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替代性创伤对身体健康的影响:医院患者护理人员替代性创伤症状与胃肠道疾病之间的前瞻性关系。

Physical Health Consequences of Vicarious Trauma: Prospective Relationship Between Hospital Patient Care Worker Vicarious Trauma Symptoms and Gastrointestinal Disorders.

作者信息

Stelson Elisabeth Anne, Sorensen Glorian, Berkman Lisa, Ballou Sarah, Hashimoto Dean, Kubzansky Laura D, Sabbath Erika L

机构信息

From the Department of Social & Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (E.A.S., G.S., L.B., L.D.K., E.L.S.); Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts (E.A.S.); Division of Gastroenterology and Hepatology, Beth Israel Deaconess Medical Center, Boston, Massachusetts (S.B.); Boston College Law School, Newton, Massachusetts (D.H.); and Boston College School of Social Work, Chestnut Hill, Massachusetts (E.L.S.).

出版信息

J Occup Environ Med. 2025 Aug 1;67(8):654-665. doi: 10.1097/JOM.0000000000003432. Epub 2025 May 28.

Abstract

OBJECTIVE

Vicarious trauma (VT) is "secondhand" trauma healthcare workers experience when interacting with trauma survivors. The prospective relationship between workers' VT symptoms and physical health has not been studied.

METHODS

Survey data from 775 hospital workers were linked to health insurance expenditures to identify stress-related conditions known as disorders of gut-brain interaction (DGBIs) occurrence within 1-year follow-up. VT symptoms (modeled continuously and categorically) and conditional odds of developing DGBI were assessed with multilevel logistic regression.

RESULTS

Conditional odds of DGBI increased 4% for every one-point increase in VT symptom score (95% confidence interval, 0.98 to 1.11; P = 0.17). Participants with high versus low VT symptoms had 3.40-times the conditional odds of DGBI (95% confidence interval, 1.44 to 8.06; P = 0.01).

CONCLUSION

Workers with high versus low VT symptoms had significantly higher odds of developing DGBIs, indicating that VT may adversely impact workers' physical health.

摘要

目的

替代性创伤(VT)是医护人员在与创伤幸存者互动时所经历的“二手”创伤。尚未对工作人员的VT症状与身体健康之间的前瞻性关系进行研究。

方法

来自775名医院工作人员的调查数据与医疗保险支出相关联,以确定在1年随访期内出现的与压力相关的状况,即肠脑互动障碍(DGBIs)。使用多水平逻辑回归评估VT症状(连续和分类建模)以及发生DGBI的条件概率。

结果

VT症状评分每增加1分,DGBI的条件概率增加4%(95%置信区间,0.98至1.11;P = 0.17)。与低VT症状的参与者相比,高VT症状的参与者发生DGBI的条件概率是其3.40倍(95%置信区间,1.44至8.06;P = 0.01)。

结论

与低VT症状的工作人员相比,高VT症状的工作人员发生DGBIs的概率显著更高,表明VT可能对工作人员的身体健康产生不利影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d7f/12321354/1a87e6c2ed43/joem-67-0654-g001.jpg

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