紧急护士中二次创伤性压力的患病率和相关因素:系统性审查和元分析
Zhiyong Xu1,2,3,4, Bingnan Zhao1, Zhen Zhang1,2,3,4
1School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, People's Republic of China.
European journal of psychotraumatology
|March 1, 2024
概括
紧急护士经历高的二次创伤性压力,影响全球65%. 诸如地理位置和COVID-19流行病等因素影响这种压力,需要有针对性的预防策略.
科学领域:
- 护理 护理 护理
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 急诊室 (ED) 护士面临着由于经常接触创伤和高压环境而面临二次创伤性压力 (STS) 的重大风险.
- STS可能会对医疗保健专业人员的福祉和表现产生负面影响.
研究的目的:
- 系统地审查和对急救护士中二次创伤性压力的全球流行情况进行元分析.
- 确定在这个人群中导致STS的关键因素.
主要方法:
- 在多个数据库中对截面研究进行了系统的搜索,截至2023年10月21日.
- 质量评估使用乔安娜·布里格斯研究所的检查清单;使用科克兰的Q测试和I2统计数据来评估异质性.
- 一个随机效应模型估计了聚合流行率,子组分析探索了变化.
主要成果:
- 在ED护士中,STS的综合患病率为65% (95%CI:58%-73%).
- 流行率因地区而异:亚洲 (74%),北美 (59%) 和欧洲 (53%).
- 在COVID-19爆发期间的护士报告的STS比其他时期高 (70%). 确定了个人,工作相关和社会因素.
结论:
- 二次创伤性压力在急诊护士中非常普遍,具有显著的地理和时间差异.
- 鉴定出有助因素需要进一步调查,以制定有效的预防和干预策略.
- 未来的研究应该加强研究设计和样本大小,以完善理解和缓解方法.
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