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急诊科护士创伤后应激障碍发生率的Meta分析

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目的:系统评价急诊科护士创伤后应激障碍(post-traumatic stress disorder,PTSD)的发生率.方法:计算机检索8个英文及4个中文数据库有关急诊科护士 PTSD发生率的流行病学研究,检索时限均为建库至2022年10月.由2名研究者严格按照纳排标准独立进行文献筛选和数据提取,并应用美国卫生保健质量和研究机构量表(AHRQ)评价横断面研究质量.采用Stata11.0软件进行Meta分析.结果:共纳入14篇文献,共包括2 370名急诊科护士,其中PTSD阳性612名.急诊科护士 PTSD发生率为27.0%[95%CI(16.6%,38.8%)].亚组分析结果显示:急诊科男护士与女护士 PTSD发生率分别为44.6%和30.8%,国内与国外急诊科护士PTSD发生率分别为27.8%和25.2%,在检索的6种PTSD评估工具中,采用密西西比创伤后应激障碍量表(平民版)诊断的急诊科护士 PTSD发生率最高,为83.21%.结论:当前证据显示,男性、国内、创伤后应激障碍诊断标准为密西西比创伤后应激障碍量表(平民版)的急诊科护士 PTSD发生率高.因为纳入研究数量和质量的限制,尚待更多高质量流行病学研究予以验证上述结论.
Incidence of post-traumatic stress disorder among emergency department nurses:a meta-analysis
Objective:To systematically evaluate the incidence of post-traumatic stress disorder(PTSD)among emergency department nurses.Methods:Eight English and four Chinese databases were searched for epidemiological studies related to the incidence of PTSD among emergency department nurses.Searches were conducted from database inception to October 2022.Literature screening and data extraction were completed by 2 researchers independently according to the inclusion and exclusion criteria,and cross-sectional study quality was evaluated by applying the AHRQ scale.Meta-analysis was performed with Stata 11.0 software.Results:A total of 14 articles were included,including 2 370 emergency department nurses,of which 612 were positive for PTSD.According to subgroup analysis,the incidence of PTSD in male and female emergency department nurses was 44.6%and 30.8%,respectively.The incidence of PTSD among emergency department nurses in China was 27.8%,while the incidence of PTSD among emergency department nurses abroad was 25.2%.Among the 6 PTSD assessment tools retrieved,emergency department nurses diagnosed with the Mississippi Posttraumatic Stress Disorder Scale(civilian version)had the highest incidence of PTSD,at 83.21%.Conclusion:Current evidence shows that the incidence of PTSD among emergency department nurses was higher among emergency department nurses who were male,whose study site was China,and diagnosed with the Civilian Mississippi scale.Due to the limitations of the number and quality of included studies,the above conclusions still need to be verified by more high-quality epidemiological studies.

Emergency departmentNursePost-traumatic stress disorderMeta-analysis

赵孟淑、王国州、龙裕、李玉伶、王晓冉、孙垚、马宏文

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天津市人民医院,天津 300121

天津医科大学肿瘤医院

急诊 护士 创伤后应激障碍 Meta分析

2024

天津护理
天津市中心妇产科医院 天津护理学会 天津医科大学护理学院

天津护理

影响因子:0.718
ISSN:1006-9143
年,卷(期):2024.32(3)