Department of Nursing, Chi-Mei Medical Center, Tainan, Taiwan.
Graduate Institute of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan.
Biomed Res Int. 2017;2017:2981624. doi: 10.1155/2017/2981624. Epub 2017 Oct 9.
Posttraumatic psychiatric disorders (PTPDs) are common in disaster workers; however, their incidence and resilience in healthcare providers (HCPs) following a disastrous earthquake are still unclear. Therefore, we conducted an interventional study to clarify this issue.
After a medical response to the scene of a collapsed huge building, we conducted an assessment of the HCPs using an immediate self-administered questionnaire and a follow-up questionnaire 1 month later. Psychological support after the operation was implemented. We performed analysis of the risk for PTPDs and comparison between immediate and follow-up questionnaires.
The mean age (standard deviation) of the HCPs was 32.7 (5.2) years, with 33.5 (5.8) years for nurses and 32.4 (4.4) years for physicians. The proportion of females among the nurses and physicians was 94.3% and 12.5%, respectively. In total, 16.4% (11/67) of HCPs fit the criteria of PTPDs. Nurses had a trend of higher incidence than physicians. Female HCPs had a trend of higher incidence than male HCPs. After intervention, none of the HCPs reported PTPDs in the follow-up questionnaire ( < 0.05).
This study delineated that PTPDs were common in HCPs following medical response to an earthquake; however, the resilience was good after the early intervention.
创伤后精神障碍（PTPD）在灾难工作者中很常见；然而，灾难性地震后医疗保健提供者（HCP）中 PTPD 的发生率和恢复力尚不清楚。因此，我们进行了一项干预研究来阐明这个问题。
在对倒塌的巨大建筑物现场进行医疗应对后，我们使用即时自我管理问卷和 1 个月后的后续问卷对 HCP 进行了评估。在操作后实施了心理支持。我们对 PTPD 的风险进行了分析，并对即时和后续问卷进行了比较。
HCP 的平均年龄（标准差）为 32.7（5.2）岁，护士为 33.5（5.8）岁，医生为 32.4（4.4）岁。护士和医生中女性的比例分别为 94.3%和 12.5%。共有 16.4%（11/67）的 HCP 符合 PTPD 标准。护士的发病率有高于医生的趋势。女性 HCP 的发病率有高于男性 HCP 的趋势。干预后，没有 HCP 在后续问卷中报告 PTPD（<0.05）。
本研究表明，地震后医疗应对中 HCP 中 PTPD 很常见；然而，早期干预后恢复力良好。
