首页> 中文期刊> 《医学与社会》 >创伤事件对杭州市某急救中心急救人员心理健康的影响分析

创伤事件对杭州市某急救中心急救人员心理健康的影响分析

         

摘要

Objective: To investigate the impact of traumatic incidents on mental health of pre -hospital practitioners. Methods: Psychological consequences and well-being were evaluated with the Impact of Event Scale-Revised (IES-R) and General-Weil-Being Scale (GWB) among 97 pre-hospital practitioners, respectively. Traumatic incidents were evaluated with Self-report Traumatic incidents questionnaire. Results: IES -R total scores and GWB total scores was significantly associated with frequencies of subjective reaction to traumatic incidents, but not frequencies of experience of traumatic incidents.In the objective injure issues, the results between genders show that the percentage for men to take a risk is significant higher than that for women. There were no significant differences between genders in IES-R, PTSS positive items and GWB. It has been shown in table 1 that in 27 different injure issues, the rate of "seeing the bodies or touching the bodies" is the highest which is 77.32%, while "happening to see the procedure of sexual abusing on children" is the lowest which is 14.43%. In the injure issues, the results between genders show that the percentage for men to take a risk is significant higher than that for women. Conclusion: Our results highlight the importance of applying the psychological crisis intervention after traumatic events in psychological service for the individuals having subjective reaction to traumatic incidents.%目的:探讨创伤事件对院前急救人员心理健康的影响.方法:采用事件影响量表修订版(IES-R)和总体幸福感量表(GWB)对97名院前急救人员进行了心理健康评估,同时采用创伤事件评定问卷分析创伤事件的客观经历与主观评价.结果:主观经历创伤事件的类型总数是院前急救人员心理健康的危险因素,院前急救人员的心理健康状况与客观经历创伤事件类型总数无相关性:在客观经历创伤事件中,男性组在多种创伤事件中的发生比例显著高于女性组,不同性别组在IES-R总分、PTSS筛查阳性率和GWB总分上无显著性差异.结论:应为院前急救人员提供必要的心理危机干预培训,避免传统的“一刀切”的模式,主观定义事件为创伤事件的个体才是心理危机干预工作的靶人群.

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