PREVALENCE OF POST-TRAUMATIC STRESS DISORDER AND RELATED FACTORS IN 112 EMPLOYEES IN THE 11th MONTH OF THE PANDEMİC

Yıl 2024, Cilt: 9 Sayı: 1, 29 - 50, 01.07.2024

Özge Çelen , Zeynep Şimşek

https://doi.org/10.54409/hod.1469745

Öz

Objectives: In this study, the prevalence of post-traumatic stress disorder and associated factors among 112 employees was determined in the 11th month of the COVID-19 pandemic, with the aim of preparing for pandemics expected to increase with climate change.
Material and Methods: In this cross-sectional study, 440 paramedics randomly selected, and "Socio-demographic Information Form", "Life Events Checklist" and "Post Traumatic Stress Disorder Control Form" were used for data collection.
Results: 49.5% of the participants were female and the mean age was 29.9±7.34. The prevalence of Post Traumatic Stress Disorder (PTSD) was 59.8%. Multiple regression analysis showed that approximately 25% of the total PTSD score was explained independently by general health situation and socio-demographic characteristics of paramedics, 27% by crisis management skills, long working hours, lack of equipment and traffic density, and 40% by difficult life events during their professional practice intervention such as gun injuries and being attacked by gunfire, sexual assault, brutal death and causing injury/death to another person from past traumatic experiences (p<0.05).
Conclusion: Based on these findings, in order to prevent/control of PTSD in paramedics; it is thought that it would be beneficial to integrate mental health monitoring system into the health and safety program and to apply regular supervision and psycho- social support interventions for high-risk groups in terms of controlling individual and occupational factors of paramedics and to include them in health services’ disaster preparedness plans.

Anahtar Kelimeler

Paramedics, Covid-19 Pandemia, Post Traumatic Stress Disorder, Traumatic Experiences, Individual and Occupational Factors

Destekleyen Kurum

Istanbul Bilgi University, Istanbul Provincial Directorate of Health

Teşekkür

Authors are thankful to Istanbul Health Directorate Emergency Health Services for providing the authority to conduct this research.

PANDEMİNİN 11. AYINDA 112 ÇALIŞANLARINDA TRAVMA SONRASI STRES BOZUKLUĞU GÖRÜLME SIKLIĞI VE İLİŞKİLİ FAKTÖRLER

Öz

Amaç: Bu çalışmada iklim değişikliğiyle birlikte artması beklenen pandemilere hazırlık amacıyla, COVID-19 pandemisinin 11. ayında 112 çalışanlarında travma sonrası stres bozukluğu prevalansı ve ilişkili faktörler saptanmıştır.
Gereç ve Yöntemler: Kesitsel tipteki bu araştırmaya rastgele örnekleme yöntemiyle seçilen 440 paramedik katıldı. Veri toplamada "Sosyodemografik Bilgi Formu", "Yaşam Olayları Kontrol Listesi" ve "Travma Sonrası Stres Bozukluğu Kontrol Listesi" kullanıldı.
Bulgular: Katılımcıların %49,5'i kadın ve yaş ortalaması 29,9±7,34 idi. Travma Sonrası Stres Bozukluğu (TSSB) yaygınlığı %59,8’dur. Çoklu regresyon analizi, toplam TSSB puanının yaklaşık %25'ini paramediklerin genel sağlık durumu ve sosyo-demografik özelliklerinin, %27'sini kriz yönetimi becerisi, uzun çalışma saatleri, ekipman eksikliği ve trafik yoğunluğunun, %40'ını ise travmatik yaşantılardan silah yaralanmalara, cinsel saldırıya, vahşice ölüme ve bir başkasının yaralanmasına/ ölümüne neden olan olaylara müdahale bağımsız olarak açıklamıştır (p<0.05).
Sonuç: Bulgulara dayanarak paramediklerde TSSB'nin önlenmesi amacıyla; bireysel ve mesleki faktörlerin kontrolüne yönelik çalışan sağlığı ve güvenliği programlarına ruh sağlığı izleminin entegre edilmesinin, risk altındaki gruplara düzenli süpervizyon verilmesinin ve psiko-sosyal destek müdahalelerinin uygulanmasının, belirtilen girişimlerin afete hazırlık planlarına dahil edilmesinin yararlı olacağı düşünülmektedir.

Anahtar Kelimeler

Paramedikler, Covid-19 Pandemisi, Travma Sonrası Stres Bozukluğu, Travmatik Yaşantılar, Kişi ve Ortam Faktörleri

Kaynakça

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