Smith Erin C, Burkle Frederick M
1Edith Cowan University,School of Medical and Health Sciences,Joondalup,Western Australia,Australia.
3Harvard Humanitarian Initiative,Harvard University and Harvard T.C. Chan School of Public Health,Cambridge,MassachusettsUSA.
Prehosp Disaster Med. 2019 Feb;34(1):56-61. doi: 10.1017/S1049023X18001255.
IntroductionIn the years following the September 11, 2001 terrorist attacks in New York City (New York USA), otherwise known as 9/11, first responders began experiencing a range of health and psychosocial impacts. Publications documenting these largely focus on firefighters. This research explores paramedic and emergency medical technician (EMT) reflections on the long-term impact of responding to the 9/11 terrorist attacks. METHODS: Qualitative methods were used to conduct interviews with 54 paramedics and EMTs on the 15-year anniversary of 9/11. RESULTS: Research participants reported a range of long-term psychosocial issues including posttraumatic stress disorder (PTSD), anxiety, depression, insomnia, relationship breakdowns and impact on family support systems, and addictive and risk-taking behaviors. Ongoing physical health issues included respiratory disorders, eye problems, and cancers.DiscussionThese findings will go some way to filling the current gap in the 9/11 evidence-base regarding the understanding of the long-term impact on paramedics and EMTs. The testimony of this qualitative research is to ensure that an important voice is not lost, and that the deeply personal and richly descriptive experiences of the 9/11 paramedics and EMTs are not forgotten. SmithEC, BurkleFMJr. Paramedic and emergency medical technician reflections on the ongoing impact of the 9/11 terrorist attacks. Prehosp Disaster Med. 2019;34(1):56-61.
引言
在2001年9月11日美国纽约市发生恐怖袭击事件(即9·11事件)后的数年里,急救人员开始经历一系列健康和心理社会方面的影响。记录这些情况的出版物大多聚焦于消防员。本研究探讨护理人员和急救医疗技术员(EMT)对应对9·11恐怖袭击事件的长期影响的反思。
采用定性方法,在9·11事件15周年之际对54名护理人员和急救医疗技术员进行访谈。
研究参与者报告了一系列长期的心理社会问题,包括创伤后应激障碍(PTSD)、焦虑、抑郁、失眠、关系破裂以及对家庭支持系统的影响,还有成瘾和冒险行为。持续存在的身体健康问题包括呼吸系统疾病、眼部问题和癌症。
讨论
这些发现将在一定程度上填补当前9·11事件证据库中关于护理人员和急救医疗技术员长期影响理解方面的空白。这项定性研究的证词是为了确保一个重要的声音不被忽视,并且9·11事件护理人员和急救医疗技术员深刻的个人经历和丰富的描述性体验不会被遗忘。
史密斯EC,伯克尔FM Jr。护理人员和急救医疗技术员对9·11恐怖袭击事件持续影响的反思。《院前灾难医学》。2019;34(1):56 - 61。