The psychological effect of severe acute respiratory syndrome on emergency department staff
The psychological effect of severe acute respiratory syndrome on emergency department staff
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DOI：
10.1136/emj.2006.035089
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发表时间：
2007-01-01
影响因子：
3.1
通讯作者：
Yang, D-Y
中科院分区：
文献类型：
--
作者：
Lin, C-Y;Peng, Y-C;Yang, D-Y
背景：2003年爆发的严重急性呼吸系统综合征（SARS）影响了29个国家。SARS疫情传播迅速，给一线医护人员，尤其是急诊科医护人员带来了巨大的心理压力。目的：探讨SARS疫情对急诊科医护人员心理状态的影响，包括创伤后应激障碍（PTSD）症状。为了调查医院不同的工作条件是否会对医护人员产生不同的心理影响，比较高危病区急诊科医护人员与中危病区精神科医护人员的心理影响。采用Davidson创伤量表中文版（DTS-C）和中国健康问卷（CHQ-12）对SARS疫情结束后一个月内医护人员的心理状况进行调查。急诊科和精神科病房工作人员的DTS-C评分存在显著差异（p=0.04）。两组CHQ评分差异无统计学意义。急诊科的工作人员有更严重的PTSD症状比工作人员在精神病房。结论：SARS是一个创伤性的经验，在台湾的医疗服务提供者。急诊科和精神科病房的大多数工作人员都患有创伤后应激障碍。急诊科工作人员比精神科病房的工作人员有更严重的PTSD症状。
Background: The severe acute respiratory syndrome (SARS) outbreak in 2003 affected 29 countries. The SARS outbreak was unique in its rapid transmission and it resulted in heavy stress in first-line healthcare workers, particularly in the emergency department.Aim : To determine the influence of SARS on the psychological status, including post-traumatic stress disorder (PTSD) symptoms, of the staff in the emergency department.Methods: To investigate whether different working conditions in the hospital led to different psychological effects on healthcare workers, the psychological effect on emergency department staff in the higk-risk ward was compared with that on psychiatric ward staff in the medium-risk ward. Davidson Trauma Scale-Chinese version (DTS-C) and Chinese Health Questionnaire-12 (CHQ-12) items were designed to check the psychological status of the staff in the month after the end of the SARS outbreak.Results: 86 of 92 (93.5%) medical staff considered the SARS outbreak to be a traumatic experience. The DTS-C scores of staff in the emergency department and in the psychiatric ward were significantly different Number (p=0.04). No significant difference in CHQ score was observed between the two groups. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.Conclusion: SARS was a traumatic experience for healthcare providers in Taiwan. Most staff in the emergency department and in the psychiatric ward had PTSD. Emergency department staff had more severe PTSD symptoms than staff in the psychiatric ward.