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应激事件对紧急医疗服务青年志愿者动机、自我效能和创伤后症状发展的影响。

Impact of Stressful Events on Motivations, Self-Efficacy, and Development of Post-Traumatic Symptoms among Youth Volunteers in Emergency Medical Services.

机构信息

The Department of Emergency Management & Disaster Medicine, School of Public Health, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv 6997801, Israel.

Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel Hashomer, Ramat-Gan 5266202, Israel.

出版信息

Int J Environ Res Public Health. 2019 May 8;16(9):1613. doi: 10.3390/ijerph16091613.

Abstract

During the last decades, Israeli emergency medical services (EMS) personnel has been exposed to different potentially traumatic events, including mass terror attacks. The aims of the present study were to identify how potentially traumatic events affect young volunteers in their motivation to volunteer and their perceived self-efficacy while being at risk of developing post-traumatic symptoms. The final sample included 236 Magen David Adom (MDA, the "Israeli Red Cross") youth volunteers. The study evaluated their motivational factors for volunteering, perceived self-efficacy, participation in potentially traumatic events, and post-traumatic symptoms. Over two-thirds of the volunteers participated in a traumatic event on duty. Volunteers who were involved in potentially stressful events scored higher levels of post-traumatic symptoms, though still very low and subclinical. Nonetheless, participating in stressful events contributed to an increased sense of self-efficacy. No difference in post-traumatic symptom levels was observed between volunteers who partook in mass casualty incidents and those who did not. The results demonstrate that MDA youth volunteers may mostly benefit from participating in situations requiring the administration of emergency medicine, even stressful ones. They may help to find ways to empower the volunteers and increase their resilience.

摘要

在过去的几十年里,以色列紧急医疗服务(EMS)人员接触到了各种潜在的创伤性事件,包括大规模恐怖袭击。本研究的目的是确定潜在的创伤性事件如何影响年轻志愿者的动机,以及在面临创伤后症状风险时他们的自我效能感。最终样本包括 236 名 Magen David Adom(MDA,“以色列红十字会”)青年志愿者。该研究评估了他们的志愿服务动机因素、自我效能感、参与潜在创伤性事件和创伤后症状。超过三分之二的志愿者在值班时参与了创伤性事件。参与潜在压力事件的志愿者得分更高的创伤后症状,但仍非常低且处于亚临床状态。尽管如此,参与压力事件会增强自我效能感。参与大规模伤亡事件和未参与此类事件的志愿者之间的创伤后症状水平没有差异。结果表明,MDA 青年志愿者可能主要受益于参与需要实施紧急医疗的情况,即使是有压力的情况。他们可能有助于找到增强志愿者能力和提高其适应力的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9365/6540098/d575b0d4120e/ijerph-16-01613-g001.jpg

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