摘要
目的系统评价医护救援人员灾害韧性的影响因素。方法计算机检索PubMed、Cochrane Library、Web of Science、CINAHL、APA PsycInfo、EMbase、Scopus、CNKI、WanFang Data、VIP和CBM数据库,搜集关于医护救援人员灾害韧性影响因素的研究,检索时限均为建库至2022年11月1日。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用Stata 16.0软件进行Meta分析。结果共纳入36个研究,包括7974名医护救援人员。Meta分析结果显示,个人因素中,积极应对、救援信心、准备充分度、知识掌握程度、身体健康状况、锻炼情况与医护救援人员的灾害韧性呈正相关;抑郁情绪、焦虑情绪、压力及心理疾病史与医护救援人员的灾害韧性呈负相关。环境/背景因素中,社会支持、救援物资、灾害培训、经济状况、救援经历、工龄、职称与医护救援人员的灾害韧性呈正相关。结论现有证据显示,医护救援人员的灾害韧性受多种个人因素及环境/背景因素的影响。受纳入研究数量和质量的限制,上述结论尚待更多高质量研究予以验证。
Objective To systematically evaluate the influencing factors of disaster resilience for medical rescue workers.Methods PubMed,Cochrane Library,Web of Science,CINAHL,APA PsycInfo,EMbase,Scopus,CNKI,WanFang Data,VIP and CBM databases were electronically searched to collect studies on the influencing factors of disaster resilience for medical rescue workers from inception to November 1,2022.Two reviewers independently screened literature,extracted data and assessed the risk of bias of the included studies.Meta-analysis was then performed by using Stata 16.0 software.Results A total of 36 studies involving 7974 medical rescue workers were included.The metaanalysis results showed that personal influencing factors,including active coping,rescue confidence,disaster preparedness,knowledge attainment,physical health,and exercise were positively correlated with the disaster resilience of healthcare workers.However,depression,anxiety,stress,and a history of mental illness were negatively related to the disaster resilience of medical rescue workers.Environmental and background factors,including social support,relief supplies,disaster training,economic condition,rescue experience,length of service,and technical title,were positively correlated with the disaster resilience of medical rescue workers.Conclusion Current evidence shows that the disaster resilience of medical rescue workers is affected by a variety of personal factors and environmental/background factors.Due to the limited quality and quantity of the included studies,more high-quality studies are needed to verify the above conclusion.
作者
许叶华
毛孝容
王芳
关晋英
车洪
XU Yehua;MAO Xiaorong;WANG Fang;GUAN Jinying;CHE Hong(Department of Nursing,Emergency Intensive Care Unit,Affiliated Hospital of University of Electronic Science and Technology of China&Sichuan Provincial People’s Hospital,Chengdu 610072,P.R.China;Department of Nursing,Affiliated Hospital of University of Electronic Science and Technology of China&Sichuan Provincial People’s Hospital,Chengdu 610072,P.R.China;Department of Nursing,Neonatal Intensive Care Unit,Affiliated Hospital of University of Electronic Science and Technology of China&Sichuan Provincial People’s Hospital,Chengdu 610072,P.R.China)
出处
《中国循证医学杂志》
CSCD
北大核心
2023年第8期916-922,共7页
Chinese Journal of Evidence-based Medicine
基金
四川省留学回国人员科技活动资助项目(编号:川人社函〔2020〕291号:30320200061)。
关键词
医护救援人员
灾害韧性
影响因素
系统评价
META分析
Medical rescue workers
Disaster resilience
Influencing factors
Systematic review
Meta-analysis
作者简介
通信作者:毛孝容,Email:xiaorong_mao@qq.com。
