Impact of COVID-19 on Mental Health of Palliative Care Professionals and Services: A Mixed-Methods Survey Study.

Autor:	Chan WCH; Department of Social Work, 26451The Chinese University of Hong Kong, Hong Kong., Woo RKW; Palliative Care Unit, Department of Medicine & Geriatrics, 518774Caritas Medical Centre, Hong Kong., Kwok DK; Department of Social Work, 26451The Chinese University of Hong Kong, Hong Kong., Yu CTK; Division of Psychiatry, 4919The University of College London, London, UK., Chiu LM; Department of Social Work, 26451The Chinese University of Hong Kong, Hong Kong.
Jazyk:	angličtina
Zdroj:	The American journal of hospice & palliative care [Am J Hosp Palliat Care] 2022 Oct; Vol. 39 (10), pp. 1227-1235. Date of Electronic Publication: 2021 Dec 14.
DOI:	10.1177/10499091211057043
Abstrakt:	Introduction: This study aimed to examine the mental health of palliative care professionals in Hong Kong during the COVID-19 pandemic, the relationship of mental health with socio-demographic factors, and the impact of the pandemic on palliative care services. Methods: A total of 142 palliative care professionals in Hong Kong participated in an online survey. The questionnaire includes measurements on depression, anxiety, perceived stress, post-traumatic stress, professional quality of life, items that measure the effect of COVID-19 on palliative care services, and one open-ended question for describing how the services were affected. Descriptive and multivariate regression analyses were conducted. Quantitative and qualitative data about the impact of COVID-19 on palliative care services were analyzed and triangulated using a mixed-methods approach. Results: Up to 82%, 43%, and 42% of the participants felt moderately to highly stressed, anxious, and depressed, respectively, during the pandemic. Younger participants tended to have poorer mental health and professional quality of life. Around 82% felt stressed when communicating with patients and family members under the no-visiting policy during the pandemic. More than three-quarters of participants showed lack of confidence in the anti-epidemic policy of the government. Qualitative findings identified 3 themes affecting the provision of palliative care: 1. the tightening of restrictions on visitors; 2. the limited provision of services; and 3. staff deployment. Conclusions: Appropriate responses are required to give extra support to palliative care professionals during the pandemic and facilitate their coping with the impact of COVID-19 on the provision of palliative care.
Databáze:	MEDLINE
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