Rigas Nikolaos, Soldatou Alexandra, Dagla Maria, Nanou Christina, Antoniou Evangelia
Department of Midwifery, University of West Attica, 122 43 Egaleo, Greece.
Faculty of Medicine, National and Kapodistrian University of Athens, 157 72 Athens, Greece.
Reports (MDPI). 2023 Feb 23;6(1):9. doi: 10.3390/reports6010009.
Secondary PTSD is defined as the natural, consequential behaviors and emotions that result from knowledge about a traumatic event experienced by a significant other deriving from working with suffering individuals. Pediatric health providers with symptoms of PTSD report problems with relationships and general life dissatisfaction as well as and anxiety, depression and burnout syndrome.
The aim of this systematic review was to estimate the risk of developing secondary PTSD among pediatric health care providers as well as all additional contributing factors. In more detail, we investigated the PTSD symptomatology between pediatric health care providers and the extent to which parameters such as the job, gender, department and other factors had an impact on the mental health status of pediatric health care providers.
We searched all published English papers in PubMed, Google Scholar and the Cochrane Library from September to November 2022. We excluded reviews, systematic reviews and meta-analyses as well as letters to editors. From a total of 748 papers, we included only 12 research articles that met the admission criteria.
According to our results, the prevalence of secondary PTSD ranges from 13% to 94%. Burnout, nurses, the female gender, intensive care units, past traumatic life events and a psychiatric history identified as factors contributing to the development of secondary PTSD.
Health policy-makers should take the specificity in the working environment of the pediatric sector seriously into consideration, especially emergency departments.
继发性创伤后应激障碍(PTSD)被定义为因了解重要他人所经历的创伤事件而产生的自然的、随之而来的行为和情绪,这些事件源于与受苦个体的工作接触。有PTSD症状的儿科医疗服务提供者报告了人际关系问题、总体生活满意度低以及焦虑、抑郁和职业倦怠综合征。
本系统评价的目的是评估儿科医疗服务提供者发生继发性PTSD的风险以及所有其他促成因素。更具体地说,我们调查了儿科医疗服务提供者之间的PTSD症状学,以及工作、性别、科室和其他因素等参数对儿科医疗服务提供者心理健康状况的影响程度。
我们检索了2022年9月至11月在PubMed、谷歌学术和考克兰图书馆发表的所有英文论文。我们排除了综述、系统评价和荟萃分析以及给编辑的信件。在总共748篇论文中,我们仅纳入了12篇符合纳入标准的研究文章。
根据我们的结果,继发性PTSD的患病率在13%至94%之间。职业倦怠、护士、女性、重症监护病房、过去的创伤性生活事件和精神病史被确定为导致继发性PTSD发生的因素。
卫生政策制定者应认真考虑儿科部门工作环境的特殊性,尤其是急诊科。