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德国紧急医疗技术人员中的第二个受害者现象:基于SeViD问卷 (SeViD-VIII) 的横截面研究

Hartwig Marung¹, Victoria Klemm², Reinhard Strametz²

¹Institute for Safety of Patients and Health Professionals (ISPP), MSH Medical School Hamburg, Am Kaiserkai 1, 20457, Hamburg, Germany. hartwig.marung@medicalschool-hamburg.de.

BMC emergency medicine

|July 28, 2025

概括

第二个受害者现象 (SVP) 影响了超过65%的德国紧急医疗技术人员 (EMT),导致了严重的痛苦. 专业经验和重症监护角色增加了风险,而良心和外向可能会提供保护.

科学领域:

紧急医疗紧急医疗
心理学心理学心理学
职业健康职业健康职业健康

背景情况:

紧急医疗技术人员 (EMT) 面临着高度压力的情况,增加了对第二受害者现象 (SVP) 的脆弱性.
SVP的特点是患者不良事件后的情绪困扰,与其他医疗保健专业人员相比,在EMT中研究不足.
这项研究调查了德国EMT的SVP流行,风险因素,症状负担和支持需求.

研究的目的:

确定第二受害者现象 (SVP) 在德国紧急医疗技术人员 (EMT) 中的流行率.
在EMT中确定与SVP相关的风险因素和保护因素.
了解患有SVP的EMTs的症状负担和首选的支持策略.

主要方法:

通过使用经过验证的SeViD问卷对德国EMT进行了横截面调查.
该调查收集了有关SVP患病率,症状严重程度和所需支持措施的数据.
二元逻辑回归分析确定了SVP和症状负担的预测因素.

主要成果:

这项研究包括528名急救医生,SVP的患病率为65.3%,过去一年有53.3%的人患有SVP.
患者意外死亡和患者/亲属的攻击性行为是主要的触发因素.
增加的专业经验和重症监护运输角色是危险因素,而男性性别和良心是保护性的.

结论:

第二个受害者现象 (SVP) 在急救医生中非常普遍,造成了相当大的心理痛苦.
风险因素包括丰富的工作经验和重症监护角色;良心和外向似乎有保护作用.
建议进行结构化的同行支持计划,法律咨询和专业咨询,以减轻SVP的影响.

关键词:

紧急医疗技术人员紧急医疗技术人员情绪上的痛苦情绪上的痛苦职业健康职业健康职业健康职业健康护理人员护理人员患者安全患者安全心理上的痛苦心理上的痛苦第二个受害者是第二个受害者.

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