دورية أكاديمية
Physicians' Distress Related to Moral Issues and Mental Health In-Between Two Late Waves of COVID-19 Contagions.
العنوان: | Physicians' Distress Related to Moral Issues and Mental Health In-Between Two Late Waves of COVID-19 Contagions. |
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المؤلفون: | Cooper-Bribiesca D; Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico.; Departamento de Psiquiatría, Hospital de Especialidades del Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Rascón-Martínez DM; Departamento de Anestesiología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Miguel-Puga JA; Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Juárez-Carreón MK; Departamento de Psiquiatría, Hospital de Especialidades del Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Sánchez-Hurtado LA; Departamento de Terapia Intensiva, Hospital de Especialidades del Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Colin-Martinez T; Departamento de Admisión Continua, Hospital de Especialidades del Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Anda-Garay JC; Departamento de Medicina Interna, Hospital de Especialidades del Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Espinosa-Poblano E; Departamento de Inhaloterapia y Neumología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI del Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico., Jáuregui-Renaud K; Unidad de Investigación Médica en Otoneurología, Instituto Mexicano del Seguro Social, Ciudad de México 06720, Mexico. |
المصدر: | International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Feb 23; Vol. 20 (5). Date of Electronic Publication: 2023 Feb 23. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: Basel : MDPI, c2004- |
مواضيع طبية MeSH: | COVID-19* , Physicians*, Humans ; Mental Health ; Morals ; Burnout, Psychological |
مستخلص: | In addition to the sanitary constrains implemented due to the pandemic, frontline physicians have faced increased workloads with insufficient resources, and the responsibility to make extraordinary clinical decisions. In 108 physicians who were at the forefront of care of patients with COVID-19 during the first two years of the pandemic, mental health, moral distress, and moral injury were assessed twice, in between two late waves of COVID-19 contagions, according to their adverse psychological reactions, in-hospital experience, sick leave due to COVID-19, quality of sleep, moral sensitivity, clinical empathy, resilience, and sense of coherence. Three months after the wave of contagions, the adverse emotional reactions and moral distress decreased, while moral injury persisted. Moral distress was related to clinical empathy, with influence from burnout and sick leave due to COVID-19, and moral injury was related to the sense of coherence, while recovery from moral distress was related to resilience. The results suggest that measures to prevent physician infection, as well as strengthening resilience and a sense of coherence, may be helpful to prevent persistent mental damage after exposure to a sanitary crisis. |
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فهرسة مساهمة: | Keywords: COVID-19; clinical empathy; mental health; moral distress; moral injury; physicians; resilience; sanitary crisis; sense of coherence |
تواريخ الأحداث: | Date Created: 20230311 Date Completed: 20230314 Latest Revision: 20230419 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10002359 |
DOI: | 10.3390/ijerph20053989 |
PMID: | 36901003 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1660-4601 |
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DOI: | 10.3390/ijerph20053989 |