The presence of psychological trauma symptoms in resuscitation providers and an exploration of debriefing practices
The presence of psychological trauma symptoms in resuscitation providers and an exploration of debriefing practices
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DOI：
10.1016/j.resuscitation.2019.06.280
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发表时间：
2019-09-01
期刊：
影响因子：
6.5
通讯作者：
Georgiou, Andy
中科院分区：
文献类型：
--
作者：
Spencer, Stephen A.;Nolan, Jerry P.;Georgiou, Andy
简介：目睹创伤经历会导致创伤后应激障碍(PTSD)。参加院内心脏骤停(IHCA)对医护人员的真正影响尚未被研究。方法：于2018年4月至8月对某地区综合医院急诊科、急诊科和重症监护室的517名医生(各级)、护士和健康服务助理(HCA)进行33项问卷调查。包括人口学、心脏骤停和汇报情况、创伤筛查问卷(TSQ)三个部分。结果：应答率为414/517(80.1%)，312/414(75.4%)涉及IHCA。在1463名被捕人员中，有258人(17.6%)听取了汇报。302名工作人员中有29名(9.6%)的创伤后应激障碍筛查呈阳性。健康助理员和基础一年级医生的TSQ得分高于护士或高级医生(p=0.02，p=0.02)。汇报情况与创伤后应激障碍风险无关(p=0.98)。只有8/67(11.9%)的急救领队接受过汇报培训。结论：近10%的急诊护理人员因参加IHCA而筛查出创伤后应激障碍，其中初级工作人员出现创伤症状的风险最大。很少发生汇报，可能是因为心脏骤停小组组长缺乏汇报培训。需要为IHCA后的急性护理、护理和医务人员提供更多支持。
Introduction: Witnessing traumatic experiences can cause post-traumatic stress disorder (PTSD). The true impact on healthcare staff of attending in-hospital cardiac arrests (IHCAs) has not been studied. This cross-sectional study examined cardiac arrest debriefing practices and the burden of attending IHCAs on nursing and medical staff.Methods: A 33-item questionnaire-survey was sent to 517 doctors (of all grades), nurses and health-care assistants (HCAs) working in the emergency department, the acute medical unit and the intensive care unit of a district general hospital between April and August 2018. There were three sections: demographics; cardiac arrest and debriefing practices; trauma-screening questionnaire (TSQ).Results: The response rate was 414/517 (80.1%) 312/414 (75.4%) were involved with IHCAs. Out of 1463 arrests, 258 (17.6%) were debriefed. Twenty-nine of 302 (9.6%) staff screened positively for PTSD. Healthcare assistants and Foundation Year 1 doctors had higher TSQ scores than nurses or more senior doctors (p = 0.02, p = 0.02, respectively). Debriefing was not associated with PTSD risk (p = 0.98). Only 8/67 (11.9%) of resuscitation leaders had prior debriefing training.Conclusions: Nearly 10% of acute care staff screened positively for PTSD as a result of attending an IHCA, with junior staff being most at risk of developing trauma symptoms. Very few debriefs occurred, possibly because of a lack of debrief training amongst cardiac arrest team leaders. More support is required for acute care nursing and medical staff following an IHCA.