Factors related to the fatigue of relief workers in areas affected by the Great East Japan Earthquake: Survey results 2.5years after the disaster

Abstract

Background: After the Great East Japan Earthquake (March 11, 2011), the fatigue of relief workers became a major problem in affected areas. In the present study, we conducted a questionnaire survey 2.5years post-disaster identifying factors related to the fatigue of relief workers. Methods: This survey was cross-sectional and participants (N=119) were relief workers living in affected areas. We used a self-administered questionnaire which included participants' current problems, sources of strong feeling of loss, psychological distress and compassion fatigue. Based on answers (Yes/No) to the fatigue item, we created 2 groups; a Fatigue-group and a Non-fatigue group. We employed bivariate analysis on items with significant differences between the two groups and entered them into a multivariable logistic regression model. Results: Fifty-seven (48%) reported that they were "very tired" and were assigned to the Fatigue group. The total score of the 6-item Kessler Psychological Distress Scale (K6) and each subscale score (burnout, secondary trauma, and compassion satisfaction) of the Professional Quality of Life measure (Pro-QOL) in the Fatigue group were significantly higher than those in the Non-fatigue group. There were significant differences between the two groups for 11 items relating to current problems and sources of strong feelings of loss, and the following items were extracted as factors related to the fatigue of relief workers: loss of trust in others (adjusted OR, 10.03: 95%CI, 2.30-43.79), no confidence to continue work (adjusted OR, 6.27: 95%CI, 1.72-22.83), loss of important person(s) (adjusted OR, 5.58: 95%CI, 2.05-15.19), and sleep disturbance (adjusted OR, 5.14: 95%CI, 1.93-13.67). Conclusion: Many relief workers who reported fatigue had experienced various losses and current problems. Adequate consideration and care systems for local relief workers with fatigue should be given for a long-period after a disaster and it is important for the workers themselves to continue accepting support from others and maintaining self-care habits.