导航到未知的:探索暴露于医院前紧急压力因素的经验:一个连续的解释混合方法
Ali Afshari1, Mohammad Torabi2, Sasan Navkhasi3
1Department of Medical Surgical Nursing, Nursing and Midwifery School, Hamadan University of Medical Sciences, Hamadan, Iran.
BMC emergency medicine
|November 16, 2023
概括
增加班次导致急救医疗技术人员 (EMT) 的高PTSD. 解决医院前压力因素需要调整工作日,持续培训和加强EMTs的支持系统.
科学领域:
- 紧急医疗 紧急医疗
- 职业健康 职业健康 职业健康
- 心理创伤学 心理创伤学
背景情况:
- 医院前紧急情况带来了不可预测的挑战,增加了急诊医疗技术人员 (EMT) 的压力和心理健康问题.
- 确定医院前环境中的特定压力因素对于了解和减轻它们对EMT福祉的影响至关重要.
研究的目的:
- 进行对医疗急救人员在医院前环境中所经历的压力因素的彻底分析.
- 确定高创伤后应激障碍 (PTSD) 在急救人员中流行的主要原因.
主要方法:
- 在哈马丹医院前急诊中心采用了一种连续解释混合方法设计.
- 定量阶段:251名急救医生填写了调查问卷,其中包括创伤后压力调查问卷 (PCL-5).
- 定性阶段:17名经验丰富的急诊医生,PCL-5分数超过33分,接受了半结构面试,并使用内容分析方法进行分析.
主要成果:
- 紧急救护人员报告说,PTSD平均得分为21.60±11.45.
- 在工作轮班数量和PTSD分数 (t=26.38,P<0.001) 之间发现了显著的关系.
- 定性分析确定了四大类压力因素:危机的影响,通信网络缺陷,专业缺陷和医院前紧急情况的复杂性.
结论:
- 班次的数量是导致急救人员中高PTSD患病率的主要原因.
- 减轻医院前压力的策略包括缩短工作日,持续培训,增加劳动力和改进协议.
- 加强支持系统,集团间合作和技术采用对于有效管理EMT压力至关重要.
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