Department of Medicine, University of Oviedo, Oviedo 33006, Spain; Department of Global Public Health, Karolinska Institutet, Solna 17177, Sweden; Department of Sociology, East West University, Dhaka 1212, Bangladesh; South Asian Institute for Social Transformation (SAIST), Dhaka 1205, Bangladesh.
Institute of Disaster Management and Vulnerability Studies, University of Dhaka, Dhaka 1000, Bangladesh; School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.
Public Health. 2024 Sep;234:132-142. doi: 10.1016/j.puhe.2024.06.001. Epub 2024 Jul 14.
Doctors and nurses suffer different mental health conditions following traumatic incidents. We systematically synthesized existing evidence on the prevalence of anxiety, depression, and post-traumatic stress disorder (PTSD) and their associated risk factors among doctors and nurses following mass casualty incidents (MCIs).
Systematic review.
Seven databases were searched (2010-2022) with peer-reviewed articles in English using the predefined keywords. Two reviewers screened the titles, abstracts, and full texts using the eligibility criteria and extracted data independently. We used the National Institutes of Health Quality Assessment Tools (NIH-QAT) and the Critical Appraisal Skills Programme checklist (CASP) to measure the quality appraisal of the included studies.
A total of 5170 articles were retrieved, and 2512 articles were assessed by title and abstract (53 were eligible for full-text review). Finally, we included 19 studies. Most were assessed as of fair quality with a considerable risk of bias. PTSD was the highest-reported mental health condition. Nurses reported higher mental conditions, particularly PTSD. Two sets of risk factors (personal and workplace) are associated with anxiety, depression, and PTSD were found.
MCIs have a significant impact on the mental health outcomes of emergency health workers. Preventive measures should be designed considering the high-risk group, personal, and organizational risk factors of mental health outcomes.
医生和护士在创伤事件后会出现不同的心理健康状况。我们系统地综合了现有关于医生和护士在大规模伤亡事件（MCIs）后焦虑、抑郁和创伤后应激障碍（PTSD）的流行率及其相关风险因素的证据。
系统综述。
使用预定义的关键字，在 2010 年至 2022 年期间在七个数据库中搜索了同行评审的英文文章。两名审查员使用合格标准筛选标题、摘要和全文，并独立提取数据。我们使用美国国立卫生研究院质量评估工具（NIH-QAT）和关键评估技能计划清单（CASP）来衡量纳入研究的质量评估。
共检索到 5170 篇文章，其中 53 篇文章的标题和摘要（53 篇文章有资格进行全文审查）被评估。最后，我们纳入了 19 项研究。大多数研究的质量被评估为中等偏下，存在较大的偏倚风险。PTSD 是报告最多的心理健康状况。护士报告的心理健康状况较高，尤其是 PTSD。发现了两组与焦虑、抑郁和 PTSD 相关的风险因素（个人和工作场所）。
大规模伤亡事件对急诊卫生工作者的心理健康结果有重大影响。应考虑高风险群体、个人和组织心理健康结果的风险因素，设计预防措施。
