Influencing factors of disaster resilience for medical rescue workers: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

XU Yehua ¹ ,  MAO Xiaorong ² , WANG Fang ¹ , GUAN Jinying ² , CHE Hong ³

1. Department of Nursing, Emergency Intensive Care Unit, Affiliated Hospital of University of Electronic Science and Technology of China & Sichuan Provincial People’s Hospital, Chengdu 610072, P. R. China;
2. Department of Nursing, Affiliated Hospital of University of Electronic Science and Technology of China & Sichuan Provincial People’s Hospital, Chengdu 610072, P. R. China;
3. Department of Nursing, Neonatal Intensive Care Unit, Affiliated Hospital of University of Electronic Science and Technology of China & Sichuan Provincial People’s Hospital, Chengdu 610072, P. R. China;

Corresponding author：

MAO Xiaorong, Email: xiaorong_mao@qq.com

Keywords：

Medical rescue workers; Disaster resilience; Influencing factors; Systematic review; Meta-analysis

DOI：

10.7507/1672-2531.202302066

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To systematically evaluate the influencing factors of disaster resilience for medical rescue workers. Methods PubMed, Cochrane Library, Web of Science, CINAHL, APA PsycInfo, EMbase, Scopus, CNKI, WanFang Data, VIP and CBM databases were electronically searched to collect studies on the influencing factors of disaster resilience for medical rescue workers from inception to November 1, 2022. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was then performed by using Stata 16.0 software. Results A total of 36 studies involving 7 974 medical rescue workers were included. The meta-analysis results showed that personal influencing factors, including active coping, rescue confidence, disaster preparedness, knowledge attainment, physical health, and exercise were positively correlated with the disaster resilience of healthcare workers. However, depression, anxiety, stress, and a history of mental illness were negatively related to the disaster resilience of medical rescue workers. Environmental and background factors, including social support, relief supplies, disaster training, economic condition, rescue experience, length of service, and technical title, were positively correlated with the disaster resilience of medical rescue workers. Conclusion Current evidence shows that the disaster resilience of medical rescue workers is affected by a variety of personal factors and environmental/background factors. Due to the limited quality and quantity of the included studies, more high-quality studies are needed to verify the above conclusion.

Citation： XU Yehua, MAO Xiaorong, WANG Fang, GUAN Jinying, CHE Hong. Influencing factors of disaster resilience for medical rescue workers: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2023, 23(8): 916-922. doi: 10.7507/1672-2531.202302066 Copy

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1. Marvaldi M, Mallet J, Dubertret C, et al. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. Neurosci Biobehav Rev, 2021, 126: 252-264.
2. Naushad VA, Bierens JJ, Nishan KP, et al. A systematic review of the impact of disaster on the mental health of medical responders. Prehosp Disaster Med, 2019, 34(6): 632-643.
3. Kim MS, Kim T, Lee D, et al. Mental disorders among workers in the healthcare industry: 2014 national health insurance data. Ann Occup Environ Med, 2018, 30: 31.
4. Pereira-Lima K, Mata DA, Loureiro SR, et al. Association between physician depressive symptoms and medical errors: a systematic review and meta-analysis. JAMA Netw Open, 2019, 2(11): e1916097.
5. Mao X, Hu X, Loke AY. A concept analysis on disaster resilience in rescue workers: the psychological perspective. Disaster Med Public Health Prep, 2022, 16(4): 1682-1691.
6. Mao XR, Chen K, Hu XY, et al. Establishment of the psychometric properties of a disaster resilience measuring tool for healthcare rescuers in China: a cross-sectional study. Int J Disaster Risk Sci, 2021, 12(3): 381-393.
7. 曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四: 观察性研究的质量评价工具. 中国循证心血管医学杂志, 2012, 4(4): 297-299.
8. Wilson DB. Practical meta-analysis effect size calculator. Fairfax: George Mason University, 2001.
9. Peterson RA, Brown SP. On the use of beta coefficients in meta-analysis. J Appl Psychol, 2005, 90(1): 175-181.
10. Cohen J. Statistical power analysis for the behavioral sciences (2nd Edition). New York: Lawrence Erlbaum Associates, 1988: 79-81.
11. Abdolkarimi M, Seyedbagheri SH, Ganjeh H, et al. Resiliency and its relationship with secondary traumatic stress among nursing staff during COVID-19 pandemic. J Kerm Uni Med Sci, 2022, 29(4): 385-394.
12. Ahmed FR, Bani-Issa W, Timmins F, et al. Managing during the COVID-19 pandemic: a cross-sectional study of health care workers' perceived organizational support and its consequences on their compassion, resilience and turnover intention. J Nurs Manag, 2022, 30(7): 2642-2652.
13. Atay N, Sahin-Bayindir G, Buzlu S, et al. The relationship between posttraumatic growth and psychological resilience of nurses working at the pandemic clinics. Int J Nurs Knowl, 2022, (10): 27.
14. Hatefipour Z, Maghami Sharif Z, Farahani H, et al. Working in hospitals during a pandemic: investigating the resilience among medical staff during COVID-19 outbreak through qualitative and quantitative research. Prim Health Care Res Dev, 2022, 23: e53.
15. Jiménez-Fernández R, Corral-Liria I, Trevissón-Redondo B, et al. Burnout, resilience and psychological flexibility in frontline nurses during the acute phase of the COVID-19 pandemic (2020) in Madrid, Spain. J Nurs Manag, 2022, 30(7): 2549-2556.
16. Baldassini Rodriguez S, Bardacci Y, El Aoufy K, et al. Promoting and risk factors of nurses' hardiness levels during the covid-19 pandemic: results from an Italian cohort. Int J Environ Res Public Health, 2022, 19(3): 1523.
17. Zhang Y, Xiong Y, Zhang L, et al. Sociodemographic and psychological predictors of resilience among frontline nurses fighting the COVID-19 pandemic. Disaster Med Public Health Prep, 2022, 17: e171.
18. 陈姗, 卢军, 成沛玉, 等. 抗击新冠肺炎疫情一线护士心理弹性现状及影响因素研究. 保健医学研究与实践, 2022, 19(1): 7-11.
19. 邵丽梅, 谭惠仪, 李海燕, 等. 广州市某三甲医院外出核酸采样医务人员心理弹性及影响因素分析. 职业卫生与应急救援, 2022, 40(5): 543-547, 582.
20. Nourollahi-Darabad M, Afshari D, Chinisaz N. Psychosocial factors associated with resilience among iranian nurses during COVID-19 outbreak. Front Public Health, 2021, 9: 714971.
21. Afshari D, Nourollahi-Darabad M, Chinisaz N. Demographic predictors of resilience among nurses during the COVID-19 pandemic. Work, 2021, 68(2): 297-303.
22. Alhalaiqa FN, Khalifeh AH, Al Omari O, et al. Psychological problems in a sample of jordanian healthcare workers involved in caring for patients with COVID-19: a cross-sectional study. Front Psychol, 2021, 12: 679785.
23. Douillet D, Caillaud A, Riou J, et al. Assessment of physicians' resilience level during the COVID-19 pandemic. Transl Psychiatry, 2021, 11(1): 283.
24. Wang J, Li D, Bai X, et al. The physical and mental health of the medical staff in Wuhan Huoshenshan Hospital during COVID-19 epidemic: a structural equation modeling approach. Eur J Integr Med, 2021, 44: 101323.
25. 刘洁汝, 史崇清, 王楠. 突发公共卫生事件中一线护士心理状况研究. 心理月刊, 2021, 16(20): 85-87, 95.
26. 刘立, 刘春云, 李俊义, 等. 抗击新型冠状病毒肺炎疫情一线医务人员心理弹性状况及影响因素. 实用医学杂志, 2021, 37(8): 979-983.
27. 邱琴, 张昕, 杨滢, 等. 疫情期间一线非现役文职护理人员心理弹性的影响因素研究. 护理管理杂志, 2021, 21(3): 224-228.
28. 史康, 王一飞, 陈汉利, 等. 抗击新型冠状病毒肺炎救援护士心理韧性现状调查及影响因素分析. 职业与健康, 2021, 37(6): 772-776.
29. 谭娟, 郭利华, 冯世平, 等. 抗击新冠肺炎的临床一线医务人员心理韧性与焦虑抑郁现状及相关性研究. 当代护士(中旬刊), 2021, 28(4): 30-34.
30. 徐敏, 金歌, 陈勤, 等. 抗击新冠肺炎一线重症护士的心理弹性与职业获益及应对方式的关系研究. 护理学, 2021, 10(1): 35-40.
31. 张耀文, 胡先武, 张路曼, 等. 新型冠状病毒肺炎防控一线护士的心理韧性与知觉压力现状及影响因素分析. 当代护士(上旬刊), 2021, 28(9): 61-64.
32. Lin J, Ren YH, Gan HJ, et al. Factors associated with resilience among non-local medical workers sent to Wuhan, China during the COVID-19 outbreak. BMC Psychiatry, 2020, 20(1): 417.
33. 曹蕾, 汪蓉, 杨宝义, 等. 新冠肺炎隔离病房护士心理韧性与社会支持的相关性研究. 精神医学杂志, 2020, 33(3): 161-164.
34. 陈意, 刘诚信, 陈晓莉, 等. 四川援鄂医务人员心理韧性、社会支持评定及相关因素调查分析. 现代预防医学, 2020, 47(16): 2933-2938, 2952.
35. 迟璐璐, 钟文娟, 刘丽明, 等. 新冠肺炎疫情防控期发热门诊护士心理弹性的研究. 武汉轻工大学学报, 2020, 39(3): 55-60.
36. 蒋燕红, 马小琴, 程思诗. 援鄂医务人员心理弹性状况及影响因素研究. 中国护理管理, 2020, 20(9): 1369-1372.
37. 李光耀, 姚高峰, 黄顺红, 等. 性别和职别对抗疫医疗队员心理弹性及心身状态的影响. 西南国防医药, 2020, 30(8): 745-748.
38. 史逸秋, 戴晓婧, 童为燕, 等. 新型冠状病毒肺炎疫情期间护理人员心理弹性及影响因素分析. 中华护理杂志, 2020, 55(z1): 108-112.
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Chinese Journal of Evidence-Based Medicine

Influencing factors of disaster resilience for medical rescue workers: a meta-analysis

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