Weissberg M P, Katz T A
Psychiatric Acute Care, University of Colorado School of Medicine, Colorado School of Medicine, Denver 80262.
J Emerg Med. 1991 Nov-Dec;9(6):459-63. doi: 10.1016/0736-4679(91)90218-5.
Psychological morbidity is a common finding in rescue personnel following a disaster. However, no serious attention has been given to the possibility that hospital-based personnel are also at risk. Therefore, 12 to 16 months after the crash of Continental 1713, 15 subjects who had worked with crash victims and their families only while in the hospital, were given a structured interview. Eight of 15 said they developed at least one symptom in each domain of Post Traumatic Stress Disorder within 2 weeks of the crash; of the remaining 7 subjects, all endorsed at least one re-experiencing symptom. Half also reported serious disruptions at home and in their work with other patients. Thirteen subjects also experienced significant worries about flying and 4 actually changed travel plans. Subjects were still symptomatic at 12 to 18 months, though to a lesser degree. We conclude that the emotional effects of disasters on hospital-based personnel are not trivial.
心理疾病在灾难后的救援人员中很常见。然而，医院工作人员也面临风险这一可能性却未得到应有的重视。因此，在大陆航空1713号航班坠毁12至16个月后，对15名仅在医院与坠机受害者及其家属打过交道的人员进行了结构化访谈。15人中有8人表示，在坠机后的2周内，他们在创伤后应激障碍的各个方面至少出现了一种症状；其余7名受试者均认可至少有一种重现症状。其中一半人还报告说家庭和与其他患者的工作受到了严重干扰。13名受试者还对飞行深感担忧，4人甚至改变了旅行计划。在12至18个月时，受试者仍有症状，不过程度较轻。我们得出结论，灾难对医院工作人员的情感影响不容小觑。
