Service des Urgences, Centre hospitalo-Universitaire de Martinique, Fort de France, France.
Direction de la Recherche Clinique et de l'Innovation, Centre hospitalo-Universitaire de Guadeloupe, Point-à-Pitre, France.
PLoS One. 2020 Mar 10;15(3):e0229246. doi: 10.1371/journal.pone.0229246. eCollection 2020.
In September 2017, the Hurricane Irma devastated the islands of Saint-Martin and Saint-Barthelemy (French West Indies). This was a particularly distressing time for the local healthcare staff in charge of rescuing the population. The aim of this study was to identify the explanatory factors of post-traumatic distress and burnout in hospital staff.
An anonymous questionnaire was sent to all 509 hospital workers of Saint-Martin and Saint-Barthelemy. Post-traumatic distress and burnout was assessed using the Post-Traumatic Stress Disorder Checklist (PCL-S) and Copenhagen Burnout Inventory (CBI) scales. Bivariate and multivariate analyses were used to determine the explanatory variables for these two psychological disorders.
Two hundred and sixty-two questionnaires were completed (response rate of 51.7%). The explanatory factors of post-traumatic distress were female gender (OR = 12.93, 95% CI: 2.70-232.10), electricity shortages (OR = 2.92, 95% CI: 1.13-8.19) and home damage (OR = 1.16, 95% CI [1.02-1.33]). In parallel, the explanatory factors of burnout were post-traumatic distress (OR: 10.42, 95% CI: 4.72-25.58), female gender (OR = 2,41, 95% CI: 1.24-5.02) and paramedical staff (OR = 2,53, 95% CI: 1.15-6.21). In the multivariate analysis, only burnout was significantly associated with post-traumatic distress (OR = 9.26, 95% CI: 4.11-23.14).
Six months after Irma, post-traumatic distress among hospital staff was strongly linked to burnout. This study revealed the lack of electricity as a new factor related to post-traumatic distress. It also suggested that psychological intervention should be strengthened.
2017 年 9 月，飓风“艾尔玛”袭击了圣马丁岛和圣巴泰勒米岛（法属西印度群岛）。对于负责营救当地居民的当地医护人员来说，这是一个特别痛苦的时期。本研究旨在确定医院工作人员创伤后应激障碍和倦怠的解释因素。
向圣马丁岛和圣巴泰勒米岛的 509 名医院工作人员发送了一份匿名问卷。使用创伤后应激障碍检查表（PCL-S）和哥本哈根倦怠量表（CBI）评估创伤后应激障碍和倦怠。使用单变量和多变量分析来确定这两种心理障碍的解释变量。
共完成了 262 份问卷（应答率为 51.7%）。创伤后应激障碍的解释因素为女性（OR=12.93，95%CI：2.70-232.10）、电力短缺（OR=2.92，95%CI：1.13-8.19）和房屋损坏（OR=1.16，95%CI[1.02-1.33]）。同时，倦怠的解释因素为创伤后应激障碍（OR：10.42，95%CI：4.72-25.58）、女性（OR=2.41，95%CI：1.24-5.02）和医务人员（OR=2.53，95%CI：1.15-6.21）。多变量分析显示，只有倦怠与创伤后应激障碍显著相关（OR=9.26，95%CI：4.11-23.14）。
在“艾尔玛”飓风过后 6 个月，医院工作人员的创伤后应激障碍与倦怠密切相关。本研究揭示了电力短缺作为与创伤后应激障碍相关的新因素。这也表明应加强心理干预。
