Khazaei Afshin, Navab Elham, Esmaeili Maryam, Masoumi Habib
Intensive Care and Management Nursing Department, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Critical Care Department, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Arch Acad Emerg Med. 2021 Apr 30;9(1):e35. doi: 10.22037/aaem.v9i1.1157. eCollection 2021.
Ongoing exposure to a variety of Pre-hospital Emergencies (PE) has placed Emergency Medical Technicians (EMTs) at serious psychiatric compromise such as Post-Traumatic Stress Disorder (PTSD). The present study aimed to evaluate the prevalence and associated factors of PTSD among EMTs.
This prospective cross-sectional study was conducted on EMTs in the Emergency Medical Services (EMS) in west of Iran. A baseline information questionnaire including personal work-related characteristics and the PTSD checklist of DSM-5 (PCL-5) were used for data collection. Non-parametric tests and multivariate linear regression were used to evaluate the associated factors of PTSD in these participants.
Among the participants, 22% of technicians had PTSD-diagnostic criteria. The mean total PCL-5 score was 21.60 ± 11.45, while the scores were 38.02 ± 6.08 and 17.47 ± 8.36 in the PTSD-diagnosed and undiagnosed groups, respectively. The most common symptom of the clusters was negative alterations in cognition with a mean score of 7.42 ± 4.63. After adjusting confounders, the number of missions (t= 2.50, P= 0.013), work experience (t= -3.24, P= 0.001) and number of shifts (t: 26.38, P < 0.001) were significantly corelated with PCL-5 score.
The results indicated that the prevalence of PTSD among EMTs personnel of Hamedan province is high. EMTs with the age of ≤ 30 years, work experience of ≤ 10 years, married status, informal employment, emergency medical technician's degree, and more than 8 shifts per month, as well as no previous training history had a higher total PCL-5 score.
持续暴露于各种院前紧急情况（PE）使急诊医疗技术人员（EMT）面临严重的精神问题，如创伤后应激障碍（PTSD）。本研究旨在评估EMT中PTSD的患病率及相关因素。
本前瞻性横断面研究针对伊朗西部紧急医疗服务（EMS）中的EMT进行。使用包括个人工作相关特征的基线信息问卷和DSM-5创伤后应激障碍检查表（PCL-5）收集数据。采用非参数检验和多元线性回归评估这些参与者中PTSD的相关因素。
在参与者中，22%的技术人员符合PTSD诊断标准。PCL-5总分均值为21.60±11.45，而在PTSD诊断组和未诊断组中的得分分别为38.02±6.08和17.47±8.36。各集群中最常见的症状是认知方面的消极改变，平均得分为7.42±4.63。调整混杂因素后，任务数量（t = 2.50，P = 0.013）、工作经验（t = -3.24，P = 0.001）和轮班次数（t = 26.38，P < 0.001）与PCL-5得分显著相关。
结果表明，哈马丹省EMT人员中PTSD的患病率较高。年龄≤30岁、工作经验≤10年、已婚、非正规就业、急诊医疗技术员学位、每月超过8个轮班以及无既往培训史的EMT的PCL-5总分较高。
