新疆三甲综合医院急诊医护人员创伤后应激障碍现状及影响因素分析  

Analysis of Current Situation and Influencing Factors of Post-traumatic Stress Disorder among Emergency Medical Personnel in Xinjiang Fertiary Level General Hospitals

作　　者：唐青峰 王彬 TANG Qing-feng;WANG Bin(Emergency Center of Xinjiang People's Hospital,Urumqi,830001;Department of Nursing,The First Affiliated Hospital of Dalian Medical University,Liaoning Dalian,116011)

机构地区：[1]新疆维吾尔自治区人民医院急救中心,乌鲁木齐830001 [2]大连医科大学附属第一医院急诊科,辽宁大连116011

出　　处：《农垦医学》2024年第4期323-327,共5页Journal of Nongken Medicine

基　　金：新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目(WJWY-202428)。

摘　　要：目的:本研究通过对新疆三甲综合医院急诊医护人员进行问卷调查,分析急诊医护人员创伤后应激障碍(Post-traumatic Stress Disorder,PTSD)现状,为其心理危机的识别与干预提供理论依据。方法:本研究为横断面调查,采取整群抽样法抽取新疆乌鲁木齐市2所三甲综合医院224名急诊医护人员。调查急诊医护人员创伤后应激障碍情况、一般人口学特征、工作状况、工作场所暴力情况。结果:38.4%(86/224)急诊医护人员存在PTSD;不同性别、文化程度、职业、健康状况、睡眠质量、体育锻炼情况、职称、周工作时间、上夜班情况的急诊医护人员PTSD发生率差异有统计学意义(χ^(2)为3.89~36.46,均P<0.05);二元Logistic回归分析显示,好的健康状况(OR=0.087,95%CI:0.020~0.379)及好的睡眠质量(OR=0.073,95%CI:0.018~0.298)发生PTSD的风险会更小;与周工作时间<41 h相比,周工作时间41~60h(OR=2.532,95%CI:1.188~5.395)、>60 h(OR=5.677,95%CI:1.118~28.828)发生PTSD的风险可能会更高。结论:健康状况、睡眠质量、周工作时间是影响急诊医护人员PTSD的主要因素;管理者应加强对急诊医护人员PTSD的认识,并制订有效干预措施以减少PTSD的发生。Objective:This study analyzed the current situation of Post-traumatic Stress Disorder(PTSD)among emergency medical personnel in Xinjiang through a questionnaire survey of emergency medical personnel in a tertiary level general hospital,and provided a theoretical basis for the identification and intervention of psychological crisis among them.Methods:This study was a cross-sectional study,the whole-group sampling method was adopted to select emergency medical personnel from two tertiary level general hospitals in Urumqi.A total of 224 emergency medical personnel participated in the survey.The survey included the situation about post-traumatic stress disorder,general demographic characteristics,work status,and workplace violence among emergency medical personnel.Results:86(38.4%)of the 224 emergency medical personnel included in this study had PTSD.Different gender,education,occupation,health status,sleep quality,physical activity,title,weekly working hours,and night shift attendance were all significantly different in the incidence of PTSD among medical personnel(Theχ^(2) ranged from 3.89 to 36.46,all P<0.05).Binary logistic regression analysis showed that the risk of PTSD might be lower for good health(OR=0.087,95%CI:0.020-0.379)and good sleep quality(OR=0.073,95%CI:0.018-0.298).The risk of PTSD might be higher working 41-60 hours per week(OR=2.532,95%CI:1.188-5.395),>60 hours per week(OR=5.677,95%CI:1.118-28.828)compared to those working<41 hours per week.Conclusions:Health status,sleep quality,and weekly working hours are all factors that affect PTSD of the emergency medical personnel.Managers should increase their awareness of PTSD and develop effective interventions to reduce the occurrence of PTSD in emergency medical personnel.

关 键 词：急诊医护人员 创伤后应激障碍 影响因素 干预策略 

分 类 号：R395.5[哲学宗教—心理学]