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银行抢劫案发生后警察的应激水平与心率变异性:一份经验报告。

Stress level and heart rate variability in police post-occurrence of bank robbery: an experience report.

作者信息

Grani Gabriel, Bassan Julio César, Rezende Elisangela Franciele, Lubas Henrique, Farah Leonardo, Rica Roberta Luksevicius, Bocalini Danilo Sales, Fernandes Carlos Alexandre Molena, Paulo Anderson Caetano

机构信息

Departamento Acadêmico de Educação Física, Universidade Tecnológica Federal do Paraná, Curitiba, PR, Brazil.

Batalhão de Operações Especiais, Polícia Militar do Paraná, Curitiba, PR, Brazil.

出版信息

Rev Bras Med Trab. 2023 Feb 3;20(3):445-453. doi: 10.47626/1679-4435-2022-697. eCollection 2022 Jul-Sep.

Abstract

INTRODUCTION

The expectation of armed confrontation is among the most stressful elements in police work. Knowledge about perceived stress and cardiovascular markers in police officers comes from simulations. However, to date, information about psychophysiological responses during high-risk occurrences is scarce.

OBJECTIVES

To assess stress levels and heart rate variability in policemen before and afer atending a bank robbery.

METHODS

Elite police officers (30.4 ± 3.7yrs) filled in a stress questionnaire and had their heart rate variability monitored at the beginning (7:00 am) and at the end (7:00 pm) of a work shif. At about 5:30 pm, these policemen were called to respond to a bank robbery in progress.

RESULTS

No significant changes in sources or symptoms of stress were found between before and afer the incident. However, statistical reductions were found in heart rate range interval (R-R interval [-13.6%]), pNN50 (-40.0%), and low frequency (-28%) and the low frequency/high frequency ratio increased (200%). These results suggest that although no change in the level of perceived stress was found, a significant reduction in heart rate variability may be atributed to a reduction in activation of the parasympathetic system.

CONCLUSIONS

The expectation of armed confrontation is among the most stressful occurrences in police work. Research knowledge about perceived stress and cardiovascular markers in police officers comes from simulations. Data on psychophysiological responses post-occurrence of high-risk scenarios are scarce. This research may help law enforcement organizations find means to monitor police officers' acute stress levels afer any high-risk occurrences.

摘要

引言

对武装对抗的预期是警察工作中压力最大的因素之一。关于警察感知压力和心血管指标的知识来自模拟研究。然而,迄今为止,关于高风险事件期间心理生理反应的信息却很少。

目的

评估警察在处理银行抢劫案前后的压力水平和心率变异性。

方法

精英警察(年龄30.4±3.7岁)在工作班次开始时(上午7:00)和结束时(晚上7:00)填写压力问卷并监测心率变异性。下午5:30左右,这些警察被召集去应对一起正在进行的银行抢劫案。

结果

事件前后压力源或症状没有显著变化。然而,发现心率范围间期(R-R间期[-13.6%])、pNN50(-40.0%)、低频(-28%)有统计学意义的降低,低频/高频比值增加(200%)。这些结果表明,虽然感知压力水平没有变化,但心率变异性的显著降低可能归因于副交感神经系统激活的减少。

结论

对武装对抗的预期是警察工作中压力最大的事件之一。关于警察感知压力和心血管指标的研究知识来自模拟研究。高风险场景发生后心理生理反应的数据很少。本研究可能有助于执法组织找到监测警察在任何高风险事件后急性压力水平的方法。

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