针对灾难救援人员的复原力增强干预措施:一项系统综述
Resilience enhancement interventions for disaster rescue workers: a systematic review.
作者信息
Mao Xiaorong, Suo Ying, Wei Xiaoqing, Luo Yinxia
机构信息
Department of Nursing, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
School of Medicine, University of Electronic Science and Technology of China, Chengdu, China.
出版信息
Scand J Trauma Resusc Emerg Med. 2025 May 19;33(1):91. doi: 10.1186/s13049-025-01397-0.
Resilience is defined as the ability of individuals to adapt to stress and adversity. In recent years, the concept of resilience in the context of disaster, particularly that of disaster rescue workers, has received considerable attention from academic researchers, disaster response organizations, and policymakers involved in disaster management. This systematic review aimed to identify interventions designed to enhance the resilience of disaster rescue workers. A systematic search was conducted from inception to January 31, 2024, in ten electronic databases: ISI Web of Science, Scopus, PubMed, MEDLINE (Ovid), Embase, Cochrane Library, CINAHL, PILOTS, PsycInfo, and the CNKI. A manual search of the reference lists of the included articles and an author search were conducted to identify additional relevant literature. A total of 22 studies that aimed to enhance resilience among disaster rescue workers were included in this review. These interventions focused on resilience-related knowledge and skills, stress and energy management, coping strategies, mindfulness, and psychological first aid. The duration of these interventions ranged from 1 to 24 h within 8 weeks, with sessions conducted in-person or online in group formats. Individual resilience, coping, social support, mindfulness, and burnout improvements were reported. The most common types of interventions were psychoeducation, followed by mindfulness-based training. However, the methodological quality of these interventions was generally sub-optimal. A well-designed intervention study is needed to enhance the resilience of disaster rescue workers.
复原力被定义为个体适应压力和逆境的能力。近年来,灾害背景下的复原力概念,尤其是灾害救援人员的复原力概念,受到了学术研究人员、灾害应对组织以及参与灾害管理的政策制定者的广泛关注。本系统综述旨在确定旨在增强灾害救援人员复原力的干预措施。从数据库建立到2024年1月31日,在十个电子数据库中进行了系统检索:科学引文索引(ISI Web of Science)、Scopus、PubMed、医学在线数据库(MEDLINE,Ovid平台)、Embase、考克兰图书馆、护理学与健康领域数据库(CINAHL)、心理学与行为科学数据库(PILOTS)、心理学文摘数据库(PsycInfo)和中国知网(CNKI)。对纳入文章的参考文献列表进行了手动检索,并进行了作者检索以识别其他相关文献。本综述共纳入了22项旨在增强灾害救援人员复原力的研究。这些干预措施侧重于与复原力相关的知识和技能、压力与精力管理、应对策略、正念以及心理急救。这些干预措施的时长在8周内从1小时到24小时不等,课程以面对面或在线的小组形式进行。报告显示个体的复原力、应对能力、社会支持度、正念水平和职业倦怠情况均有所改善。最常见的干预类型是心理教育,其次是基于正念的训练。然而,这些干预措施的方法学质量普遍欠佳。需要开展精心设计的干预研究来增强灾害救援人员的复原力。