Objectives: To investigate the attitudes and skills of grief counseling in the front-line medical workers from coronavirus disease 2019 (COVID-19) designated hospitals in Wuhan for the bereaved family members and to provide the basis for proper hospital management strategies.
Methods: The convenience sampling method was applied to select 422 medical workers who kept touch with the bereaved family members in five COVID-19 designated hospitals in Wuhan from January to February 2020. Questionnaire regarding grief counseling attitudes and questionnaire regarding grief counseling skills were used to evaluate the attitudes and skills of grief counseling in medical workers. The scores of grief counseling attitudes and skills in group of different characteristics were further compared. Pearson correlation was used to analyze the attitudes and skills of grief counseling in medical workers.
Results: The scores of grief counseling attitudes in medical workers were 15-46 (33.00±9.31). Length of service, professional title, whether or not receiving relevant training, frequency of contact with bereaved family members contributed to impacting the medical workers' attitudes of grief counseling (all P<0.05). The scores of grief counseling skills in medical workers were 9-30 (19.30±4.42). Length of service, professional title, religion, whether or not receiving relevant training, frequency of contact with bereaved family members contributed to impacting the medical workers' skills of grief counseling (all P<0.05). There was a significant positive correlation between the attitudes and skills of grief counseling in the medical workers (r=0.608, P<0.01).
Conclusions: The attitudes and skills of grief counseling in the medical workers from COVID-19 designated hospitals in Wuhan still need to be improved. Grief counseling group and a long-term, comprehensive training system are recommended.
目的: 调查2019冠状病毒病(coronavirus disease 2019，COVID-19)定点医院一线医护人员对因COVID-19丧亲者的哀伤辅导态度及技能，为医院完善相关管理措施提供参考。方法: 采用便利抽样法抽取2020年1至2月武汉市5所COVID-19定点救治医院的422名在工作过程中接触过因COVID-19丧亲者的医护人员作为调查对象。分别应用哀伤辅导态度问卷、哀伤辅导技能问卷评价医护人员的哀伤辅导态度和技能情况，并进一步比较不同特征的医护人员哀伤辅导态度与技能得分，对医护人员哀伤辅导态度与技能行Pearson相关性分析。结果: 医护人员的辅导态度得分为15~46(33.00±9.31)，哀伤辅导技能得分为9~30(19.30±4.42)。医护人员工龄、职称、是否接受过相关培训、接触丧亲者的频次对其哀伤辅导态度得分的影响具有统计学意义(均P<0.05)；医护人员工龄、职称、宗教信仰、是否接受过相关培训、接触丧亲者的频次对其哀伤辅导技能得分的影响具有统计学意义(均P<0.05)。医护人员的哀伤辅导态度与技能呈显著正相关(r=0.608，P<0.01)。结论: 武汉市COVID-19定点医院医护人员的哀伤辅导态度及技能有待提高，建议成立哀伤辅导小组，建立长效、健全的培训体系。.
Keywords: attitudes of grief counseling; coronavirus disease 2019; skills of grief counseling.