Deltour Victoire, Poujol Anne-Laure, Laurent Alexandra
Psychology Laboratory: Relational Dynamics and Identity Processes (Psy-DREPI), University of Bourgogne Franche-Comté, AAFE pole, Esplanade Erasme, 21078, Dijon, France.
VCR Team, School of Practitioner Psychologists, Catholic University of Paris, 7403, Paris, EA, France.
Ann Intensive Care. 2023 Jul 21;13(1):66. doi: 10.1186/s13613-023-01145-6.
The ICU (intensive care unit) involves potentially traumatic work for the professionals who work there. This narrative review seeks to identify the prevalence of post-traumatic stress disorder (PTSD) among ICU professionals; how PTSD has been assessed; the risk factors associated with PTSD; and the psychological support proposed.
Three databases and editorial portals were used to identify full-text articles published in English between 2009 and 2022 using the PRISMA method.
Among the 914 articles obtained, 19 studies met our inclusion criteria. These were undertaken primarily during the Covid-19 period (n = 12) and focused on nurses and assistant nurses (n = 10); nurses and physicians (n = 8); or physicians only (n = 1). The presence of mild to severe PTSD among professionals ranged from 3.3 to 24% before the pandemic, to 16-73.3% after the pandemic. PTSD in ICU professionals seems specific with particularly intense intrusion symptoms. ICU professionals are confronted risk factors for PTSD: confrontation with death, unpredictability and uncertainty of care, and insecurity related to the crisis COVID-19. The studies show that improved communication, feeling protected and supported within the service, and having sufficient human and material resources seem to protect healthcare professionals from PTSD. However, they also reveal that ICU professionals find it difficult to ask for help.
ICU professionals are particularly at risk of developing PTSD, especially since the Covid-19 health crisis. There seems to be an urgent need to develop prevention and support policies for professionals.
重症监护病房（ICU）对在那里工作的专业人员来说涉及潜在的创伤性工作。本叙述性综述旨在确定ICU专业人员中创伤后应激障碍（PTSD）的患病率；PTSD是如何评估的；与PTSD相关的风险因素；以及所提出的心理支持措施。
使用三个数据库和编辑门户网站，采用PRISMA方法识别2009年至2022年期间以英文发表的全文文章。
在获得的914篇文章中，19项研究符合我们的纳入标准。这些研究主要在新冠疫情期间进行（n = 12），并聚焦于护士和助理护士（n = 10）；护士和医生（n = 8）；或仅医生（n = 1）。疫情前专业人员中轻度至重度PTSD的发生率在3.3%至24%之间，疫情后为16%至73.3%。ICU专业人员中的PTSD似乎具有特异性，尤其是侵入症状特别强烈。ICU专业人员面临PTSD的风险因素：面对死亡、护理的不可预测性和不确定性，以及与新冠疫情相关的不安全感。研究表明，改善沟通、在工作中感到受到保护和支持，以及拥有充足的人力和物力资源似乎能保护医护人员免受PTSD的影响。然而，研究也表明ICU专业人员发现难以寻求帮助。
ICU专业人员尤其有患PTSD的风险，特别是自新冠疫情健康危机以来。似乎迫切需要为专业人员制定预防和支持政策。
