Ebrahimian Abbasali, Esmaeili Seyed-Mahdi, Seidabadi Arash, Fakhr-Movahedi Ali
Clinical Research Development Center, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran.
Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
Emerg Med Int. 2021 Aug 20;2021:4392996. doi: 10.1155/2021/4392996. eCollection 2021.
Emergency medical services (EMS) personnel are exposed to stress. Job stress in EMS personnel can reduce their resilience and have adverse effects on their clinical performance and mental health, thus reducing the quality of their work. The present research was performed to determine the effect of psychological hotwash on resilience of emergency medical services personnel.
This study was a quasiexperimental. Sixty-four EMS personnel were randomly divided into two groups of hotwash and control. The psychological hotwash program was performed in the intervention group for a month based on the protocol; however, the control group continued their usual work and received no intervention. A day and six weeks after the psychological hotwash in the intervention group, the resilience of the EMS personnel was remeasured in both groups.
Before the intervention, the participants' mean resilience score was 138.37 ± 7.04 in the intervention group and 137.34 ± 8.48 in the control group. There was a statistically significant difference between the mean scores of resilience in the intervention and control groups a day after the intervention (=0.003). There was no statistically significant difference between the mean scores of resilience in the intervention and control groups 6 weeks after the intervention (=0.102).
The EMS personnel's attendance at psychological hotwash sessions could increase their resilience. Nevertheless, the sessions should not be interrupted because the 6-week interruption of the sessions caused the nonsignificant scores of resilience in the hotwash and control groups. Hence, it is recommended to continue the investigation of the effects of hotwash on resilience, stress reduction, and job burnout reduction in EMS personnel by other researchers in different settings.
紧急医疗服务（EMS）人员面临压力。EMS人员的工作压力会降低他们的心理韧性，并对其临床工作表现和心理健康产生不利影响，进而降低工作质量。本研究旨在确定心理复盘对紧急医疗服务人员心理韧性的影响。
本研究为准实验性研究。64名EMS人员被随机分为心理复盘组和对照组。干预组按照方案进行了为期一个月的心理复盘项目；然而，对照组继续其日常工作，未接受任何干预。在干预组进行心理复盘后的一天和六周，对两组EMS人员的心理韧性进行重新测量。
干预前，干预组参与者的平均心理韧性得分为138.37±7.04，对照组为137.34±8.48。干预后一天，干预组和对照组的心理韧性平均得分之间存在统计学显著差异（=0.003）。干预后6周，干预组和对照组的心理韧性平均得分之间无统计学显著差异（=0.102）。
EMS人员参加心理复盘会议可以提高他们的心理韧性。然而，会议不应中断，因为会议中断6周导致心理复盘组和对照组的心理韧性得分无显著差异。因此，建议其他研究人员在不同环境中继续研究心理复盘对EMS人员心理韧性、压力减轻和职业倦怠减轻的影响。
