The prevalence and impact of post traumatic stress disorder and burnout syndrome in nurses.

The prevalence and impact of post traumatic stress disorder and burnout syndrome in nurses.
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DOI:
10.1002/da.20631
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发表时间:
2009
影响因子:
7.4
通讯作者:
Moss, Marc
Moss, Marc
中科院分区:
医学1区
文献类型:
--
作者:
Mealer, Meredith;Burnham, Ellen L.;Goode, Colleen J.;Rothbaum, Barbara;Moss, Marc

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确定创伤后应激障碍(PTSD)和倦怠综合征(BOS)在护士中是否常见,以及PTSD和BOS的共存是否与工作和非工作相关活动的感知改变有关。对大学医院护士进行四份有效的心理问卷调查。有效率为41%(332/810)。22%(73/332)有PTSD症状,18%(61/332)符合PTSD诊断标准,86%(277/323)符合BOS诊断标准。98%(59/60)符合PTSD诊断标准的患者BOS呈阳性。当被分为三组:PTSD和BOS阳性(n=59), BOS阳性和PTSD阴性(n=217), BOS和PTSD均阴性(n=46)时,在护士工作年限(p < 0.0001),对协作护理的看法(p = 0.006),对医生的信心(p = 0.01)和对他们的工作影响患者预后的看法(p = 0.01)方面存在显著差异。与单独患有创伤后应激障碍的护士相比,患有创伤后应激障碍的护士在工作环境之外的生活中明显更有可能遇到困难。我们发现创伤后应激障碍和BOS在护士中很常见,而患有创伤后应激障碍的护士几乎都有BOS的症状。PTSD和BOS的共存对工作和非工作相关的活动和认知有显著影响。
To determine whether post-traumatic stress disorder (PTSD) and burnout syndrome (BOS) are common in nurses, and whether the co-existence of PTSD and BOS is associated with altered perceptions of work and non-work related activities. University hospital Nurses were administered four validated psychological questionnaires. The response rate was 41% (332/810). Twenty two percent (73/332) had symptoms of PTSD, 18% (61/332) met diagnostic criteria for PTSD, and 86% (277/323) met criteria for BOS. Ninety eight percent (59/60) of those fulfilling diagnostic criteria for PTSD were positive for BOS. When grouped into three categories: positive for PTSD and BOS (n=59), positive for BOS and negative for PTSD (n=217), and negative for both BOS and PTSD (n=46), there were significant differences in the years of employment as a nurse (p < 0.0001), perceptions of collaborative nursing care (p = 0.006), confidence in physicians (p = 0.01), and perception that their work impacted patient outcomes (p = 0.01). Nurses with BOS and PTSD were significantly more likely to have difficulty in their life outside of the work environment when compared to those with BOS alone. We identified that PTSD and BOS are common in nurses and those with PTSD will almost uniformly have symptoms of BOS. Co-existence of PTSD and BOS has a dramatic effect on work and non-work related activities and perceptions.
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