Factors related to the fatigue of relief workers in areas affected by the Great East Japan Earthquake: survey results 2.5 years after the disaster.

Factors related to the fatigue of relief workers in areas affected by the Great East Japan Earthquake: survey results 2.5 years after the disaster.
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DOI:
10.1186/s13030-018-0133-0
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发表时间:
2018
影响因子:
2.1
通讯作者:
Maeda M
Maeda M
中科院分区:
医学4区
文献类型:
--
作者:
Setou N;Fukumori T;Nakao K;Maeda M

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东日本大地震(2011年3月11日)后,救援人员的疲劳成为受灾地区的一大问题。在本研究中,我们在灾后 2.5 年进行了问卷调查,以确定与救援人员疲劳相关的因素。这项调查是横断面调查,参与者(N = 119)是生活在受灾地区的救援人员。我们使用了一份自填问卷,其中包括参与者当前的问题、强烈失落感的来源、心理困扰和同情疲劳。根据对疲劳项目的回答(是/否),我们创建了 2 个组;疲劳组和非疲劳组。我们对两组之间存在显着差异的项目进行双变量分析,并将其输入多变量逻辑回归模型。五十七人 (48%) 表示他们“非常累”并被分配到疲劳组。疲劳组的凯斯勒心理困扰量表(K6)六项总分以及专业生活质量测量(Pro-QOL)各分量表得分(职业倦怠、继发性创伤和同情满意度)均显着高于非疲劳组。两组与当前问题和强烈失落感来源相关的 11 项存在显着差异,提取以下项目作为与救援人员疲劳相关的因素:对他人失去信任(调整后 OR,10.03:95%CI,2.30-43.79)、对继续工作没有信心(调整后 OR,6.27:95%CI,1.72-22.83)、失去重要的人(调整后的 OR,5.58:95%CI,2.05–15.19)和睡眠障碍(调整后的 OR,5.14:95%CI,1.93–13.67)。许多报告疲劳的救援人员经历了各种损失和当前的问题。对当地疲劳救援人员应在灾后较长时间内给予充分的照顾和照顾,并且工作人员自己继续接受他人的支持并保持自我护理习惯也很重要。
After the Great East Japan Earthquake (March 11, 2011), the fatigue of relief workers became a major problem in affected areas. In the present study, we conducted a questionnaire survey 2.5 years post-disaster identifying factors related to the fatigue of relief workers. This survey was cross-sectional and participants (N = 119) were relief workers living in affected areas. We used a self-administered questionnaire which included participants’ current problems, sources of strong feeling of loss, psychological distress and compassion fatigue. Based on answers (Yes/No) to the fatigue item, we created 2 groups; a Fatigue-group and a Non-fatigue group. We employed bivariate analysis on items with significant differences between the two groups and entered them into a multivariable logistic regression model. Fifty-seven (48%) reported that they were “very tired” and were assigned to the Fatigue group. The total score of the 6-item Kessler Psychological Distress Scale (K6) and each subscale score (burnout, secondary trauma, and compassion satisfaction) of the Professional Quality of Life measure (Pro-QOL) in the Fatigue group were significantly higher than those in the Non-fatigue group. There were significant differences between the two groups for 11 items relating to current problems and sources of strong feelings of loss, and the following items were extracted as factors related to the fatigue of relief workers: loss of trust in others (adjusted OR, 10.03: 95%CI, 2.30–43.79), no confidence to continue work (adjusted OR, 6.27: 95%CI, 1.72–22.83), loss of important person(s) (adjusted OR, 5.58: 95%CI, 2.05–15.19), and sleep disturbance (adjusted OR, 5.14: 95%CI, 1.93–13.67). Many relief workers who reported fatigue had experienced various losses and current problems. Adequate consideration and care systems for local relief workers with fatigue should be given for a long-period after a disaster and it is important for the workers themselves to continue accepting support from others and maintaining self-care habits.
DOI: 10.1037/0022-3514.84.3.632
发表时间: 2003-03-01
影响因子: 7.6
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发表时间: 2015-03-24
期刊: BMC psychiatry
影响因子: 4.4
作者:
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DOI: 10.1001/archpsyc.60.2.184
发表时间: 2003-02-01
影响因子: --
作者:
Kessler, RC;Barker, PR;Zaslavsky, AM
通讯作者: Zaslavsky, AM