王艺凡, 周习文, 陈静. 某省消防救援人员创伤后应激障碍的危险因素及干预策略J. 职业卫生与应急救援, 2025, 43(6): 725-730, 760. DOI: 10.16369/j.oher.issn.1007-1326.2025.250053
引用本文: 王艺凡, 周习文, 陈静. 某省消防救援人员创伤后应激障碍的危险因素及干预策略J. 职业卫生与应急救援, 2025, 43(6): 725-730, 760. DOI: 10.16369/j.oher.issn.1007-1326.2025.250053
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WANG Yifan, ZHOU Xiwen, CHEN Jing. Risk factors and intervention strategies for post-traumatic stress disorder among fire and rescue personnel in a provinceJ. Occupational Health and Emergency Rescue, 2025, 43(6): 725-730, 760. DOI: 10.16369/j.oher.issn.1007-1326.2025.250053
Citation: WANG Yifan, ZHOU Xiwen, CHEN Jing. Risk factors and intervention strategies for post-traumatic stress disorder among fire and rescue personnel in a provinceJ. Occupational Health and Emergency Rescue, 2025, 43(6): 725-730, 760. DOI: 10.16369/j.oher.issn.1007-1326.2025.250053
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某省消防救援人员创伤后应激障碍的危险因素及干预策略

Risk factors and intervention strategies for post-traumatic stress disorder among fire and rescue personnel in a province

    摘要
  • 摘要:
    目的 探讨消防救援人员发生创伤后应激障碍（post-traumatic stress disorder，PTSD）的危险因素，并提出相应的干预策略。
    方法 2024年，采用整群抽样法选取浙江省消防救援总队某支队938名消防救援人员，使用一般情况调查问卷、《创伤后应激障碍自评量表-公民版》（PCL-C）及《社会支持评定量表》（SSRS）进行横断面调查，通过多元线性回归模型分析PTSD的影响因素。
    结果 回收有效问卷854份，有效回收率为91.0%。854名消防救援人员中，18名（占2.1%）为PTSD阳性（PCL-C总分>37分）。PCL-C总平均分为（20.05 ± 6.18）分，各维度平均得分依次如下：反复体验（5.81 ± 1.78）分，回避麻木（7.99 ± 2.51）分，警觉增高（6.26 ± 2.60）分。多元线性回归模型结果显示：与无疼痛者相比，一处疼痛者、多处疼痛者PTSD得分分别升高2.078、5.104分（均P < 0.05）；执行安保勤务任务者PTSD得分较未参与者升高1.099分（P < 0.05），出警受伤者PTSD得分较未受伤者升高2.887分（P < 0.05）；与低社会支持者相比，中等社会支持者、高社会支持者PTSD得分分别降低2.045、2.219分（均P < 0.05）。
    结论 浙江省该消防救援支队PTSD的检出率相对较低。消防救援人员创伤后应激障碍的发生与多种因素密切相关，应结合实际情况制定综合干预策略，如心理健康教育、提升社会支持等，以维护其心理健康。

     

    Abstract:
    Objective To investigate the risk factors associated with post-traumatic stress disorder (PTSD) among fire and rescue personnel and to propose corresponding intervention strategies.
    Methods In 2024, a cross-sectional study was conducted using a cluster sampling method in a specific detachment of the Zhejiang Provincial Fire and Rescue Corps. A total of 938 fire and rescue personnel were surveyed using a general information questionnaire, the PTSD Checklist-Civilian Version (PCL-C), and the Social Support Rating Scale (SSRS). A multiple linear regression model was employed to analyze the influencing factors of PTSD.
    Results A total of 854 valid questionnaires were returned, with a valid response rate of 91.0%. Among these 854 participants, 18(2.1%) were screened as positive for PTSD (PCL-C total score>37 points). The mean total PCL-C score was(20.05 ± 6.18) points. The mean scores for each dimension were as follows: re-experiencing (5.81 ± 1.78) points, avoidance and numbing (7.99 ± 2.51) points, and hyperarousal (6.26 ± 2.60) points. The multiple linear regression model results indicated that compared to personnel reporting no pain, personnel reporting pain in one site and in multiple sites had PTSD scores higher by 2.078 points and 5.104 points, respectively (both P < 0.05). Personnel previously participating in security duty tasks had scores 1.099 points higher than those not participating (P < 0.05). Those injured during previous emergency responses scored 2.887 points higher than those not being injured (P < 0.05). Compared to individuals with low social support, those with moderate or high support had PTSD scores lower by 2.045 points and 2.219 points, respectively (both P < 0.05).
    Conclusions The prevalence of PTSD in this fire detachment in Zhejiang Province was relatively low. The occurrence of PTSD among fire and rescue personnel was closely associated with multiple factors. Comprehensive intervention strategies, such as mental health education and enhancement of social support, should be formulated based on practical situations to safeguard the psychological well-being of these personnel.

     

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