1194名救援人员创伤暴露调查及相关因素分析  

Analysis of related factors and investigation of trauma events in 1194 rescuers

作　　者：罗廷刚 孙媛媛[1] 宋玉健 陈巧[1] 陈娟[1] 李世忠 赛晓勇[1] LUO Tinggang;SUN Yuanyuan;SONG Yujian;CHEN Qiao;CHEN Juan;LI Shizhong;SAI Xiaoyong(Department of Epidemiology and Statistics,The Graduate School of the Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院研究生院统计学与流行病学教研室,北京100853 [2]陆军航空兵学院科研学术处,北京101123

出　　处：《中国急救复苏与灾害医学杂志》2021年第4期365-369,388,共6页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：北京市科技计划课题“首都特色”项目(编号:Z181100001718007);国家科技支撑计划课题(编号:2013BAI08B01);解放军总医院转化医学项目(编号:2017TM-023);军队医药卫生成果扩试项目(编号:17WKS25)。

摘　　要：目的明确某部救援人员创伤事件(traumatic events,TEs)暴露表型及相关因素,为降低该人群创伤暴露水平和负担提供数据支持.方法以整群抽样方法对1194名救援人员18个类别的TEs进行问卷调查.通过探索性因子分析确定TEs的类别是否可以聚类,对总暴露次数、聚类后的TEs分类和其他TEs类别(F5)中包含的3类TEs分别采用Logistic回归进行分析.结果调查人群中有10.7%和36.9%的人分别经历了1~3种和≥4种TEs.职业和非职业暴露相关的TEs暴露率分别为39.9%和14.4%,职业暴露相关TEs占所有TEs暴露的88.0%.其中,工龄<3年是职业相关TEs的高暴露人群(OR:11.66,95%CI:8.05~16.88,P<0.001).年龄(OR:1.11,95%CI:1.01~1.22,P=0.028)、工龄(OR:17.02,95%CI:11.27~25.72,P<0.001)、饮酒(OR:2.01,95%CI:1.03~3.93,P=0.042)和学历为高中(OR:1.42,95%CI:1.03~1.96,P=0.031)与经历≥4种TEs有关.结论该人群是TEs的高暴露人群,工龄<3年是职业相关TEs的高暴露人群,年龄、工龄可能有助于TEs负担的预判,提升学历水平、禁酒和明确TEs之间的关联机制可能会降低该人群创伤暴露导致的身心负担.Objective To identify the exposure phenotype and related factors of traumatic events(TEs)in a specific department of relief personnel,and to provide data to support the reduction of trauma exposure level and burden in troops.Methods A cluster sampling method was used to conduct a questionnaire survey on TEs of 1194 rescue workers in 18 categories.Exploratory factor analysis was used to determine whether the TEs category could be clustered,and Logistic regression was used to analyze the total exposure times,TEs classification after clustering and TEs in 3 categories in fifth factor.Results 10.7% and 36.9% experienced 1〜3 kinds and ≥4 kinds of TEs respectively.The occupational and nonoccupational exposure related TEs exposure rates were 39.9% and 14.4% respectively,and occupational exposure related TEs accounted for 88.0% of all TEs exposure.Among them,those working age <3 years was the highly exposed population of occupational related TEs(OR:11.66,95%CI:8.05-16.88,P<0.001).age(OR:1.11,95%CI:1.01-1.22,P=0.028),working age<3 years(OR:17.02,95%CI:11.27-25.72,P<0.001),alcohol consumption(OR:2.01,95%CI:1.03-3.93,P=0.042)and high school education(OR:1.42,95%CI:1.03-1.96,P=0.031)was associated with experience ≥4 TEs.Conclusion This group is highly exposed to TEs,and working age <3 years is a highly exposed group for occupation-related TEs.Age and military time may contribute to the judgment of TEs burden of the population,and the improvement of educational level,prohibition and the clarification of the association mechanism between TEs may reduce the physical and mental burden caused by TEs of the population in this group.

关 键 词：创伤事件 影响因素 救援人员 横断面研究 

分 类 号：R129[医药卫生—环境卫生学]