Jones Sara
1 Sara Jones, PhD, APRN, PMHNP-BC, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
J Am Psychiatr Nurses Assoc. 2017 May;23(3):200-214. doi: 10.1177/1078390317695266. Epub 2017 Feb 1.
First responders (FRs) are responsible for providing multiple services during various critical events. Considering the frequency, nature, and intensity of duty-related traumatic exposures, the cumulative impact on FRs' mental health is of paramount importance.
The purpose of this systematic review was to describe how duty-related trauma exposure can affect the comprehensive mental health profile of FRs, including firefighters, emergency medical technicians, and paramedics.
Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a literature search was conducted using keywords related to FRs and mental health.
Twenty-seven data-based articles met eligibility criteria and were included in this systematic review. Studies explored various mental health concerns, including posttraumatic stress disorder, depression, suicidality, anxiety, alcohol use, and sleep disturbances.
Findings pose significant implications for psychiatric nurses in practice and research, including the need for tailored strategies to meet the mental health needs of this at-risk population.
急救人员负责在各种危急事件中提供多种服务。考虑到与工作相关的创伤暴露的频率、性质和强度,对急救人员心理健康的累积影响至关重要。
本系统评价的目的是描述与工作相关的创伤暴露如何影响急救人员(包括消防员、急救医疗技术员和护理人员)的综合心理健康状况。
采用系统评价和Meta分析的首选报告项目指南,使用与急救人员和心理健康相关的关键词进行文献检索。
27篇基于数据的文章符合纳入标准,被纳入本系统评价。研究探讨了各种心理健康问题,包括创伤后应激障碍、抑郁症、自杀倾向、焦虑症、酒精使用和睡眠障碍。
研究结果对精神科护士的实践和研究具有重要意义,包括需要制定量身定制的策略以满足这一高危人群的心理健康需求。