暴露和道德伤害在第一响应者中的普遍性
Shira Maguen1,2, Soma de Bourbon3, Adam Batten1
1San Francisco VA Health Care System, San Francisco, California, USA.
Journal of the American College of Emergency Physicians open
|October 27, 2025
概括
应急人员经常遇到可能具有道德损害的事件 (PMIEs). 很大一部分经历了有意义的道德伤害,与其他心理健康问题相关联,突出了对支持的迫切需要.
科学领域:
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 高风险职业,包括急救人员,面临潜在的道德伤害事件 (PMIEs) 和道德伤害的风险.
- 现有的关于第一响应者群体内道德伤害的研究是有限的.
- 了解道德伤害的流行和影响对于支持这些专业人士至关重要.
研究的目的:
- 确定第一响应者中对PME的接触频率.
- 为了评估这个人群中道德伤害的普遍性.
- 检查道德伤害与其他心理健康症状之间的相关性.
主要方法:
- 在一个大型城市消防部门的消防员,急救人员和护理人员进行了一项横截面的在线调查.
- 经过验证的尺度评估了PME的暴露,道德伤害症状,PTSD,焦虑,抑郁,酒精使用和倦怠.
- 统计分析包括频率计算,相关性和可靠性分析.
主要成果:
- 高比例的参与者报告说,通过佣金 (48.6%),遗漏 (48.6%) 和目击 (80.8%) 接触PME.
- 在那些报告PME暴露和道德伤害症状的人中,18.4%达到临床上有意义的道德伤害门.
- 道德伤害症状与PTSD,焦虑,抑郁和倦怠有很强的相关性 (r = 0.49-0.59),但与酒精使用无关 (r = 0.08).
结论:
- 专业的急救人员经常接触到PME.
- 很大一部分急救人员经历了临床上有意义的道德伤害.
- 调查结果强调需要针对第一响应人员的道德伤害进行有针对性的评估和治疗策略.
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