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2011年东日本大地震及福岛核辐射灾难两年后当地护理人员的职业倦怠与精神困扰

Burnout and Psychiatric Distress in Local Caregivers Two Years After the 2011 Great East Japan Earthquake and Fukushima Nuclear Radiation Disaster.

作者信息

Fujitani Kenji, Carroll Matt, Yanagisawa Robert, Katz Craig

机构信息

Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

Department of Medicine (Endocrinology), Icahn School of Medicine at Mount Sinai, New York, NY, USA.

出版信息

Community Ment Health J. 2016 Jan;52(1):39-45. doi: 10.1007/s10597-015-9924-y. Epub 2015 Aug 25.

Abstract

The 2011 Great East Japan Earthquake precipitated a triple disaster of earthquake, tsunami and nuclear radiation disaster. To quantify the prevalence of burnout and psychiatric distress in local healthcare providers (caregivers) more than 2 years after the disaster, this study surveyed caregivers from affected areas through interviews about topics of concerns and two questionnaires: Maslach Burnout Inventory and General Health Questionnaire. Concerns listed by respondents were primarily radiation related: additional stress, concern for children, concern for local food, and sleep difficulties. We found significant number of caregivers to have signs of emotional exhaustion, low personal accomplishment, and psychological distress. Our findings suggest that local caregivers are experiencing substantial mental health burdens, which have unfortunately remained static from the year prior, even 2 years after the fact. Therefore, long term psychological support and improvement in caregiver work conditions are essential to maintain sustainable care in rebuilding disaster stricken areas.

摘要

2011年东日本大地震引发了地震、海啸和核辐射灾难的三重灾难。为了量化灾后两年多当地医疗保健提供者(护理人员)职业倦怠和精神痛苦的患病率,本研究通过访谈关注话题以及两份问卷(马氏职业倦怠量表和一般健康问卷)对受灾地区的护理人员进行了调查。受访者列出的担忧主要与辐射有关:额外压力、对儿童的担忧、对当地食物的担忧以及睡眠困难。我们发现大量护理人员存在情感耗竭、个人成就感低落和心理困扰的迹象。我们的研究结果表明,当地护理人员正承受着巨大的心理健康负担,不幸的是,即使在灾难发生两年后,这一负担与前一年相比仍没有变化。因此,长期的心理支持和护理人员工作条件的改善对于在受灾地区重建中维持可持续护理至关重要。

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