消防人員創傷後壓力症候群及其因應行為之探討

The Relationships of Post-Traumatic Stress Disorder and Coping Behavior among First-line Firefighters

10.6459/JCM.201309_10(2).0007

鍾燕宜(Y. Y. Chung)；邱吉志(J. J. Chiou)

消防人員 ； 創傷後壓力症候群 ； 因應行為 ； Firefighters ； Post-Traumatic Stress Disorder(PTSD) ； Coping Behaviors

危機管理學刊

10卷2期（2013 / 09 / 01）

69 - 78

繁體中文

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，導致容易罹患創傷後壓力症候群（PTSD）。本研究旨在探討消防人員基本屬性及面臨創傷事件的因應行為，是否有效預測出患有創傷後壓力症候群風險的比例。以中部某縣市消防人員為研究對象，採問卷調查法，有效樣本數278份。結果顯示消防人員背景資料中，低學歷、未婚及非主管級者，患有PTSD之風險機率較高。在因應行為部份，問題焦點因應為罹患PTSD的保護因子，而逃避因應則為危險因子。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。最後，針對消防主管機關、消防單位提出討論及建議。

In a rapidly changing disaster or rescue scene, firefighter's likely encounter highly threatened physical and mental condition of the traumatic event, due to susceptible post-traumatic stress disorder. The purpose of the study was to investigate the demographic and firefighters faced traumatic event coping behaviors, and predict risk of suffering from PTSD proportion. The survey was conducted at firefighters in central cities, using questionnaire survey, sampling numbers totally of 278. The results showed that the background of firefighters, less educated, unmarried and non-supervisor have higher risk of suffering from PTSD. In the part of coping behaviors, problem-focused coping as a protective factor with PTSD. Source conscious trauma was: to pre-hospital cardiopulmonary arrest ambulance, fire security and fire. Finally, fire department, fire department and fire department manpower discussed and suggestions.

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