Swearingen Julie M, Goodman Tanya M, Chappelle Wayne L, Thompson William T
NeuroStat Analytical Solutions, LLC, 17806 W Ih 10 Suite 300, San Antonio, TX 78257-8222.
U.S. Air Force School of Aerospace Medicine, Aeromedical Research Department, 2510 5th Street, Building 840, Wright-Patterson AFB, OH 45433-7913.
Mil Med. 2017 Mar;182(S1):258-265. doi: 10.7205/MILMED-D-16-00107.
Critical Care Air Transport Teams (CCATT) are specialized military medical personnel who provide high-acuity care in an aeromedical environment. The rate of post-traumatic stress disorder (PTSD) symptoms was assessed in CCATT personnel and their rates were compared to general aeromedical evacuation (AE) personnel. As part of a computer-based occupational stress survey, 188 crew members (138 AE nurses and technicians, 50 CCATT nurses and respiratory therapists) completed the PTSD Checklist - Military Version. A categorical MEET/DOES NOT MEET CRITERIA variable was created, and a Fisher's exact test was computed to identify differences between groups. Contingency table analyses were used to assess associations between demographic and occupational variables with meeting criteria. χ or Fisher's exact test results, relative risks, and 95% confidence intervals were obtained, with 4.35% of AE and 14.00% of CCATT crew members meeting PTSD symptom criteria. The CCATT crew members were 3.22 times (95% confidence interval = 1.14-9.12) more likely to meet symptom criteria than AE, and for CCATT meeting criteria, the most commonly endorsed symptoms were arousal and avoidance. The demographic and occupational factors assessed in this study were not associated with meeting PTSD symptom criteria. Current findings are discussed in relation to current research on post-traumatic stress in ground-based critical care personnel.
重症护理空中运输团队(CCATT)是在航空医疗环境中提供高 acuity 护理的专业军事医务人员。对 CCATT 人员的创伤后应激障碍(PTSD)症状发生率进行了评估,并将其发生率与一般航空医疗后送(AE)人员进行了比较。作为基于计算机的职业压力调查的一部分,188 名机组人员(138 名 AE 护士和技术人员,50 名 CCATT 护士和呼吸治疗师)完成了 PTSD 检查表 - 军事版。创建了一个分类的“符合/不符合标准”变量,并计算了 Fisher 精确检验以确定组间差异。列联表分析用于评估人口统计学和职业变量与符合标准之间的关联。获得了 χ 或 Fisher 精确检验结果、相对风险和 95%置信区间,AE 机组人员中有 4.35%,CCATT 机组人员中有 14.00%符合 PTSD 症状标准。CCATT 机组人员符合症状标准的可能性是 AE 的 3.22 倍(95%置信区间 = 1.14 - 9.12),对于 CCATT 符合标准的情况,最常认可的症状是唤醒和回避。本研究中评估的人口统计学和职业因素与符合 PTSD 症状标准无关。结合当前关于地面重症护理人员创伤后应激的研究对当前研究结果进行了讨论。