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医务人员创伤工作后继发性创伤后成长的患病率及影响因素:一项横断面研究。

Prevalence and determinants of secondary posttraumatic growth following trauma work among medical personnel: a cross sectional study.

作者信息

Ogińska-Bulik Nina, Gurowiec Piotr Jerzy, Michalska Paulina, Kędra Edyta

机构信息

Department of Health Psychology, Institute of Psychology, University of Lodz, Lodz, Poland.

Institute of Health Sciences, University of Opole, Opole, Poland.

出版信息

Eur J Psychotraumatol. 2021 Mar 12;12(1):1876382. doi: 10.1080/20008198.2021.1876382.

Abstract

: People helping trauma victims as a part of their work may experience positive results, known as Secondary Posttraumatic Growth (SPTG). : The present study aimed to determine the prevalence and determinants of SPTG among medical personnel, considering occupational load, job satisfaction, social support, and cognitive processing of trauma, understood as cognitive coping strategies. : Subjects comprised 419 representatives of the medical profession, including paramedics and nurses. The age of the subjects varied from 19 to 65 (M = 39.60; SD = 11.03). Four standard measurement tools were utilized: the Secondary Posttraumatic Growth Inventory, the Job Satisfaction Scale, the Social Support Scale, which measured four support sources, and the Cognitive Processing of Trauma Scale to assess five cognitive coping strategies. Pearson's correlation coefficients were applied to analyse the connections between the variables. A linear stepwise regression analysis was used to identify the determinants of SPTG. Pearson's correlation coefficients with confidence intervals were applied to analyse the connections between the variables. : As many as 40% of participants experienced high levels of growth, with only 27.4% indicating a low level. The obtained results showed positive links between job satisfaction, all social support dimensions (from supervisors, co-workers, family, friends), all cognitive coping strategies (positive cognitive restructuring, downward comparison, resolution/acceptance, denial, regret), and SPTG. No significant connection between workload and SPTG total was discovered. The primary determinant of SPTG in the examined group of medical personnel is the cognitive processing of trauma, chiefly the strategy of positive cognitive restructuring. : Paramedics and nurses, despite their exposure to secondary trauma, experience positive posttraumatic consequences of the profession that entails helping the injured parties. It is advisable to encourage the medical personnel to apply positive coping strategies, find satisfaction in their work, and benefit from social support to promote posttraumatic growth.

摘要

作为工作的一部分帮助创伤受害者的人可能会经历积极的结果,即继发性创伤后成长(SPTG)。本研究旨在确定医务人员中SPTG的患病率及其决定因素,同时考虑职业负荷、工作满意度、社会支持以及对创伤的认知处理(即认知应对策略)。研究对象包括419名医疗行业代表,其中有护理人员和护士。研究对象的年龄在19岁至65岁之间(M = 39.60;标准差 = 11.03)。使用了四种标准测量工具:继发性创伤后成长量表、工作满意度量表、测量四种支持来源的社会支持量表以及评估五种认知应对策略的创伤认知处理量表。运用皮尔逊相关系数分析变量之间的联系。采用线性逐步回归分析来确定SPTG的决定因素。运用带有置信区间的皮尔逊相关系数分析变量之间的联系。多达40%的参与者经历了高水平的成长,只有27.4%的参与者表示成长水平较低。研究结果表明,工作满意度、所有社会支持维度(来自上级、同事、家人、朋友)、所有认知应对策略(积极认知重构、向下比较、解决/接受、否认、后悔)与SPTG之间存在正相关。未发现工作量与SPTG总分之间存在显著联系。在所研究的医务人员群体中,SPTG的主要决定因素是对创伤的认知处理,主要是积极认知重构策略。护理人员和护士尽管接触到继发性创伤,但仍经历了该职业带来的积极创伤后结果,即帮助受伤者。建议鼓励医务人员运用积极的应对策略,在工作中找到满足感,并从社会支持中受益,以促进创伤后成长。

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