Objective To investigate the relationship between the level of psychological stress and social support in family members of patients with accidental trauma in the emergency department. Methods A total of 96 family members of patients with accidental trauma in the emergency department were enrolled as trauma group, and 100 family members of hospitalized patients with chronic diseases were selected as chronic disease group. The differences in scores of the Family Stress Scale (RSS), the Symptom Checklist-90 (SCL-90), the Social Support Rating Scale (SSRS), and the Zarit Burden Interview (ZBI) were compared between the two groups. Simple linear correlation analysis was used to analyze the correlations of the RSS scores with SCL-90, SSRS and ZBI scores in the trauma group. Results The degree of life disruption, negative emotions, and total RSS score in the trauma group were higher than those in the chronic disease group (P < 0.05). The scores of somatization, interpersonal sensitivity, obsessive-compulsive symptoms, hostility, depression, phobia, anxiety, paranoia, psychoticism and overall SCL-90 score in the trauma group were significantly higher than those in the chronic disease group (P < 0.05). The SSRS score in the trauma group was significantly higher than that in the chronic disease group, while the ZBI score was significantly lower than that in the chronic disease group (P < 0.05). Linear correlation analysis showed that the total RSS score of family members in the trauma group was significantly positively correlated with ZBI score and SCL-90 score, but was significantly negatively correlated with the SSRS score (P < 0.05). Conclusion Family members of patients with accidental trauma in the emergency department experience significantly elevated levels of psychological stress, which is inversely related to the social support.

Objective To investigate the impact of influence of personality traits of nurses as second victim and negative experience of nurses in adverse event and explore the intermediary roles of stress perception in influencing mechanism of negative experience.Methods Between March and April 2023,a convenience sampling method was employed to select 560 nurses from 3 general hospitals in Taiyuan City to conduct the study.The selected nurse all had experienced adverse events within last 3 months.The survey employed a general information questionnaire,Chinese big five personality questionnaire,second victim experience and support scale and Chinese version of stress perception scale.Pearson's correlation analysis was conducted to explore the correlation between the personality traits of nurses as second victim(specifically neuroticism),negative experiences and stress perception.The mediating role of stress perception between the neuroticism of nurses as second victim and negative experiences of nurses was analysed using PROCESS plug-in with the Bootstrap method.Results All of 560 distributed questionnaires were recovered,with a 100.00%of response rate.Personality traits of nurses as second victim were ranked in descending order with rigor,agreeableness,openness,neuroticism and extroversion.Both negative experiences and stress perception had higher scores(40.25±10.64 and 30.25±5.98,respectively).Neurotic personality in nurses as second victim was positively correlated with negative experience(r=0.528,P＜0.01)and stress perception(r=0.594,P＜0.01).Negative experiences showed a positive correlation with stress perception(r=0.339,P＜0.01).Neurotic personality of nurses as second victim had a significant direct impact on negative experiences[β=0.519,95%CI:0.318-0.720].As one of the stress perception dimensions,tension played a partial mediating role between neurotic personality in nurses as second victim and negative experience[β=0.148,95%CI:0.006-0.300],and a mediating effect percentage of 22.70%.Conclusions The neurotic personality of nurses as second victim can directly affect the negative experiences,either independently or in conjunction with tension.Nursing managers and nurses as second victims can reduce the negative experiences in adverse events by addressing higher neurotic personality and alleviating tension.