减少医务人员创伤后应激障碍症状的干预措施

Abstract

Objectives This scoping review aimed to describe available interventions for decreasing (post-traumatic stress disorder) PTSD symptoms among healthcare professionals in hospital care.

Method A scoping review was conducted following Arksey and O’Malley’s framework. PubMed, EMBASE, Cochrane Library, CINAHL, PsycINFO, Web of Science, Scopus and ProQuest were searched for original research published in English from 2011 to 2021, on 8 July 2021. We included studies that described interventions that focused on reducing the PTSD symptoms of healthcare professionals. A narrative synthesis was adopted to synthesise the data.

Results A total of eight studies out of 2558 articles were identified. Six used a quantitative study design and two adopted qualitative methods. cognitive behavioural therapy and mindfulness-based interventions were the most commonly adopted. Most studies used a combination of different intervention strategies. Trauma-related knowledge, emotion regulation and relaxation skill training, and psychological support from peers and psychologists were three core intervention components. The duration ranged from 2 weeks to 6 months. Healthcare professionals who participated in training programmes reported both positive experiences and suggestions for the improvement of PTSD-reducing interventions in their qualitative feedback.

Conclusions The scoping review provides a practical summary of the intervention characteristics for reducing the PTSD symptoms of healthcare professionals. Hospitals and managers could use the overview of interventions to assist healthcare professionals with PTSD symptoms. More research investigating the effects of PTSD symptom-reducing interventions for healthcare professionals with appropriate follow-up assessments is needed in the future.

摘要翻译（仅供参考）

目标该范围审查旨在描述在医院护理中的医疗保健专业人员中减少（创伤后应激障碍）PTSD 症状的可用干预措施。

方法范围审查是按照 Arksey 和 O'Malley 的框架进行的。2021 年 7 月 8 日，PubMed、EMBASE、Cochrane Library、CINAHL、PsycINFO、Web of Science、Scopus 和 ProQuest 搜索了 2011 年至 2021 年以英文发表的原始研究。我们纳入了描述干预措施的研究，这些干预措施的重点是减轻患者的 PTSD 症状医疗保健专业人员。采用叙述性综合法对数据进行综合。

结果共纳入了 2558 篇文章中的 8 篇研究。六个采用定量研究设计，两个采用定性方法。认知行为疗法和基于正念的干预是最常用的。大多数研究使用了不同干预策略的组合。创伤相关知识、情绪调节和放松技能训练以及来自同龄人和心理学家的心理支持是三个核心干预组成部分。持续时间从 2 周到 6 个月不等。参加培训计划的医疗保健专业人员在他们的定性反馈中报告了改进减少 PTSD 干预措施的积极经验和建议。

结论范围审查提供了减少医疗保健专业人员 PTSD 症状的干预特征的实用总结。医院和管理人员可以使用干预概述来帮助有 PTSD 症状的医疗保健专业人员。未来需要更多的研究来调查 PTSD 减轻症状干预对医疗保健专业人员的影响，并进行适当的后续评估。

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