消防人員創傷後壓力症候群及因應行為之研究

Post-Traumatic Stress Disorder and Coping Responses among First-line Firefighters

邱吉志(Ji-Jr Chiou)

指導教授 ： 鍾燕宜

中臺科技大學/管理學院/健康產業管理研究所/碩士(2012年)

https://doi.org/10.6822/CTUST.2012.00037

摘要

背景目的：在瞬息萬變的救災或救護現場，消防人員容易遭遇到高度威脅身心狀況的創傷事件，導致罹患創傷後壓力症候群。本研究旨在探討消防人員患有創傷後壓力症候群風險的比例、創傷來源及面臨創傷事件後所採取的因應行為（包括問題焦點因應、認知重組因應、情緒支持因應及逃避因應），瞭解造成消防人員患有創傷後壓力症候群的原因。
方法：以臺中市政府消防局現職消防人員為研究對象，採問卷調查法蒐集資料，調查樣本人數共300份，有效樣本數278份。問卷包括個人基本資料、創傷後壓力症候群量表及因應行為量表，並以SPSS統計軟體進行邏輯斯迴歸分析。
結果：消防人員採取的因應行為、年齡、服務年資、教育程度及婚姻狀況與患有創傷後壓力症候群風險的機率有顯著影響。自覺創傷來源依序為：到院前心肺功能停止救護、消防安檢及火警；最常採用的因應行為依序為：問題焦點因應、認知重組因應、情緒支持因應及逃避因應
結論：消防人員面臨創傷事件若採取逃避因應行為，患有創傷後壓力症候群的機率較高。建議藉由教育訓練及心理諮詢服務等，降低消防人員罹患創傷後壓力症候群的風險。

關鍵字

消防人員 ； 創傷後壓力症候群 ； 因應行為

並列摘要

Purpose: At the ever-changing rescue or emergency medical scenes, firefighters are usually to be exposed to traumatic events that highly threatened body and mind condition, and thus resulted in Post-traumatic Stress Disorder (Hereafter “PTSD”). The purpose of the present study was to investigate the ratio of firefighters got PTSD, the sources of trauma, and the coping responses (including problem-focused coping, cognitive restructuring coping, emotion and support coping, and avoidance coping) they utilized after being faced with traumatic events, and to understand the reasons causing firefighters suffered from PTSD.
Methods: The subjects of the study were incumbent firefighters of Taichung City Government Fire Bureau. The instrument utilized to collect data in this study was questionnaire survey, totally 300 firefighters were invited to took part in the present study and 278 questionnaires were valid. The questionnaire consisted of background information, PTSD checklist-civilian version (PCL-C), and Cope Inventory, and the collected data were quantitatively analyzed with logistic regression in the SPSS.
Results and Discussion: There were significant differences in the ratio of getting PTSD in terms of different coping responses which firefighters applied, age, seniority, education, and marriage condition. The sources of self-conscious trauma were in order: OHCA (Out-of-Hospital Cardiac Arrest) emergency medical service, fire safety inspection, and fire disaster. And the most frequently applied coping responses were in order: problem-focused coping, cognitive restructuring coping, emotion and support coping, and avoidance coping.
Conclusions and Suggestions: While facing traumatic events, if firefighters adopted avoidance coping would have higher possibility to suffer from PTSD. The researcher suggested that it may reduce the risk of firefighters got PTSD by education training and psychology consultation.

並列關鍵字

Post-traumatic Stress Disorder ； Firefighters ； Coping Responses

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