiph.2020.08.013.
  24. Васильева А.В. Пандемия и адаптационные тревожные расстройства: возможности терапии // Журнал неврологии и психиатрии им. С.С.Корсакова. 2020. №120. С. 146-152. doi.org/10.17116/jnevro2020120051146.
  25. Min Luo, Lixia Guo, Mingzhou Yu, Wenying Jiang, Haiyan Wang. The Psychological and Mental Impact of Coronavirus Disease 2019 (COVID-19) on Medical Staff and General Public – a Systematic Review and Meta-Analysis. Psychiatry Research. 2020;291:113190. ISSN 0165-1781. doi.org/10.1016/j.psychres.2020.113190.
  26. Shaukat N., Ali D.M. & Razzak, J. Physical and Mental Health Impacts of COVID-19 on Healthcare Workers: a Scoping Review. Int J Emerg Med. 2020;13:40. doi.org/10.1186/s12245-020-00299-5.
  27. Sherry S. Chesak, Adam I. Perlman, Priscilla R. Gill, Anjali Bhagra. Strategies for Resiliency of Medical Staff during COVID-19. Mayo Clinic Proceedings. 2020;95;9:S56-S59. ISSN 0025-6196. doi.org/10.1016/j.mayocp.2020.07.002.
  28. Ripp Jonathan, Peccoralo Lauren, Charney Dennis. Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System During the COVID-19 Pandemic. Academic Medicine. August 2020;95;8:136-1139. doi.org/ 10.1097/ACM.0000000000003414.
  29. Медицинская реабилитация при новой коронавирусной инфекции (COVID-19): Временные методические рекомендации. Версия 2 (31.07.2020). https://static-0.minzdrav.qov.ru/system/attachments/attaches/000/051/187/origina1/31072020_Reab_COVID-19_v1.pdf.
  30. Vizheh M., Qorbani M., Arzaghi S.M., et al. The Mental Health of Healthcare Workers in the COVID-19 Pandemic. A Systematic Review. J Diabetes Metab Disord. 2020;19:1967-1978. doi.org/10.1007/s40200-020-00643-9.
  31. Ji D., Ji Y.-J., Duan X.-Z., Li W.-G., Sun Z.-Q., Song X.-A., et al. Prevalence of Psychological Symptoms among Ebola Survivors and Healthcare Workers during the 2014-2015. Ebola Outbreak in Sierra Leone. A Cross-Sectional Study. Oncotarget. 2017;8;8:12784-91.

Материал поступил в редакцию 16.04.21; статья принята после рецензирования 01.12.21; статья принята к публикации 13.12.21

 

 

 

DISASTER MEDICINE No. 4•2021

https://doi.org/10.33266/2070-1004-2021-4

Mental Health Support Measures for Medical Professionals in the Context of COVID-19 Pandemic: Global and Domestic Experience

Plutnitskiy A.N.1,2, Rodionova A.D.2, Savchenko N.A.2

Download the article in pdf format

1 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation

2 The Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation

UDC 614.23:616.89-008.454:578.834.1

Pp. 27-31

Abstract. A new coronavirus infection COVID-19 has been declared a pandemic by the World Health Organization (WHO). Medical professionals, who play the leading role in the fight against the spread of the dangerous virus, work under conditions of high and prolonged stress. There is an urgent need for psychologists to intervene and to develop support measures for medical professionals to maintain and to preserve their mental health.

In connection with the need to determine the state of mental health of medical professionals and to assess international and domestic experience in the implementation of measures to support it, the analysis of scientific publications for 2020, devoted to the issue of mental health of medical workers in the pandemic COVID-19 was conducted.

The conclusion is made that the organization of psychological help and psychological support as well as positive world experience of the realized measures of support will allow to keep mental health of medical professionals during the pandemic.

Keywords: anxiety, depression, medical professionals, mental health, new coronavirus infection COVID-19, pandemic, stress, support measures

For citation: Plutnitskiy A.N., Rodionova A.L., Savchenko N.A. Mental Health Support Measures for Medical Professionals in the Context of COVID-19 Pandemic: Global and Domestic Experience. Meditsina katastrof = Disaster Medicine. 2021;4:26-30 (In Russ.). https://doi.org/10.33266/2070-1004-2021-4-27-31


REFERENCES

  1. Listings of WHO’s Response to COVID-19. URL: www.who.int/news/item/29-06-2020-covidtimeline.
  2. URL: www.arcgis.eom/apps/opsdashboard/index.html#/bda75 94740fd40299423467b48e9ecf6. Johns Hopkins University.
  3. URL: https://www.who.int/ru/news-room/events/detail/2020/06/30/default-calendar/1st-who-infodemiotogy-conference
  4. Xiaoming Xu, Wo Wang, Jianmei Chen, Ming Ai, Lei Shi, Lixia Wang, Su Hong, Qi Zhang, Hua Hu, Xuemei Li, Jun Cao, Zhen Lv, Lian Du, Jing Li, Handan Yang, Xiaoting He, Xiaorong Chen, Ran Chen, Qinghua Luo, Xinyu Zhou, Jian Tan, Jing Tu, Guanghua Jiang, Zhiqin Han, Li Kuang. Suicidal and Self-Harm Ideation among Chinese Hospital Staff during the COVID-19 Pandemic. Prevalence and Correlates. Psychiatry Research. 2021;296:113654. ISSN 0165-1781. doi.orq/10.1016/j.psychres.2020.113654.
  5. Official Internet Resource for Informing the Population of the Russian Federation on Coronavirus Issues (COVID-19). [Стопкоронавирус.рф/information/ (In Russ.).
  6. Atefeh Zandifar, Rahim Badrfam, Nami Mohammadian Khonsari, Marzieh Assareh, Hossein Karim, Mehdi Azimzadeh, Mohammad Noori Sepehr, Ramin Tajbakhsh, Fatemeh Rahimi, Nima Ghanipour, Arash Agoushi, Saeed Hassani Gelsefid, Fateme Etemadi, Mostafa Qorbani. COVID-19 and Medical Staff’s Mental Health in Educational Hospitals in Alborz Province. Iran. Psychiatry and Clinical Neurosciences. June 2020. doi:10.1111 /pcn.13098.
  7. Jing Huang, Fangkun Liu, Ziwei Teng, Jindong Chen, Jingping Zhao, Xiaoping Wang, Renrong Wu. Care for the Psychological Status of Frontline Medical Staff Fighting Against Coronavirus Disease 2019 (COVID-19). Clinical Infectious Diseases. 2020;71;12:3268-3269. doi.org/10.1093/cid/ciaa385.
  8. Huang L., Lei W., Xu F., Liu H., Yu L. Emotional Responses and Coping Strategies in Nurses and Nursing Students during Covid-19 Outbreak: a Comparative Study. PLoS ONE. 2020;15;8:e0237303. doi.org/10.1371/journal.pone.0237303.
  9. Greenberg N., Docherty M., Gnanapragasam S., Wessely S. Managing Mental Health Challenges Faced by Healthcare Workers during COVID-19 Pandemic. BMJ. 2020. doi.org/10.1136/bmj.m1211.
  10. Carrieri D., Briscoe S., Jackson M., et al. ‘Care Under Pressure’: a Realist Review of Interventions to Tackle Doctors’ Mental Ill-Health and its Impacts on the Clinical Workforce and Patient Care. BMJ Open. 2018;8:e021273. doi.org/10.1136/bmjop en-2017-021273.
  11. Xiang Y.T., Yang Y., Li W., Zhang L., Zhang Q., Cheung T., et al. Timely Mental Health Care for the 2019 Novel Coronavirus Outbreak is Urgently Needed. Lancet Psychiatry. 2020;7;3:228-229. doi.org/10.1016/S2215-0366(20)30046-8.
  12. Rastorgueva T.I., Karpova O.B., Proklova T.N. Psychological Support for the Activities of Medical Workers. Byulleten’ Natsional’nogo Nauchno-Issledovatel’skogo Instituta Obshсhestvennogo Zdorovya imeni N.А. Semashko. 2018;5:85-98. DOI: 10.25742/NRIPH.2018.05.010 (In Russ.).
  13. Maciaszek J., Ciulkowicz M., Misiak B., Szczesniak D., Luc D., Wieczorek T., Fila-Witecka K., Gawlowski P., Rymaszewska J. Mental Health of Medical and Non-Medical Professionals during the Peak of the COVID-19 Pandemic. A Cross-Sectional Nationwide Study. J. Clin. Med. 2020;9:2527. doi.org/10.3390/jcm9082527.
  14. Zhang Y., Xie S., Wang P., Wang G., Zhang L., Cao X., Wu W., Bian Y., Huang F., Luo N., Luo M., Xiao Q. Factors Influencing Mental Health of Medical Workers During the COVID-19 Outbreak. Front. Public Health. 2020;8:491. doi: 10.3389/fpubh.2020.00491.
  15. Galehdar N., Kamran A., Toulabi T., et al. Exploring Nurses’ Experiences of Psychological Distress during Care of Patients with COVID-19. A Qualitative Study. BMC Psychiatry. 2020;20:489. doi.orq/10.1186/s12888-020-02898-1.
  16. Man M.A., Toma C., Motoc N.S., Necrelescu O.L., Bondor C.I., Chis A.F., Lesan A., Pop C.M., Todea D.A., Dantes E., Puiu R., Rajnoveanu R.-M. Disease Perception and Coping with Emotional Distress during COVID-19 Pandemic. A Survey Among Medical Staff. Int. J. Environ. Res. Public Health. 2020;17:4899. doi.org/10.3390/ijerph17134899.
  17. Vasil’eva A.V., Karavaeva T.A., Lukoshkina E.P. Diagnosis and Therapy of PTSD in Borderline Disorder Clinic and Somatic Medicine. Diagnostics and Treatment of Mental and Drug Addiction Disorders: Modern Approaches = Diagnostika i Lechenie Psikhicheskikh i Narkologicheskikh Rasstroystv. Sovremennye Podkhody. Collection of guidelines. St. Petersburg Publ., 2019. V.2. P. 300-323 (In Russ.).
  18. Boyko O.M., Medvedeva T.I., Enikolopov S.N., Vorontsova O.Yu., Kaz’mina O.Yu. The Psychological State of People during the COVID-19 Pandemic and the Targets of Psychological Work. Psikhologicheskie Issledovaniya. 2020. V. 13. No.70. P. 1. https://psystudy.ru (In Russ).
  19. Chen Q., Liang M., Li Y., Guo J., Fei D., Wang L., et al. Mental Health Care for Medical Staff in China during the COVID-19 Outbreak. Lancet Psychiatry. 2020;7;4:e15-16.
  20. Kang L., Li Y., Hu S., Chen M., Yang C., Yang B.X., et al. The Mental Health of Medical Workers in Wuhan, China Dealing with the 2019 Novel Coronavirus. Lancet Psychiatry. 2020;7;3:e1.
  21. Koh D. Occupational Risks for COVID-19 Infection. Occup Med (Lond). 2020;70;1:3-5.
  22. Bell V., Wade D. Mental Health of Clinical Staff Working in High-Risk Epidemic and Pandemic Health Emergencies a Rapid Review of the Evidence and Living Meta-Analysis. Soc Psychiatry Psychiatr Epidemiol. 2021;56:1-11. dog.org/10.1007/s00127-020-01990-x
  23. Deemah A. AlAteeq, Sumayah Aljhani, Ibrahim Althiyabi, Safaa Majzoub. Mental Health among Healthcare Providers during Coronavirus Disease (COVID-19) Outbreak in Saudi Arabia. Journal of Infection and Public Health. 2020;13;10:1432-1437. ISSN 1876-0341. doi.org/10.1016/j.jiph.2020.08.013.
  24. Vasil’eva A.V. Pandemic and Adaptive Anxiety Disorders: Treatment Options. Zhurnal Nevrologii i Psikhiatrii im. S.S.Korsakova. 2020. V. 120. No. 5. P. 146-152. doi.org/10.17116/jnevro2020120051146 (In Russ.).
  25. Min Luo, Lixia Guo, Mingzhou Yu, Wenying Jiang, Haiyan Wang. The Psychological and Mental Impact of Coronavirus Disease 2019 (COVID-19) on Medical Staff and General Public – a Systematic Review and Meta-Analysis. Psychiatry Research. 2020;291:113190. ISSN 0165-1781. doi.org/10.1016/j.psychres.2020.113190.
  26. Shaukat N., Ali D.M. & Razzak, J. Physical and Mental Health Impacts of COVID-19 on Healthcare Workers: a Scoping Review. Int J Emerg Med. 2020;13:40. doi.org/10.1186/s12245-020-00299-5.
  27. Sherry S. Chesak, Adam I. Perlman, Priscilla R. Gill, Anjali Bhagra. Strategies for Resiliency of Medical Staff during COVID-19. Mayo Clinic Proceedings. 2020;95;9:S56-S59. ISSN 0025-6196. doi.org/10.1016/j.mayocp.2020.07.002.
  28. Ripp Jonathan, Peccoralo Lauren, Charney Dennis. Attending to the Emotional Well-Being of the Health Care Workforce in a New York City Health System During the COVID-19 Pandemic. Academic Medicine. August 2020;95;8:136-1139. doi.org/ 10.1097/ACM.0000000000003414.
  29. Medical Rehabilitation for New Coronavirus Infection COVID-19: Temporary guidelines. Version 2 (31.07.2020). https://static-0.minzdrav.qov.ru/system/attachments/attaches/000/051/187/origina1/31072020_Reab_COVID-19_v1.pdf] (In Russ.).
  30. Vizheh M., Qorbani M., Arzaghi S.M., et al. The Mental Health of Healthcare Workers in the COVID-19 Pandemic. A Systematic Review. J Diabetes Metab Disord. 2020;19:1967-1978. doi.org/10.1007/s40200-020-00643-9.
  31. Ji D., Ji Y.-J., Duan X.-Z., Li W.-G., Sun Z.-Q., Song X.-A., et al. Prevalence of Psychological Symptoms among Ebola Survivors and Healthcare Workers during the 2014-2015. Ebola Outbreak in Sierra Leone. A Cross-Sectional Study. Oncotarget. 2017;8;8:12784-91.

The material was received 16.04.21; the article after peer review procedure 01.12.21; the Editorial Board accepted the article for publication 13.12.21
Copyright © 2024 Журнал «Медицина катастроф» | Powered by Журнал «Медицина катастроф»