Tahernejad Somayeh, Ghaffari Sina, Ariza-Montes Antonio, Wesemann Ulrich, Farahmandnia Hojjat, Sahebi Ali
Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Department of Occupational Health Engineering and Safety at Work, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
Heliyon. 2023 Jan 3;9(1):e12794. doi: 10.1016/j.heliyon.2023.e12794. eCollection 2023 Jan.
Medical workers involved in responding to the earthquake are exposed to frightening scenes and witness dead bodies and severely injured moaning people, predisposing them to multiple mental health consequences. This study was aimed to determine the prevalence of Post-Traumatic Stress Disorder (PTSD) after earthquakes among medical workers using a systematic review and meta-analysis.
The review study was performed following PRISMA guidelines, and the study's protocol was registered in PROSPERO with the code CRD42022333069. The data resources of Google Scholar, Science Direct, Web of Science, PubMed, and Scopus were searched to specify the related studies. To perform meta-analysis, the random effects model was utilized, and the I index was considered to assess heterogeneity between studies. The STATA software was used for data analysis.
In the initial data resources search, 1399 articles were identified. From these articles, 13 were finally chosen for meta-analysis and quality assessment. The meta-analysis results indicated that the prevalence of post-earthquake PTSD among medical workers involved in the earthquake response was 16.37% (95% CI: 11.63-21.11, I = 97.33%, p = 0 < 0.001).
The medical workers involved in response to the earthquake have a relatively high risk of PTSD in the short and long term. Therefore, medical workers involved in response to disasters should undergo screening for mental health disorders before and after disasters and receive the necessary training with regard to stress management, psychological resilience, and how to express their feelings and emotions.
参与地震救援的医护人员会接触到令人恐惧的场景,目睹尸体和重伤员的呻吟,这使他们容易产生多种心理健康问题。本研究旨在通过系统评价和荟萃分析确定地震后医护人员创伤后应激障碍(PTSD)的患病率。
本综述研究按照PRISMA指南进行,研究方案已在PROSPERO注册,注册号为CRD42022333069。检索了谷歌学术、科学Direct、科学网、PubMed和Scopus等数据资源以确定相关研究。为进行荟萃分析,采用随机效应模型,并使用I指数评估研究间的异质性。使用STATA软件进行数据分析。
在初始数据资源检索中,共识别出1399篇文章。最终从这些文章中选取了13篇进行荟萃分析和质量评估。荟萃分析结果表明,参与地震救援的医护人员震后PTSD患病率为16.37%(95%CI:11.63 - 21.11,I = 97.33%,p = 0 < 0.001)。
参与地震救援的医护人员在短期和长期内患PTSD的风险相对较高。因此,参与灾害救援的医护人员应在灾害前后接受心理健康障碍筛查,并接受有关压力管理、心理韧性以及如何表达情感的必要培训。