Zareiyan Armin, Sahebi Ali, Nejati-Zarnaqi Bayram, Mosaed Reza, Ozouni-Davaji Rahman Berdi
Public Health Department, Nursing Faculty, Aja University of Medical Sciences, Tehran, Iran.
Department of Medical Emergencies and Health in Disasters and Emergencies, Ilam University of Medical Sciences, Iran.
Public Health Pract (Oxf). 2024 May 16;7:100508. doi: 10.1016/j.puhip.2024.100508. eCollection 2024 Jun.
The failure to detect PDG and lack of providing essential interventions accordingly can disrupt the lives of survivors of natural disasters years after the death of their loved ones. The present study aims to investigate PGD after natural disasters using a systematic review and meta-analysis.
This study was performed according to the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines.
With the focus on the prevalence of PGD after natural disasters, studies conducted until the end of 2021 were collected without a time limit. To do this, reputable databases such as PubMed, Web of Science, Scopus, Embase, Google Scholar, and Science Direct were used. The random effects model was used to perform a meta-analysis of the studies. To check the heterogeneity between the studies, the I2 index was used. The publication bias of the study was evaluated using Begg's test. Data were analyzed using the STATA software.
Primarily, 2566 studies were collected based on the initial search, from which 12 final studies were entered into the analysis. The results showed that the prevalence of PGD after natural disasters was 38.81 % (95 % CI: 24.12-53.50, I2 = 99.7 %, p = 0 < 001).
It is recommended that policies and plannings of the organizations responsible for disaster management be prepared to send specialized teams of psycho-spiritual counseling, quickly accommodate the injured, and reconstruct the damaged buildings in the shortest time possible.
未能检测到创伤后悲伤障碍（PGD）以及未相应提供必要干预措施，可能会在自然灾害幸存者的亲人去世数年之后扰乱他们的生活。本研究旨在通过系统评价和荟萃分析来调查自然灾害后的创伤后悲伤障碍。
本研究按照系统评价和荟萃分析的首选报告项目指南进行。
以自然灾害后创伤后悲伤障碍的患病率为重点，收集截至2021年底进行的无时间限制的研究。为此，使用了如PubMed、科学网、Scopus、Embase、谷歌学术和科学Direct等知名数据库。采用随机效应模型对研究进行荟萃分析。使用I²指数检查研究之间的异质性。使用Begg检验评估研究的发表偏倚。数据使用STATA软件进行分析。
首先，基于初步检索收集了2566项研究，从中12项最终研究纳入分析。结果显示，自然灾害后创伤后悲伤障碍的患病率为38.81%（95%置信区间：24.12 - 53.50，I² = 99.7%，p = 0 < 0.001）。
建议负责灾害管理的组织制定政策和规划，准备派遣心理 - 精神咨询专业团队，尽快安置伤者，并在最短时间内重建受损建筑。
