Xiangya Nursing School, Central South University, Changsha, Hunan, China.
Department of Emergency Center, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Front Public Health. 2023 Mar 7;11:1030456. doi: 10.3389/fpubh.2023.1030456. eCollection 2023.
Emergency medical service personnel are subjected to various stressors, which makes them more likely to develop post-traumatic stress disorder symptoms. Studies have shown that psychological detachment and presenteeism play a role at the level of post-traumatic stress disorder. There is no study to examine the relationship between psychological detachment, presenteeism, and post-traumatic stress disorder among emergency medical service personnel.
The main objective of the study is to investigate the effects of presenteeism in explaining the relationship between psychological detachment and post-traumatic stress disorder among emergency medical service personnel.
A cross-sectional study was conducted among 836 emergency medical service personnel in 51 counties and cities in Hunan Province, China.
They were anonymously investigated by using the Impact of Event Scale-Revised (IES-R), the Stanford Presenteeism scale-6 (SPS-6), and the Psychological Detachment Scale. Statistic description, univariate analysis, pearson correlation, and structural equation model were adopted to analyze the data.
The mean score of IES-R, SPS-6, and the psychological detachment scale were 22.44 ± 16.70, 15.13 ± 4.20, and 11.30 ± 4.24. Post-traumatic stress disorder was positively relevant with presenteeism ( = 0.381, < 0.01), but negatively correlated with psychological detachment ( = -0.220, < 0.01). And presenteeism partially mediated the association between psychological detachment and post-traumatic stress disorder.
The results show a high prevalence of post-traumatic stress disorder symptoms in EMS personnel, presenteeism can statistically significantly predict post-traumatic stress disorder symptoms. If hospital management can reduce the presenteeism of emergency medical service personnel, this will help them reduce post-traumatic stress disorder symptoms.
急救医疗服务人员会受到各种压力源的影响，这使他们更容易出现创伤后应激障碍症状。研究表明，心理脱离和出勤主义在创伤后应激障碍层面发挥作用。目前尚无研究检查急救医疗服务人员的心理脱离、出勤主义和创伤后应激障碍之间的关系。
本研究的主要目的是调查出勤主义在解释急救医疗服务人员心理脱离与创伤后应激障碍之间关系中的作用。
在中国湖南省 51 个县和市，对 836 名急救医疗服务人员进行了横断面研究。
采用创伤后应激障碍影响量表修订版（IES-R）、斯坦福出勤主义量表-6（SPS-6）和心理脱离量表对他们进行匿名调查。采用统计描述、单变量分析、皮尔逊相关和结构方程模型对数据进行分析。
IES-R、SPS-6 和心理脱离量表的平均得分为 22.44±16.70、15.13±4.20 和 11.30±4.24。创伤后应激障碍与出勤主义呈正相关（ =0.381，<0.01），与心理脱离呈负相关（ =-0.220，<0.01）。出勤主义部分中介了心理脱离与创伤后应激障碍之间的关系。
结果表明，急救医疗服务人员创伤后应激障碍症状的发生率较高，出勤主义可以显著预测创伤后应激障碍症状。如果医院管理能够减少急救医疗服务人员的出勤主义，这将有助于他们减少创伤后应激障碍症状。
