急诊医护人员中失眠、疲劳及心理健康问题症状的患病率：一项横断面研究。
Prevalence of insomnia, fatigue and symptoms of mental health problems among emergency medical service nurses: a cross-sectional study.
作者信息
Oosterhuis-Nienhaus Marieke M E, Vloet Lilian C M, Detaille Sarah I, Vermeulen Hester, Hoefnagel Jan, Knol Mischa, Schepens Ellen, van den Boogaard Mark, Berben Sivera A A, Ebben Remco H A
机构信息
Research Department of Emergency and Critical Care, School of Health Studies, University of Applied Sciences Arnhem and Nijmegen (HAN), Postbus 6960, Nijmegen, GL, 6503, The Netherlands.
Radboud Institute for Health Sciences, IQ health, Radboud University Medical Center, Nijmegen, The Netherlands.
出版信息
BMC Nurs. 2025 May 28;24(1):607. doi: 10.1186/s12912-025-03270-y.
BACKGROUND
Emergency medical service nurses worldwide face continuous high-stress situations caused by critical incidents that can overwhelm them emotionally and affect their daily functioning and sustainable employability. Repeated exposure to these incidents negatively impacts their mental health. The COVID-19 pandemic has further exacerbated these issues, with high prevalence rates of insomnia and fatigue among emergency medical service nurses serving as key predictors of mental health problems. Until now little is known about the mental consequences of the COVID-19 pandemic on EMS nurses. This study, the first of its kind in the Netherlands, aims to assess the prevalence of insomnia, fatigue, and symptoms of mental health problems and identify associated risk factors.
METHODS
A national cross-sectional study was conducted in the Netherlands in spring 2022. Data were collected through an online survey among emergency medical service nurses covering personal characteristics as well as validated scales on insomnia, fatigue, anxiety, depression, and Post Traumatic Stress Disorder.
RESULTS
Prevalence rates were 39.2% for insomnia, 32.5% for fatigue, 18.4% for anxiety, 16.2% for depression and 10% for Post Traumatic Stress Disorder. Not recovering from COVID-19 was linked to higher odds of fatigue, while living alone was associated with insomnia. Working as an emergency medical dispatcher and more work experience were linked to increased fatigue. Regional differences in emergency medical services organizations and full recovery of COVID-19 showed to result in lower odds of insomnia in ambulance professionals.
CONCLUSIONS
Insomnia and fatigue are prevalent among emergency medical service nurses. These conditions heighten the risk of severe mental health problems and potential sickness leave. Further research is needed to explore factors contributing to these issues and to develop targeted interventions supporting professionals sustainability.
CLINICAL TRIAL NUMBER
Not applicable.
背景
全球范围内的急救护士面临着由重大事件引发的持续高压力状况，这些事件可能在情感上使他们不堪重负，并影响其日常工作以及可持续就业能力。反复接触这些事件会对他们的心理健康产生负面影响。新冠疫情进一步加剧了这些问题，急救护士中失眠和疲劳的高患病率是心理健康问题的关键预测因素。到目前为止，关于新冠疫情对急救护士心理健康的影响知之甚少。本研究是荷兰的首例此类研究，旨在评估失眠、疲劳和心理健康问题症状的患病率，并确定相关风险因素。
方法
2022年春季在荷兰进行了一项全国性横断面研究。通过在线调查收集急救护士的个人特征以及关于失眠、疲劳、焦虑、抑郁和创伤后应激障碍的有效量表数据。
结果
失眠患病率为39.2%，疲劳患病率为32.5%，焦虑患病率为18.4%，抑郁患病率为16.2%，创伤后应激障碍患病率为10%。新冠未康复与疲劳几率较高有关，而独居与失眠有关。担任急救调度员以及工作经验较多与疲劳增加有关。急救服务组织的地区差异以及新冠完全康复显示会降低救护车专业人员失眠的几率。
结论
失眠和疲劳在急救护士中很普遍。这些状况增加了严重心理健康问题和潜在病假的风险。需要进一步研究以探索导致这些问题的因素，并制定支持专业人员可持续性的针对性干预措施。
临床试验编号
不适用。
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