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暴力经历与急救人员 burnout 之间的关联。

Association between the experience of violence and burnout among paramedics.

机构信息

Department of Psychology and Psychotherapy, University Witten/Herdecke, Alfred-Herrhausen-Straße 50, 58455, Witten, Germany.

Medical Psychology and Medical Sociology, Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University, Mainz, Germany.

出版信息

Int Arch Occup Environ Health. 2021 Oct;94(7):1559-1565. doi: 10.1007/s00420-021-01693-z. Epub 2021 Apr 22.

Abstract

PURPOSE

Similar to many occupational groups in the rescue service, paramedics show increased mental health problems. Both situational and work-organizational factors play a role in the development of mental illnesses. The aim of the study is to investigate the connection of experienced violence and the development of burnout in the paramedical profession.

METHODS

To analyze this association, 358 paramedics working for a German metropolitan fire brigade were examined using the Hamburg burnout inventory and a questionnaire on the history of violence, using one-factorial variance analyses, t tests and regression analyses.

RESULTS

The examined sample did not show elevated burnout rates, but 97.5% reported that they had already been insulted or spit on while in service. The experience of feeling threatened proved to be a significant predictor for emotional exhaustion and an aggressive response to emotional stress. Also, the experience of being jailed or insulted and the number of years of service are associated with the burnout score. All other experiences showed no significant association with the burnout burden.

CONCLUSION

It can be concluded that specific experiences with violence in the service of paramedics can particularly be associated with burnout symptoms. In general, however, violence seems to play a minor role.

摘要

目的

与救援服务行业中的许多职业群体类似,护理人员表现出更多的心理健康问题。情境因素和工作组织因素在精神疾病的发展中都起着作用。本研究的目的是调查护理人员职业中经历的暴力与倦怠的发展之间的联系。

方法

为了分析这种关联,使用汉堡倦怠量表和一份关于暴力史的问卷,对一家德国大都市消防队的 358 名护理人员进行了检查,采用单因素方差分析、t 检验和回归分析。

结果

被检查的样本没有表现出较高的倦怠率,但 97.5%的人报告说,他们在服务期间曾受到侮辱或吐口水。感到受到威胁的经历被证明是情绪耗竭和对情绪压力的攻击性反应的一个显著预测因素。此外,被监禁或侮辱的经历以及服务年限与倦怠得分相关。其他所有经历与倦怠负担均无显著关联。

结论

可以得出结论,护理人员在服务中经历的特定暴力事件可能与倦怠症状特别相关。然而,总的来说,暴力似乎只起很小的作用。

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