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急诊医护人员工作相关创伤后应激症状、倦怠和整体功能中性别和职业角色差异。

Gender and occupational role differences in work-related post-traumatic stress symptoms, burnout and global functioning in emergency healthcare workers.

机构信息

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.

出版信息

Intensive Crit Care Nurs. 2022 Apr;69:103154. doi: 10.1016/j.iccn.2021.103154. Epub 2021 Dec 9.

DOI:10.1016/j.iccn.2021.103154
PMID:34895972
Abstract

OBJECTIVES

To explore gender and occupational role impact on work-related Post-Traumatic Stress Symptoms, Post-Traumatic Stress Disorder, burnout and global functioning in a sample of emergency healthcare workers.

DESIGN

A cross-sectional study.

PARTICIPANTS/SETTING: 126 healthcare workers of the Emergency Department, including Intensive Care Unit, Emergency Room and Emergency Medicine, of a major University Hospital in central Italy were recruited.

MAIN OUTCOME MEASURES

Participants were assessed by means of the: Trauma and Loss Spectrum-Self Report (TALS-SR) to explore Post-Traumatic Stress Spectrum Symptoms, Professional Quality of Life (ProQOL) Scale to assess Compassion Satisfaction, Burnout and Compassion Fatigue and Work and Social Adjustment Scale (WSAS) to measure global functioning.

RESULTS

The present findings showed females were more prone to develop Post-Traumatic Stress Symptoms, particularly re-experiencing (p = .010) and hyperarousal (p = .026) symptoms and medical doctors reporting higher Burnout (p < .001) and lower Compassion Satisfaction (p = .009) mean scores than nurses. Higher levels of functioning impairment emerged amongst medical doctors rather than nurses, in both social (p = .029) and private (p = .020) leisure activities. Linear correlations highlighted relationships between the TALS-SR, ProQOL and WSAS scores. Finally, medical doctor status was significantly associated with lower Compassion Satisfaction (p = .029) and higher Burnout (p = .015).

CONCLUSION

Our results highlight high post-traumatic stress symptoms and burnout levels in emergency healthcare workers with a relevant impact of female gender and occupational role, supporting the need for preventive strategies, also in light of the current COVID-19 pandemic.

摘要

目的

探索性别和职业角色对意大利中部一家大型大学医院急诊科包括重症监护室、急诊室和急诊医学在内的 126 名急诊医疗工作者的与工作相关的创伤后应激症状、创伤后应激障碍、倦怠和整体功能的影响。

设计

横断面研究。

参与者/设置:招募了意大利中部一家大型大学医院急诊科(包括重症监护室、急诊室和急诊医学)的 126 名医护人员。

主要结果测量

采用创伤与丧失频谱自我报告(TALS-SR)评估创伤后应激谱症状,采用专业生活质量量表(ProQOL)评估同情满足、倦怠和同情疲劳,采用工作和社会适应量表(WSAS)评估整体功能。

结果

本研究结果显示,女性更容易出现创伤后应激症状,特别是再体验(p=0.010)和过度警觉(p=0.026)症状,医生报告的倦怠(p<0.001)和同情满足(p=0.009)的平均得分低于护士。在社交(p=0.029)和私人(p=0.020)休闲活动中,医生的功能障碍程度比护士更高。TALS-SR、ProQOL 和 WSAS 评分之间的线性相关性突出。最后,医生的职业状况与较低的同情满足(p=0.029)和较高的倦怠(p=0.015)显著相关。

结论

我们的研究结果强调了急诊医疗工作者的创伤后应激症状和倦怠水平较高,女性性别和职业角色具有重要影响,这支持了需要采取预防策略,特别是在当前 COVID-19 大流行的背景下。

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