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消防员的倦怠、创伤后应激症状与伤害之间的关系。

The relationship between burnout, PTSD symptoms and injuries in firefighters.

机构信息

Department of Physical Education and Sports Sciences (D.P.E.S.S.), Democritus University of Thrace, 69100 Komotini, Greece.

出版信息

Occup Med (Lond). 2016 Jan;66(1):32-7. doi: 10.1093/occmed/kqv144. Epub 2015 Sep 25.

Abstract

BACKGROUND

Firefighters participate in activities with intense physical and psychological stress.

AIMS

To examine the correlation between work-related injuries (WRIs), burnout and post-traumatic stress disorder (PTSD) symptoms in firefighters.

METHODS

The method used for the recording of the elements was the collection of self-report anonymous questionnaires, the completion of which was optional. The questionnaires used were: (i) a WRIs questionnaire, (ii) the Maslach Burnout Inventory (MBI) and (iii) the Impact of Event Scale-Revised-Greek version. Descriptive statistics along with univariate and multivariate logistic regression analyses were applied.

RESULTS

The study population consisted of 3289 firefighters. There was a significant association between WRIs, burnout syndrome, PTSD symptoms and age, work experience and physical condition. Relationships were found between PTSD symptoms, the MBI-emotional exhaustion dimension and WRIs and between MBI-depersonalization dimension and PTSD symptoms. The most traumatic event was the 'dealing with death or rescue of a child' and the top stress factor was 'depression about the responsibility for quality of victims' life'.

CONCLUSIONS

The occupational obligations may be responsible for the psychological and musculoskeletal problems experienced by firefighters. Early recognition and response to psychosomatic issues in firefighters is of high importance.

摘要

背景

消防员参与高强度体力和心理压力的活动。

目的

研究消防员工作相关伤害(WRIs)、倦怠和创伤后应激障碍(PTSD)症状之间的相关性。

方法

记录要素的方法是收集自我报告的匿名问卷,完成问卷是可选的。使用的问卷是:(i)WRIs 问卷,(ii)Maslach 倦怠量表(MBI)和(iii)修订后的事件影响量表-希腊语版。应用描述性统计以及单变量和多变量逻辑回归分析。

结果

研究人群由 3289 名消防员组成。WRIs、倦怠综合征、PTSD 症状与年龄、工作经验和身体状况之间存在显著关联。在 PTSD 症状与 MBI 情绪衰竭维度之间以及 MBI 去人格化维度与 PTSD 症状之间发现了关系。最具创伤性的事件是“处理死亡或救援儿童”,最大的压力因素是“对受害者生活质量的责任感到沮丧”。

结论

职业义务可能是消防员经历心理和肌肉骨骼问题的原因。早期识别和应对消防员的身心问题非常重要。

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