乘坐火车事故对火车司机的健康影响 - - 一项系统性审查
1Institute for Occupational, Social, and Environmental Medicine, Medical Faculty, RWTH Aachen, 52074 Aachen, Germany.
Healthcare (Basel, Switzerland)
|February 13, 2025
概括
人在火车下发生的事件严重影响火车司机.
科学领域:
- 职业健康 职业健康 职业健康
- 心理创伤学 心理创伤学
- 运输安全运输安全
背景情况:
- 火车下的人 (PUT) 事件是火车司机的创伤事件.
- 这些事件可能会对受影响人员造成重大和持久的健康后果.
研究的目的:
- 系统地审查和综合有关PUT事件对火车司机健康影响的证据.
- 特别关注创伤后应激障碍 (PTSD),病假 (SA) 和其他心理健康结果.
主要方法:
- 在PubMed,Web of Science和Embase (1980-2021) 的系统文献搜索.
- 包括横截面,病例控制,前性和干预性研究.
- 使用PRISMA指南进行数据综合和使用Downs和Black检查清单进行质量评估.
主要成果:
- 包括9项涉及3425名参与者的研究.
- 创伤后应激障碍的患病率各不相同 (0%-55.3%);风险因素包括重复暴露和缺乏社会支持.
- 病假的持续时间从1天到6个多月不等;经常报告抑郁症和体形疾病.
结论:
- PUT事件显著损害了火车司机的心理健康和返回工作的能力,经常导致长时间的疾病缺席.
- 早期识别有风险的司机和有效的干预措施对于减轻长期心理影响至关重要.
- 建议对未来的研究进行标准化的随访期,以提高研究的可比性.
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