Psychological first aid in operation for military healthcare providers : a study on pre-deployment training.

IF 1.2 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2024-09-06 DOI:10.1016/j.encep.2024.05.005

Frédérique Gignoux-Froment, Emeric Saguin, Cécile Gorin, Marianne Daudin, Sophie Annette, Julia Salomé, Mathieu Boutonnet, Luc Aigle, Pierre-Éric Schwartzbrod, Stéphane Travers, Bertrand Lahutte, Marie-Dominique Colas

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引用次数: 0

Abstract

Introduction: During operational missions, while the management of physical injuries in the field remains the priority, the identification of operational incapacity of psychological origin is necessary as it is equally crucial for the safety of the individual, the group and the mission. The French Military Health Service has developed a Psychological First Aid Training in Operation (PFATO) course based on relational simulations, for military service members. The aim is to identify the early signs of psychological distress in a comrade and to adopt an adapted and protective attitude. PFATO training is also offered to healthcare providers.

Methods: We conducted a descriptive cross-sectional study using a self-administered online questionnaire which was sent after deployment to all physicians or nurses trained in PFATO between July 2019 and July 2021 (n=80). The main objective of our work was to evaluate the relevance of this awareness training among physicians and nurses and to identify specific complementary expectations in operational psychiatry for this population.

Results: We obtained a response rate of 55%. Significantly, 21.62% of participants used PFATO during their last deployment and another 20% observed a team member using PFATO. The circumstances of use as reported by participants included acute stress related to combat, conflict with hierarchy or comrades, and suicidal crisis. Among those who used PFATO, the training helped 87.5% of them to identify signs of psychological distress and 100% of them to assist combatants . All respondents stressed the added value of practical simulations during PFATO education. Moreover, this study also makes it possible to identify adaptations needed to optimize this module for healthcare providers.

Conclusion: The results suggest the value for healthcare provider of training in first-response psychological care using relational simulation based on the model of raising awareness about PFATO.

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军事医疗服务提供者在行动中的心理急救：关于部署前培训的研究。

导言：在执行任务期间，尽管处理战场上的身体伤害仍然是优先事项，但识别心理原因导致的行动能力丧失也是必要的，因为这对个人、团体和任务的安全同样至关重要。法国军事卫生局为军人开发了基于关系模拟的行动心理急救培训（PFATO）课程。其目的是识别战友心理困扰的早期迹象，并采取适应和保护态度。PFATO 培训也提供给医疗服务提供者：我们进行了一项描述性横断面研究，采用自填式在线问卷，在部署后向 2019 年 7 月至 2021 年 7 月期间接受过 PFATO 培训的所有医生或护士（n=80）发送问卷。我们工作的主要目的是评估医生和护士对这一意识培训的相关性，并确定这一人群对作战精神病学的具体补充期望：结果：我们获得了 55% 的回复率。值得注意的是，21.62% 的参与者在其上一次部署期间使用过 PFATO，另有 20% 的参与者观察到一名队员使用过 PFATO。参与者报告的使用情况包括与战斗有关的急性压力、与上级或战友的冲突以及自杀危机。在使用 PFATO 的人员中，87.5% 的人通过培训识别了心理困扰的迹象，100% 的人通过培训协助了战斗人员。所有受访者都强调了在 PFATO 教育过程中实际模拟的附加价值。此外，这项研究还有助于确定需要进行哪些调整，以优化医疗保健提供者的这一模块：结果表明，在提高对 PFATO 认识的模式基础上，利用关系模拟进行第一反应心理护理培训对医疗服务提供者很有价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.