Ghahramanipirsalami Ali, Modaresi Farzaneh, Sabetsarvestani Parisa, Dehghan Azizallah, Abedi Saeed, Bijani Mostafa
Student Research Committee Fasa University of Medical Sciences Fasa Iran.
Noncommunicable Diseases Research Center (NCDRC) Fasa University of Medical Sciences Fasa Iran.
Health Sci Rep. 2025 Apr 28;8(5):e70751. doi: 10.1002/hsr2.70751. eCollection 2025 May.
As first responders to accidents and disasters, prehospital emergency personnel encounter psychological crises and mental stressors like death anxiety and job burnout. The present study aimed to investigate death anxiety, resilience, and job burnout in prehospital emergency personnel.
This investigation employed a descriptive, cross-sectional, observational, and multi-centric study design. The research population encompassed prehospital emergency personnel affiliated with three universities of medical sciences in Fars Province, Southern Iran. A convenience sampling technique yielded a participant pool of 417 prehospital emergency personnel. Data was gathered using the Templer Death Anxiety Scale, Prehospital Emergency Personnel Resilience Scale and Maslach Burnout Inventory. Data were analyzed in SPSS-26 through descriptive statistics, one-way ANOVA, Pearson coefficient, and multiple linear regression. The significance level was set at < 0.05.
The mean score for job burnout was 61.36 (SD ± 36.76), while the mean score for death anxiety was 99.5 (SD ± 94.10). These scores can be interpreted as indicative of high levels of both job burnout and death anxiety. Conversely, the mean resilience score of 96.37 (SD ± 77.06) suggests moderate resilience within the sample population. The findings revealed an inverse correlation between resilience and job burnout ( = -0.49, < 0.001) and an inverse correlation between resilience and death anxiety ( = -0.51 < 0.001). Also, the findings revealed a statistically significant positive correlation was found between job burnout and death anxiety ( = 0.37, < 0.001). The results showed that age, work experience, resilience, and job burnout explained 44.4% of the variance in death anxiety ( = 0.44, < 0.001). In addition, work experience ( = 0.097, = 0.043), resilience ( = 0. 208 < 0.001), and job burnout ( = 0.337, < 0.001) had the highest predictive impact on death anxiety.
While the present study revealed high levels of death anxiety and job burnout among prehospital personnel, it also found their resilience to be moderate. Senior managers in prehospital emergency services should prioritize strategies to improve cognitive abilities, particularly resilience. By doing so, they can not only enhance employee well-being but also potentially reduce job burnout and death anxiety.
作为事故和灾难的第一响应者，院前急救人员会遭遇心理危机和精神压力源，如死亡焦虑和职业倦怠。本研究旨在调查院前急救人员的死亡焦虑、心理韧性和职业倦怠情况。
本调查采用描述性、横断面、观察性和多中心研究设计。研究人群包括伊朗南部法尔斯省三所医科大学附属的院前急救人员。采用便利抽样技术，选取了417名院前急救人员作为研究对象。使用Templer死亡焦虑量表、院前急救人员心理韧性量表和马氏职业倦怠量表收集数据。在SPSS-26中通过描述性统计、单因素方差分析、Pearson系数和多元线性回归对数据进行分析。显著性水平设定为<0.05。
职业倦怠的平均得分为61.36（标准差±36.76），而死亡焦虑的平均得分为99.5（标准差±94.10）。这些分数可解释为表明职业倦怠和死亡焦虑水平较高。相反，心理韧性的平均得分为96.37（标准差±77.06），表明样本人群的心理韧性处于中等水平。研究结果显示心理韧性与职业倦怠之间呈负相关（=-0.49，<0.001），心理韧性与死亡焦虑之间呈负相关（=-0.51，<0.001）。此外，研究结果显示职业倦怠与死亡焦虑之间存在统计学上的显著正相关（=0.37，<0.001）。结果表明，年龄、工作经验、心理韧性和职业倦怠解释了死亡焦虑变异的44.4%（=0.44，<0.001）。此外，工作经验（=0.097，=0.043）、心理韧性（=0.208，<0.001）和职业倦怠（=0.337，<0.001）对死亡焦虑的预测影响最大。
虽然本研究揭示了院前急救人员中存在较高水平的死亡焦虑和职业倦怠，但也发现他们的心理韧性处于中等水平。院前急救服务的高级管理人员应优先制定提高认知能力的策略，特别是心理韧性。通过这样做，他们不仅可以提高员工的幸福感，还可能减少职业倦怠和死亡焦虑。
