■家庭健康助手和服务员(HHA)为老年人和家中患有慢性病的人提供基本护理。然而,一些HHA在糟糕的情绪和压力中挣扎,这可能因COVID-19大流行而加剧。
■为了引出HHA对心理健康和幸福的看法,包括他们的工作如何影响双方,以及如何在未来更好地支持劳动力。
■对于这项定性研究,从2022年8月17日至2023年2月9日,与1199SEIU培训和就业基金合作,以英语和西班牙语为焦点小组和HHA访谈提供了便利,1199SEIU美国东部医疗保健工作者联合会和美国最大的医疗保健工会的福利基金。其中包括心理健康和幸福感不佳的HHA,在8项个人健康问卷抑郁量表上定义为至少有轻度或更多症状,4项科恩感知压力量表,或者加州大学,洛杉矶孤独量表。
■HHA的心理健康和福祉。
■对焦点小组和访谈进行了录音,专业转录,和翻译。根据Pender的健康促进模型和美国国家职业安全与健康研究所的全面工人健康模型进行了主题分析。
■共有来自14个不同机构的28名HHA参加(平均[SD]年龄,54.3[10.8]岁;26名女性[93%])。17名参与者(61%)在家讲西班牙语。出现了五个关键主题:(1)HHA对心理健康和福祉的态度受到各种个人和文化因素的影响;(2)HHA与患者的关系以积极和消极的方式影响他们的情绪;(3)工作的结构和组织方面,在COVID-19大流行的同时,影响HHA的情绪和压力水平;(4)HHA使用各种策略来应对他们的情绪;(5)HHA渴望能够改善他们的情绪的干预措施,特别是那些让他们更接近同事的人。
■这些研究结果表明,HHA的心理健康和幸福感可能受到个人和职业因素的影响。有必要采取干预措施和政策来更好地支持他们在工作中的情感福祉。
UNASSIGNED: Home health aides and attendants (HHAs) provide essential care to older adults and those with chronic conditions in the home. However, some HHAs struggle with poor mood and stress, which may have been exacerbated by the COVID-19 pandemic.
UNASSIGNED: To elicit HHAs\' perspectives toward mental health and well-being, including how their job influences both and how to better support the workforce in the future.
UNASSIGNED: For this qualitative study, focus groups and interviews with HHAs were facilitated in English and Spanish from August 17, 2022, to February 9, 2023, in partnership with the 1199SEIU Training and Employment Fund, a benefit fund of the 1199SEIU United Healthcare Workers East and the largest health care union in the US. Included were HHAs at risk for poor mental health and well-being, which were defined as having at least mild or more symptoms on either the 8-item Personal Health Questionnaire depression scale, the 4-item Cohen Perceived Stress Scale, or the University of California, Los Angeles Loneliness Scale.
UNASSIGNED: Mental health and well-being of HHAs.
UNASSIGNED: Focus groups and interviews were audio recorded, professionally transcribed, and translated. A thematic analysis was performed that was informed by Pender\'s Health Promotion Model and the National Institute for Occupational Safety and Health\'s Total Worker Health model.
UNASSIGNED: A total of 28 HHAs from 14 different agencies participated (mean [SD] age, 54.3 [10.8] years; 26 female [93%]). Seventeen participants (61%) spoke Spanish at home. Five key themes emerged: (1) HHAs\' attitudes toward mental health and well-being were influenced by a variety of personal and cultural factors; (2) HHAs\' relationships with their patients impacted their mood in both positive and negative ways; (3) structural and organizational aspects of the job, alongside the COVID-19 pandemic, impacted HHAs\' mood and stress levels; (4) HHAs used a variety of strategies to cope with their emotions; and (5) HHAs were eager for interventions that can improve their mood, particularly those that bring them closer to their colleagues.
UNASSIGNED: These findings suggest that HHAs\' mental health and well-being may be influenced by both personal and occupational factors. Interventions and policies to better support their emotional well-being on the job are warranted.