新冠肺炎期間醫院非醫療專業人員防疫經驗

The epidemic prevention experience of hospital non-medical staff during COVID-19 outbreak

背景：2019年新冠肺炎疫情讓全球陷入傳染病蔓延的恐慌中，醫療人員無不戒慎面對與因應，因有SARS的經驗，台灣將疫情阻絕於醫院外的措施視為重要政策，與SARS時期不同的是因應長期人力考量，部份醫療院所採用了非醫療專業人員在第一線參與執行門口檢疫工作。目的：探討新冠肺炎期間醫院非醫療專業人員的防疫經驗，以了解他們面臨的壓力與因應。方法：本研究採描述現象學研究法，以一對一深度訪談收集資料，對象為曾參與醫院防疫工作的非醫療專業人員。以Colaizzi之資料分析法進行分析。結果：非醫療專業人員的防疫經驗分為「防疫前線的壓力與感受」、「疫後生活的改變與因應」等兩大面項，壓力與感受部分包括(1)朝令夕改，未準備便上場；(2)怕做錯被責難；(3)怕被感染及成為傳播者；(4)都是第一線待遇卻不同；(5)承受負向情緒及科室衝突；(6)正向的回饋與收穫。在疫後生活改變與因應部分，包含(1)防疫新生活；(2)人際互動轉變；(3)轉念與同儕支持。結論：非醫療專業人員參與第一線檢疫工作時需事先有完善的教育訓練與行政支持，足夠且公平的對待、看重他們的價值是促使其可持續參與檢疫工作而不致委屈的方式，建議各相關單位關注此一現象。

"Background: In response to the COVID-19 pandemic, health-care professionals in Taiwan have used the lessons learned from the severe acute respiratory syndrome outbreak and striven to keep COVID-19 out of hospitals. Some medical institutions have employed nonmedical professionals for frontline quarantine work.Objective: To investigate the experiences of nonmedical professionals in hospitals during the COVID-19 pandemic in terms of their experiences with and responses to pandemic-related pressures.Methods: A descriptive phenomenological method was adopted, and data were collected through in-depth one-on-one interviews. The interviewees were nonmedical professionals who had participated in disease prevention work in hospital settings. Colaizzi’s method was used for data analysis.Result: The COVID-19 prevention experiences of the nonmedical professionals were divided into two categories, namely“pressures and feelings relating to the front line of pandemic prevention”and“life changes and response after the pandemic.”The interviewees reported (1) changes necessary before full preparation, (2) fear of being blamed for making mistakes, (3) fear of being infected and becoming a carrier, (4) differential treatment while serving on the front line, (5) negative emotions and departmental conflicts, and (6) positive feedback and rewards. In terms of life changes and responses, the interviewees reported (1) a new lifestyle developed in response to disease prevention, (2) changes in interpersonal interactions, and (3) second thoughts and a transition into being a peer supporter.Conclusion: When nonmedical professionals participate in frontline quarantine work, they must be well trained and have sufficient administrative support. Ensuring adequate and fair treatment and emphasizing such professionals’value could promote their ongoing participation in quarantine work without leaving them feeling wronged. Relevant units should use the findings of this study as a reference."