心理卫生工作者参与新冠肺炎疫情现场心理危机干预意愿的质性研究

The assistance willingness of mental health workers in COVID-19 epidemic:a qualitative research

目的探讨心理卫生工作者参与新冠肺炎疫情现场心理危机干预的意愿,了解其真实感受,提高心理卫生工作者进行疫情心理干预的积极性。方法运用质性研究中现象学分析法,根据半结构式访谈提纲对绵阳市某三级甲等医院的10名心理卫生工作者进行面对面的深度访谈,运用Colaizzi分析法对资料进行整理分析。结果心理卫生工作者参与新冠肺炎疫情现场心理危机干预意愿的主题包括愿意参加危机干预的因素和阻碍参加危机干预的因素。愿意参加疫情心理危机干预的因素可归纳为:具备自我心理调节能力和对他人进行心理干预的专业能力、心理危机干预是专业职责、希望有亲身经历现场危机干预的经验;阻碍因素包括缺少疫情相关的知识和能力、家庭原因及心理恐惧。结论心理卫生工作者参加疫情心理危机干预意愿较高,但需要有针对性地开展疫情防治知识及技能培训、心理督导及建立保障体系。

Objective To explore the willingness of mental health workers to participate in the on-site psychological crisis intervention and analyze their real feelings in COVID-19 epidemic,so as to improve their enthusiasm towards epidemic psychological intervention.Methods Based on semi-structured interview outline,the phenomenological analysis method in qualitative research using face-to-face in-depth interview was carried out involving 10 mental health workers in a third class hospital in Mianyang City,then Colaizzi analysis was used to collate and analyze the data.Results The subjects of mental health workers'willingness to participate in the psychological intervention included the related factors of willingness drivers and willingness barriers.Factors of willingness drivers included ability of self-psychological adjustment,the ability of professional intervention,sense of professional responsibility,and desire for crisis on-site intervention experience.Factors of willingness barriers included a lack of knowledge and capacity related to COVID-19,family reasons and psychological fears.Conclusion Mental health workers have high willingness to participate in epidemic psychological crisis intervention,however,it is also necessary to carry out targeted training of epidemic prevention and control,implement psychological supervision and establish a security system for the workers.