Copenhagen Emergency Medical Services University of Copenhagen Denmark.
Department of Psychology University of Copenhagen Denmark.
J Am Heart Assoc. 2021 Jul 6;10(13):e020378. doi: 10.1161/JAHA.120.020378. Epub 2021 Jul 2.
Background Little is known about the psychological risks of dispatched citizen responders who have participated in resuscitation attempts. Methods and Results A cross-sectional survey study was performed with 102 citizen responders who participated in a resuscitation attempt from July 23, 2018, to August 22, 2018, in the Capital Region of Denmark. Psychological distress, defined as symptoms of posttraumatic stress disorder, was assessed 3 weeks after the resuscitation attempt and measured with the Impact of Event Scale-Revised. Perceived stress was measured with the Perceived Stress Scale. Individual differences were assessed as the personality traits of agreeableness, conscientiousness, extraversion, neuroticism, and openness to experience with the Big Five Inventory, general self-efficacy, and coping mechanisms (Brief Coping Orientation to Problems Experienced Inventory). Associations between continuous variables were examined with the Pearson correlation. The associations between psychological distress levels and contextual factors and individual differences were analyzed in multivariable linear regression models to determine factors independently associated with psychological distress levels. The mean overall posttraumatic stress disorder score was 0.65 of 12; the mean perceived stress score was 7.61 of 40. The most common coping mechanisms were acceptance and emotional support. Low perceived stress was significantly associated with high general self-efficacy, and high perceived stress was significantly associated with high scores on neuroticism and openness to experience. Non-healthcare professionals were less likely to report symptoms of posttraumatic stress disorder. Conclusions Citizen responders who participated in resuscitation reported low levels of psychological distress. Individual differences were significantly associated with levels of psychological distress and should be considered when engaging citizen responders in resuscitation.
对于参与复苏尝试的派遣公民响应者所面临的心理风险知之甚少。
本研究采用横断面调查，于 2018 年 7 月 23 日至 8 月 22 日期间在丹麦首都地区招募了 102 名参与复苏尝试的公民响应者。心理困扰（定义为创伤后应激障碍症状）在复苏尝试后 3 周进行评估，采用修订后的事件影响量表进行测量。感知压力采用感知压力量表进行测量。个体差异通过大五人格量表、一般自我效能感和应对机制（简要应对问题体验量表）评估。连续变量之间的关联采用 Pearson 相关分析。多变量线性回归模型分析心理困扰水平与情境因素和个体差异之间的关联，以确定与心理困扰水平独立相关的因素。总体创伤后应激障碍评分的平均值为 12 分中的 0.65 分；感知压力的平均得分为 40 分中的 7.61 分。最常见的应对机制是接受和情感支持。低感知压力与高一般自我效能感显著相关，高感知压力与高神经质和开放性显著相关。非医护专业人员报告创伤后应激障碍症状的可能性较低。
参与复苏的公民响应者报告的心理困扰程度较低。个体差异与心理困扰水平显著相关，在招募公民响应者参与复苏时应考虑这些因素。
