摘要
目的:调查新型冠状病毒肺炎疫情下援鄂医疗队员替代性创伤状况及其影响因素,为缓解医疗队员心理问题提供依据。方法:2020年3月13-19日方便抽样187名援鄂医疗队员,采用救助者替代性创伤问卷、简易应对方式问卷进行问卷星调查。结果:①医疗队员替代性创伤认知反应得分超过理论中值人数高达55人(30.6%),医疗队员发生了较大比例的替代性创伤;②不同性别医疗队员替代性创伤在行为反应、生理反应维度差异显著(t=-3.594,-2.602;P<0.05);③不同婚否医疗队员在情绪反应、行为反应、认知反应维度及替代性创伤总分差异有统计学意义(t=2.840,2.065,2.373,2.426;P<0.05);④支援时间1月24日-2月4日医疗队员在情绪反应、生理反应、生活信念及替代性创伤总分均显著大于2月5日-2月15日、2月16日及之后(F=6.421,7.660,10.187,4.345;P<0.05);⑤支援部门为重症监护病房的医疗队员替代性创伤显著大于确诊患者收治普通病房、方舱医院与应急隔离场所(F=3.729,4.257,8.324,4.876;P<0.05);⑥替代性创伤各维度及总分与消极应对显著正相关(r=0.159~0.271;P<0.05);除认知反应外,替代性创伤各维度及总分与积极应对呈负相关(r=-0.174^-0.336;P<0.05)。结论:医疗队员发生了较大比例的替代性创伤。女性、未婚、支援时间、支援部门、应对方式是替代性创伤发生的主要影响因素。
Objective:To understand the situation and influencing factors of the trauma of medical team members in Hubei province under the new epidemic situation,and to provide a basis for alleviating the psychological problems of the medical team members.Methods:From March 13to 19,2020,187medical team members from Hubei province were conveniently sampled,and a questionnaire survey was conducted using the rescuer's vicarious trauma questionnaire and the simple coping style questionnaire.Results:①The number of medical team members whose cognitive response scores of alternative trauma exceeded the theoretical median value was as high as 55,accounting for 30.6%of the total number of medical team members.The medical team suffered a greater proportion of vicarious injuries.②There were significant differences in the dimensions of behavioral response and physiological response of vicarious trauma among medical team members of different genders(t=-3.594,-2.602;P<0.05).③There were statistically significant differences in emotional response,behavioral response,cognitive response and total score of vicarious trauma among different marital medical members(t=2.840,2.065,2.373,2.426;P<0.05).④Support time from January 24to February 4,the total scores of emotional response,physiological response,life belief and vicarious trauma of medical team members were significantly greater than that from February 5to February 15,February 16and after(F=6.421,7.660,10.187,4.345;P<0.05).⑤The alternative trauma of the medical team members in the support department for the intensive care unit was significantly greater than that of the confirmed patients admitted to the general ward,the compartment hospital and the emergency isolation place(F=3.729,4.257,8.324,4.876;P<0.05).⑥All dimensions and total scores of vicarious trauma were positively correlated with negative coping(r=0.159~0.271;P<0.05).In addition to cognitive response,all dimensions and total scores of vicarious trauma were negatively correlated with positive coping(r=-0.174^-0.336;P<0.05).Conclusion:Medical team member have vicarious trauma.Female,unmarried,support time,support department and coping style are the main factors affecting the occurrence of vicarious trauma.
作者
陈晓容
郭盛丽
夏美燕
李奕
安杨欣
袁薇
CHEN Xiaorong;GUO Shengli;XIA Meiyan(Digestive Endoscopy Room,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)
出处
《中国健康心理学杂志》
2020年第10期1472-1476,共5页
China Journal of Health Psychology
基金
云南省教育厅科学研究基金(编号:2019y0361)
作者简介
陈晓容,E-mail:1141299090@qq.com;通信作者:袁薇,E-mail:404563429@qq.com。
