沉默的斗争:护士中第二个受害者经历中PTSD症状的综合性审查
Shani Fisher1,2, Ayala Blau1, Yulia Gendler1
1Department of Nursing, School of Health Sciences, Ariel University, Ariel, Israel.
经历第二受害者现象的医疗保健专业人员经常表现出反映创伤后应激障碍 (PTSD) 的症状. 本次审查强调了对这些人更好的理解和支持系统的需要.
科学领域:
- 医学心理学 医学心理学
- 医疗保健 专业人员 幸福 幸福
- 创伤研究 创伤研究
背景情况:
- 第二个受害者现象描述了医疗保健专业人员在不良事件发生后所面临的痛苦.
- 关于第二次受害者经历与创伤后应激障碍 (PTSD) 之间的联系的研究有限.
研究的目的:
- 探索第二受害者症状与PTSD之间的相似之处.
- 强调需要了解这些条件的交叉点.
主要方法:
- 进行了对19项研究的综合性审查,分析了第二受害者后果.
- 研究对与DSM-5标准一致的PTSD症状进行了选.
- 用PRISMA指南和MMAT进行研究选择和质量评估.
主要成果:
- 负面的认知和情绪变化 (内,羞耻,自我怀疑) 是最常见的PTSD相关症状 (60%).
- 焦虑 (35%),失眠 (30%) 和侵入性记忆 (20%) 也是重要的发现.
- 副作用的情绪影响经常与PTSD症状学相吻合.
结论:
- 第二个受害者的经历对医疗保健专业人员的情感福祉产生了重大影响.
- 医疗机构必须实施强有力的支持系统,包括培训和心理健康计划.
- 标准化的同行支持和弹性培训对于减轻第二受害者影响至关重要.
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