Asadi Aghajari Maryam, Hashemzadeh Elnaz, Fazlizade Sevda, Ojaghloo Mansour, Ghanbari-Afra Leila, Ghahremani Zeinab, Abdi Mohammad
Department of Midwifery, Maragheh Branch, Islamic Azad University, Maragheh, Iran.
Department of Nursing, Tabriz university of Medical Sciences, Tabriz, Iran.
Bull Emerg Trauma. 2023;11(3):138-145. doi: 10.30476/BEAT.2023.98245.1421.
Emergency medical technicians (EMTs) are at risk of developing post-traumatic stress disorder (PTSD) as a result of seeing painful events involving suspected COVID-19 patients and being concerned about potentially infecting themselves and their families. Therefore, screening for these disorders is essential in the post-Corona era. This study aimed to investigate the prevalence of PTSD among EMTs and its relationship with occupational stress and depression when dealing with patients with suspected COVID-19.
This cross-sectional study was conducted on EMTs at Zanjan University of Medical Sciences using a convenience sampling method. Data were collected using a demographic information questionnaire, PTSD checklist, occupational stress questionnaire, and the Goldberg depression scale. The data were analyzed using SPSS software. Statistical tests such as Pearson correlation and logistic regression analysis were used to evaluate the data.
205 EMTs participated in this cross-sectional study. The mean and standard deviation of PTSD was 37.13±12.93 (17-85), and according to the cut-off (45), the prevalence of PTSD was 30.7%. There was a direct and significant association between the total PTSD and depression scores (r=0.435, =0.001). Some occupational stress domains, such as demand (r=0.306, =0.001), colleague support (r=0.149, =0.033), and communication (r=0.293, =0.001) had a significant association with PTSD. The domains of sadness in depression (OR=1.074, =0.027) and demands in occupational stress (OR=1.872, =0.029) were the most important predictors of PTSD. Among demographic variables, employment status was the most important protective factor for PTSD (OR=0.378, =0.038).
PTSD affected one-third of EMTs, and it had a significant relationship with various dimensions of depression and occupational stress. Due to the chronic nature of these diseases, policymakers are advised to prioritize psychological screening of EMTs as part of the post-Corona policy.
急诊医疗技术人员（EMT）因目睹涉及疑似新冠肺炎患者的痛苦事件，并担心自己及家人可能被感染，有患创伤后应激障碍（PTSD）的风险。因此，在新冠疫情后时代，对这些疾病进行筛查至关重要。本研究旨在调查急诊医疗技术人员中创伤后应激障碍的患病率及其在应对疑似新冠肺炎患者时与职业压力和抑郁的关系。
本横断面研究采用便利抽样法，对赞詹医科大学的急诊医疗技术人员进行研究。使用人口统计学信息问卷、创伤后应激障碍检查表、职业压力问卷和戈德堡抑郁量表收集数据。使用SPSS软件对数据进行分析。采用Pearson相关性分析和逻辑回归分析等统计检验来评估数据。
205名急诊医疗技术人员参与了本横断面研究。创伤后应激障碍的平均得分和标准差为37.13±12.93（17 - 85），根据临界值（45），创伤后应激障碍的患病率为30.7%。创伤后应激障碍总分与抑郁得分之间存在直接且显著的关联（r = 0.435，P = 0.001）。一些职业压力领域，如需求（r = 0.306，P = 0.001）、同事支持（r = 0.149，P = 0.033）和沟通（r = 0.293，P = 0.001）与创伤后应激障碍有显著关联。抑郁中的悲伤领域（OR = 1.074，P = 0.027）和职业压力中的需求领域（OR = 1.872，P = 0.029）是创伤后应激障碍最重要的预测因素。在人口统计学变量中，就业状况是创伤后应激障碍最重要的保护因素（OR = 0.378，P = 0.038）。
创伤后应激障碍影响了三分之一的急诊医疗技术人员，并且它与抑郁和职业压力的各个维度都有显著关系。由于这些疾病具有慢性性质，建议政策制定者将急诊医疗技术人员的心理筛查作为新冠疫情后政策的一部分予以优先考虑。
