Incident Stress Research Articles

Outpatient Rehabilitation Utilization After Major Limb Loss in Adults Receiving Care in the Military Health System From 2001 to 2017

ObjectiveTo investigate exposures associated with outpatient rehabilitation encounters among Military Health System (MHS) beneficiaries with major limb loss. DesignRetrospective, cohort study. SettingAmerican military treatment facilities and civilian health care facilities that accept TRICARE benefits. ParticipantsAdult MHS beneficiaries with major limb amputation(s) acquired between January 2001 and September 2017 (N=5161). InterventionsNot applicable. Main Outcome MeasuresThis exploratory analysis investigated associations between outpatient rehabilitation care and demographic and amputation characteristics in MHS beneficiaries with major limb loss. ResultsMost beneficiaries were aged 55-64 (36%), male (73%) and retirees/dependents (60%) with enlisted sponsor rank (88%) and single limb loss (89%). The active/reserve beneficiaries were younger, majority male, and more likely to be diagnosed with incident behavioral health conditions. Unadjusted negative binomial regression models revealed increased rates of outpatient rehabilitation encounters in active-duty service members (ADSMs) than in retirees/dependents (rate ratio, 10.02; 95% confidence interval, 9.30-10.80). The rate ratios for sex, sponsor rank, limb(s) lost, incident behavioral health condition, incident traumatic brain injury, incident posttraumatic stress disorder, and outpatient care setting were attenuated after stratification by beneficiary category. Enlisted ADSMs had increased rates of outpatient rehabilitation encounter days compared with officers, whereas retirees/dependents with enlisted sponsors had decreased than those with officer sponsors. ADSMs who accessed outpatient care in direct and private care settings demonstrated high rates of outpatient rehabilitation encounters compared with those who only sought care from private care settings (rate ratio, 4.60; 95% confidence interval, 2.95-6.81). ConclusionsThis study suggests that MHS beneficiaries with major limb loss use outpatient rehabilitation services differently, based on active/reserve duty or retiree/dependent status. This study is the first of its kind to quantify outpatient rehabilitation utilization for military beneficiaries with all-cause major limb loss and may inform MHS policymakers on the rehabilitation needs for combat- and noncombat-related amputee populations.

True triaxial modeling test of high-sidewall underground caverns subjected to dynamic disturbances

Seismicity resulting from the near- or in-field fault activation significantly affects the stability of large-scale underground caverns that are operating under high-stress conditions. A comprehensive scientific assessment of the operational safety of such caverns requires an in-depth understanding of the response characteristics of the rock mass subjected to dynamic disturbances. To address this issue, we conducted true triaxial modeling tests and dynamic numerical simulations on large underground caverns to investigate the impact of static stress levels, dynamic load parameters, and input directions on the response characteristics of the surrounding rock mass. The findings reveal that: (1) When subjected to identical incident stress waves and static loads, the surrounding rock mass exhibits the greatest stress response during horizontal incidence. When the incident direction is fixed, the mechanical response is more pronounced at the cavern wall parallel to the direction of dynamic loading. (2) A high initial static stress level specifically enhances the impact of dynamic loading. (3) The response of the surrounding rock mass is directly linked to the amplitude of the incident stress wave. High amplitude results in tensile damage in regions experiencing tensile stress concentration under static loading and shear damage in regions experiencing compressive stress concentration. These results have significant implications for the evaluation and prevention of dynamic disasters in the surrounding rock of underground caverns experiencing dynamic disturbances.

Pushing through: A grounded theory of undergraduate nursing students making meaning of clinical related critical incidents

BackgroundUndergraduate nursing students are at risk of exposure to clinical related critical incidents. The impact on nursing students and the use of coping mechanisms and processes to make meaning of these distressing experiences are poorly understood. PurposeThe aim of this study was to provide a theoretical understanding of the processes that undergraduate nursing students use to make meaning of clinical related critical incidents. MethodFollowing the constructivist grounded theory method, a purposive sample was used to recruit 15 students enrolled in a Canadian university baccalaureate nursing program. Data were collected using semi-structured interviews over 12 months. Interviews were transcribed and analyzed using constant comparison and concurrent data collection and coding. ResultsThree theoretical categories emerged from the data to explain the processes used by nursing students to make meaning of their critical incidents: distress, identity shift, and moving forward. The processes described were characterized by an overarching category of “Pushing Through.” ConclusionThe resulting theory of “Pushing Through” can be used as a lens for students and nurse educators to navigate making meaning of clinical related critical incidents. This theory highlights the significance of students' self-understanding as they explore and assemble individualized strategies and coping skills. Educators who teach in the clinical setting should prioritize the development of a trauma-informed learning environment by establishing connections and transparent expectations with learners.

Mental Health Effects of COVID-19 Among Health Care Providers: A Case Study of Kalulushi General Hospital in Kalulushi District, Zambia

Coronavirus disease 2019 is an infectious disease which was first identified in Wuhan a City in the Peoples Republic of China in December 2019. The aim of this study was to establish the mental health effects of COVID 19 on the frontline health care providers at Kalulushi General Hospital in Kalulushi district of Zambia. A descriptive cross-sectional study was employed to assess the mental health effects of COVID 19 on the frontline health care providers at Kalulushi General Hospital in Zambia. The study used simple random sampling technique to select 122 respondents to participate in the study. Data was collected from study participants using structured questionnaire. The collected data was analyzed using SPSS version 25 and MS excel and was presented using tables, bar charts and pie charts. Multivariate logistic regression analysis was used to examine the relationships between socio-demographic characteristics and mental health effects of COVID-19 parameters. The ethical approval was gotten from Lusaka Apex Medical University Biomedical Research Ethics Committee, Kalulushi General Hospital and Kalulushi District Health Office respectively. The study revealed that, most of the respondents (31%) were afraid of contracting COVID-19, while 27% of study participants claimed that COVID 19 was a propaganda and that no one knew when it would end. The study also found that, a small proportion of study participants reported a decline in work morale (17%), likely associated with witnessing numerous deaths (19%) and the added stress of inadequate personal protective equipment (PPE) experienced by 15%. The study further demonstrated that 58% of the respondents accepted that working in a COVID-19 environment affected their mental health while 42% of the respondents did not accept that working in the COVID-19 environment did affect mental health of frontline healthcare providers. The study further revealed that, most of the respondents were using handwashing or sanitizers, facemasks and protective clothing (27%) to cope with COVID-19 pandemic. The study also showed that, a few respondents were practicing social distancing (22%), and having healthy diet (19%) in order to cope with COVID-19. Marital status and religion were found to have significant association with copying strategies of frontline healthcare providers against COVID-19 pandemic at Kalulushi General Hospital in Kalulushi District of Zambia (P < 0.05). WHO, CDC, and Zambian Ministry of Health should prioritize implementing Critical Incident Stress Management protocols, develop culturally sensitive mobile applications to offer self-guided interventions, and promote healthy coping mechanisms among frontline healthcare providers.

Perspectives and Experiences of Public Safety Personnel Engaged in a Peer-Led Workplace Reintegration Program Post Critical Incident or Operational Stress Injury: A Qualitative Thematic Analysis.

Public safety personnel (PSP) experience operational stress injuries (OSIs), which can put them at increased risk of experiencing mental health and functional challenges. Such challenges can result in PSP needing to take time away from the workplace. An unsuccessful workplace reintegration process may contribute to further personal challenges for PSP and their families as well as staffing shortages that adversely affect PSP organizations. The Canadian Workplace Reintegration Program (RP) has seen a global scale and spread in recent years. However, there remains a lack of evidence-based literature on this topic and the RP specifically. The current qualitative study was designed to explore the perspectives of PSP who had engaged in a Workplace RP due to experiencing a potentially psychologically injurious event or OSI. A qualitative thematic analysis analyzed interview data from 26 PSP who completed the RP. The researchers identified five themes: (1) the impact of stigma on service engagement; (2) the importance of short-term critical incident (STCI) program; (3) strengths of RP; (4) barriers and areas of improvement for the RP; and (5) support outside the RP. Preliminary results were favorable, but further research is needed to address the effectiveness, efficacy, and utility of the RP. By addressing workplace reintegration through innovation and research, future initiatives and RP iterations can provide the best possible service and support to PSP and their communities.

Considerations for Psychological Debriefing in the Context of Prolonged Disaster Response.

First responders face greater exposure to potentially traumatic events compared with the general public, which can lead to an increased likelihood of developing mental health concerns. The challenges of disaster relief take a physical and mental toll on first responders. Critical incident stress debriefing (CISD), the widely accepted gold-standard treatment for psychological debriefing, is often applied to offset this toll among first responders. CISD is a manualized seven-stage group intervention that was developed to provide support and aid in coping and to allow individuals who respond to emergencies and disasters to continue working. Substantial evidence has been found for its effectiveness. However, there is a general dearth of evidence about the field of prolonged disaster response, and research is hampered by the difficulties of executing a controlled study in the context of an emergency scenario.

Police mental health in small and rural areas of Pennsylvania

PurposeThe nature of policework is uniquely challenging to officers’ mental health, producing detrimental outcomes such as higher rates of suicide, substance abuse and divorce compared to other occupations. This is especially true in small and rural police departments, where officers often have broader responsibilities and cover a larger geographic area than their counterparts who work in large urban departments. Given the limited resources available to small and rural police, the purpose of this study is to explore the mental health services available to officers in small and rural police departments.Design/methodology/approachWe used a mixed methods approach. First, we surveyed 349 small and rural Pennsylvania police chiefs about the mental health services in their department. Of these chiefs, 53 participated in subsequent in-depth qualitative interviews about officer awareness of the mental health services available to them, what resources they thought would be helpful to officers and what barriers exist to prevent officers from seeking help.FindingsQuantitative results indicated that 22% of small and rural police departments had no mental health programs available to officers; Critical Incident Stress Management and Employee Assistance Programs were most commonly available. Budget size and the presence of a union influenced whether a department had mental health programs available to officers. Qualitative interviews found that although most departments provided some mental health services, officers were unlikely to use them. Chiefs expressed a need for improved services that officers might be more likely to use.Practical implicationsGiven the lack of resources available in small and rural police departments and the lack of adoption of some resources, we recommend peer assistance, general wellness programs and telehealth as feasible options for officer mental health.Originality/valueSmall and rural police comprise the bulk of policing in the USA, yet remain understudied. This study focuses on small and rural police.

Dynamic flexural strength of Aluminosilicate glass with a perspective of impulsive and quasi-impulsive responses: An experimental–numerical coupled evaluation

The flexural strength of glass is a critical design parameter for applications encountering impact loadings. However, the micro defects, specimen geometry, loading rate, and load transformation from a quasi-dynamic to quasi-impulsive state may influence the measurement accuracy. Due to the stochastic and amorphous nature of the material, an accurate determination of the flexural strength remains a challenge. In this two-fold study, a coupled experimental–numerical strategy was devised to evaluate the dynamic flexural strength. In the first phase, three-point bending experiments were conducted on a novel “Electromagnetic Split Hopkinson Pressure Bar (ESHPB)”. The incident stress signal and fracture time were recorded from experimental data, while the flexural strength was indirectly computed from a numerical algorithm. A quantitative comparison of the flexural strength with those in existing literature established the accuracy of the proposed methodology. Results of the study indicate that the specimen response became independent of the support conditions under impulsive loading. That being said, the specimen behaved like it had an infinite span length, and the measured flexural strength remained the same whether the specimen was supported or not. Besides, the specimen also maintained contact at the interfaces of the incident bar and fixture supports for the entire loading duration. In the second part of this study, the computed flexural strength was used to calibrate the existing JH-2 model. Numerical prediction of the damage propagation corroborated with that obtained from reprography images, though qualitatively. This work presents a precise and robust methodology to determine the dynamic flexural strength of brittle ceramics like Aluminosilicate glass over traditional experimental procedures to facilitate its adoption.

Rock-like material under large diameter SHPB dynamic splitting tension: meso-damage mechanical behavior and stress wave propagation model

The mechanical behavior of splitting tensile damage and the law of stress wave propagation of rock-like materials (RLM) are of great significance to further reveal the dynamic disaster mechanism of the deep rock mass. The meso-damage mechanical behavior and stress wave propagation characteristics of RLM disks under impact splitting were studied by using a large diameter split Hopkinson pressure bar (SHPB). In terms of dynamic damage, the splitting tensile stress-compression strain curves of RLM disks obviously showed three stages of mechanical behavior evolution: initial elastic-plastic deformation, pre-peak plastic damage, and post-peak brittle fracture failure. The macro-damage of RLM disks increased with the increase of strain rate. The meso-tensile fracture was the result of both the initial meso-damage and the impact splitting meso-damage. The dynamic splitting damage variable defined based on the damage fracture energy can accurately describe the damage evolution characteristics of impact splitting on RLM disks. In the aspect of stress wave propagation, the peak value of transmission stress showed an advanced effect with the increase of incident stress wave. In the early stage (0–50 μs), the transmission stress wave ratio (σT/σI) increased with the increase of strain rate, while in the later stage (82–200 μs), the transmission stress wave ratio (σT/σI) decreased with the increase of strain rate. The stress wave propagation law in the process of impact splitting on RLM disks was clearly revealed based on the stress wave propagation model established by the one-dimensional elastic stress wave theory. Finally, the dynamic mechanical mechanism of splitting damage and fracture of RLM disks under different strain rates was discussed deeply.

Exploring the association between post-critical incident intervention preferences and self-reported coping self-efficacy among firefighters.

Critical incident stress debriefing (CISD) is a commonly utilized intervention in the fire service that aims to minimize psychological harm and adverse mental health outcomes after a potentially traumatic incident. This study aimed to explore firefighter preferences regarding CISD and alternative post-critical incident interventions in relation to firefighter coping self-efficacy (FFCSE) and trauma coping self-efficacy (CSE-T). Firefighters (N = 241) completed an online survey and provided complete data. Most participants were White (n = 203, 84.2%), non-Hispanic (n = 221, 91.7%) men (94.2%; n = 227). CISD was the most preferred intervention among firefighters (n = 113, 46.9%) as compared to informal peer support (n = 31, 12.9%), formal one-on-one counseling (n = 29, 12.0%), and no intervention (n = 68, 28.2%). Firefighters who preferred CISD had statistically significant lower levels of FFCSE, R2 =.033-.044, ps =.012-.030, and CSE-T, R2 =.035-.061 ps =.017-.024, compared to those who preferred no intervention. Firefighters who preferred formal one-on-one counseling had statistically significantly lower levels of FFCSE, R2 =.033-.044, ps =.003-.011, and CSE-T, R2 =.035-0.061, p <.001-p =.002, compared to those who preferred no intervention. The findings from this study may guide future research to increase knowledge on firefighter intervention preferences and the association between preference and coping self-efficacy.

Dynamic characteristics of density-graded cellular materials for impact mitigation

Due to their exceptional impact resistance capabilities, density-graded cellular materials have immense potential in applications where crashworthiness requirements are of prime importance. Under impact loading, the deformation in these materials is characterized by compaction front propagation. Previous studies have utilized numerical techniques to solve the equations governing compaction shock propagation for cellular materials with density gradation. In this study, analytical solutions are formulated using compaction front position as the independent variable. The expressions for the velocity of the impinging rigid mass, energy absorption, incident stress, and transmitted stress are determined. The analytical solutions are shown to be in excellent agreement with the cell-based finite element solutions. The effect of density gradient on energy absorption and stresses is studied. The impact resistance factor is employed to assess different density-graded cellular materials for their effectiveness in impact mitigation. This study demonstrates that density-graded cellular materials can offer superior impact protection to objects at both the incident and transmitted ends. Lower density toward the incident end enhances impact resistance to objects located there, and likewise, lower density at the transmitted end offers more impact resistance to objects at that end.

Supporting Emergency Medical Services Clinicians Through Acute and Sustained Crises With Informal Peer Support and Intentional Acts of Kindness: The Emergency Medical Services Code Lavender Program

ObjectiveGiven the recommendations against the use of critical incident stress debriefing, the emergency medical services (EMS) Code Lavender program was created as a mechanism to consistently recognize and reach out to EMS clinicians after acute crisis events, offer nonintrusive informal peer support and acts of kindness, and provide stepwise support via mental health professionals as needed. The study aimed to assess program utilization and evaluate the program's impact on EMS clinicians’ perceptions of support and resources available to them after an acute crisis event. MethodsAnonymous surveys were distributed before program implementation and 18 months later. Program utilization was tracked using REDCap (Vanderbilt University, Nashville, TN). Fisher exact tests and logistic regression were used to analyze the survey results. ResultsWithin 30 months, 87 referrals were made. Seventy-seven preprogram (59% response rate) and 104 intraprogram (88% response rate) surveys were collected. There were no differences between respondents by sex or role. There were significant improvements in knowing where to go for help (from 40% to 85%, P < .001) and willingness to seek help if needed (from 40% to 59%, P = .02). ConclusionThe implementation of an EMS Code Lavender program led to significant increases in EMS clinician self-reported knowledge of where to go and willingness to seek help after acute crisis events.

Harmonic wave scattered by an inclusion in an elastic plane: The complete Gurtin-Murdoch model

We consider the propagation of a harmonic elastic wave in a composite inclusion–matrix structure subjected to plane deformation. The interface between the inclusion and matrix is described by the complete Gurtin-Murdoch model with non-vanishing interface tension and interface stretching rigidity. We consider an inclusion of general shape and formulate the corresponding boundary value problem for the wave functions in the inclusion and matrix when a harmonic compressional or shear wave is incident on the edge of the matrix. The problem is then solved by series expansion methods for the case of a circular inclusion embedded in an infinite matrix. The series solution obtained is validated by checking its convergence and via comparisons with existing static and dynamic solutions for certain reduced cases. Numerical examples are presented for the case of a small-sized circular hole embedded in a soft matrix demonstrating the influence of surface tension on the incident wave-induced dynamic stress concentration in the matrix. We find that the presence of surface tension relieves the peak stress around the circular hole when the frequency of the incident wave is below a certain critical value, while it tends to intensify the peak stress for a high-frequency incident wave.

Exploring the experiences and perceptions of trainees undertaking a critical incident debrief training programme: A qualitative study.

Critical incident debriefing is an occupational health tool for supporting healthcare workers following critical incidents. Demand for debriefing has increased following the Covid-19 pandemic. There is now a need for more trained debrief facilitators to meet demand, but there is a dearth of literature regarding how best to train facilitators. This study addressed this by exploring participant experiences of an online critical incident debrief training programme. We conducted semi-structured interviews with 14 individuals who received a 5-day training programme based on the Critical Incident Stress Management model. Participants were recruited from a range of professional disciplines including psychology, nursing and human resources within one British healthcare system. Data were analysed using thematic analysis. The analysis produced three themes. Managing trainee experiences and expectations suggested that disciplinary heterogeneity in training groups supported inter-participant knowledge exchange. However, this variation also meant that training materials did not meet the learning needs of all participants. Modality of training suggested that while online learning was acceptable for some, others experienced screen fatigue and found it hard to build rapport with other participants. Systematic and organisational obstacles to training access and delivery suggested that lack of managerial support and organisational mental health stigma may be barriers to accessing training. A 5-day online CISM-based training programme was acceptable to participants. Organisations implementing critical incident debrief training may benefit from (1) offering both in-person and online training options, and (2) tailoring course materials according to the disciplinary make-up of groups.

Recommendations for supporting healthcare workers' psychological well-being: Lessons learned during the COVID-19 pandemic.

Healthcare workers are at risk of adverse mental health outcomes due to occupational stress. Many organizations introduced initiatives to proactively support staff's psychological well-being in the face of the COVID-19 pandemic. One example is the STEADY wellness program, which was implemented in a large trauma centre in Toronto, Canada. Program implementors engaged teams in peer support sessions, psychoeducation workshops, critical incident stress debriefing, and community-building initiatives. As part of a project designed to illuminate the experiences of STEADY program implementors, this article describes recommendations for future hospital wellness programs. Participants described the importance of having the hospital and its leaders engage in supporting staff's psychological well-being. They recommended ways of doing so (e.g., incorporating conversations about wellness in staff onboarding and routine meetings), along with ways to increase program uptake and sustainability (e.g., using technology to increase accessibility). Results may be useful in future efforts to bolster hospital wellness programming.

Incidence and Sources of Stress Among Secondary Schools Teachers in Ekiti State, Nigeria

The incidence of stress is a common knowledge among scholar in the field. Teachers are facing many stressful experiences particularly in Ekiti state such as irregular payment of salary, lack of basic facilities for teaching and lack of motivation which led to lower productivity problem. The thrust of the study therefore, investigated the incidence stress and causes in the midst of post-basic school instructors. The research design employed in this inquiry was descriptive-survey design. The entire teachers in post basic schools in Ekiti state were the target of this study. The representatives of this population comprised 378 teachers, randomly selected from one local government from the districts in the state. Structured questionnaire on incidence, sources of stress and coping strategies adapted from Ugwuja (2009) was the major instrument for the study. Descriptive statistics of percentage was used to answer the questions. It was discovered that: incidence of stress in post- basic -school in was high (86%); teachers’ sources of stress in Ekiti State ranged from irregular payments of salaries, students’ misbehaviour and large class size. Based on the findings it was concluded that irregularly payment of salaries, heavy work load, and lack of infrastructural facilities were causes of stress among teachers in Ekiti State. The implication is that if teachers were under stressful condition teaching productivity will not be significant. It is therefore recommended that school managers and administrators should device techniques of reducing the incidence of stress among secondary school teachers which was found to be high, Government and school administrators should employ more teachers in a bid to reduce teachers’ workload and Seminars and workshops should be organized for teachers on stress coping strategies.

CE: Suicide Prevention: Protecting the Future of Nurses.

Nurse suicide is an alarming issue that remains largely underexplored and underaddressed. Moreover, rates of suicide among nurses, which are higher than those in the general population, may increase due to additional stressors caused by the COVID-19 pandemic. There is a decided lack of data regarding nurse suicide or the efficacy of evidence-based prevention programs. This article examines the state of nurse suicide and explores the latest statistics on nurse suicide rates; contributing factors to nurse suicide; and current suicide prevention programs, such as the Critical Incident Stress Management and Healer Education Assessment and Referral programs.

Influence of Piston Mass and Working Pressure on the Impact Performance of a Hydraulic Rock Drill Using the Stress Wave Method

To optimize and improve the impact performance of a hydraulic rock drill, it is helpful to test the stress waves of the drill and analyze the impact energy, impact frequency, and energy utilization rate. For this study, a stress wave test bench was designed and built, according to international standards, in order to study the impact process of a hydraulic rock drill under the working pressures of 18 MPa and 23 MPa. The impact energy, impact frequency, and energy utilization rate of two different hydraulic rock drill pistons in low, middle, and high gear were analyzed using a control variable method. The results demonstrate that the impact stress waves of the rock drill periodically occur in the drill rod, and then decay exponentially until they become close to zero. Moreover, the amplitude of the incident stress wave determines the rock-breaking ability of the drill. The impact energy of the short piston is greater than that of the long piston, with a maximum average value of 346.1 J; the impact frequency of the long piston is higher than that of the short piston, with a maximum average value of 62 Hz; and the energy utilization rate of the short piston is higher than that of the long piston, with a maximum average value of 56.92%, which is close to the theoretical ideal efficiency. Therefore, it can be concluded that the impact performance of a hydraulic rock drill can be effectively tested using the proposed horizontal bench, and that piston characteristics and the working pressure are the main factors affecting impact performance. Accordingly, when developing a hydraulic rock drill, it is advisable to select a shorter piston and a higher working pressure, thus allowing the drill to provide good impact performance.

Critical incident experiences, related stress and support among Finnish paramedics: A cross-sectional survey study

IntroductionParamedics work in diverse, demanding prehospital settings. We examined the prevalence of critical incident (CI) experiences, critical incident stress (CI-S), and CI-S association with the intention to leave the paramedic profession, as well as the needed and received support for CI-S among Finnish paramedics. MethodsIn 2022, n = 427 Finnish paramedics from eight different organizations responded to a modified Emergency Medical Services (EMS) Critical Incident Stress Inventory and reported the CIs experienced during their EMS careers and the related CI-S within the last six months. Statistical analyses were stratified by gender. ResultsAll the listed 31 CIs had been experienced by the Finnish paramedics, and the experiences increased with work experience, especially among men. CI-S had wide variation, seemed to increase with work experience, and was mainly not associated with the intention to leave the profession. Support for coping with CI-S was most often received from colleagues, then from family members, friends, and to some extent, managers. ConclusionsBecause of the inherent nature of the demands and features of the paramedic work, experiencing CIs is unavoidable. Examining effective coping strategies, organizational support, and managerial practices are needed to support highly skilled paramedics in their demanding work.

Decay Law of Supercritical CO2 Phase Transition-Induced Shock Waves in Rocky Media

Supercritical CO2 phase change fracturing technology has been widely used in rock engineering, with the advantages of low disturbance and no pollution. However, the phase change shock wave inevitably affects the surrounding environment, and the influence range is still unclear. In this paper, we present a computational model for the symmetric generation, propagation, and attenuation of supercritical CO2 phase transition shock waves, with the center of the borehole as the origin, based on the C–J theory. The attenuation of the shock wave in the rock medium under the influence of the type of fracturing tube, the thickness of the shear sheet, and the rock performance parameters are further analyzed. The results show that the rock stress under the action of the phase change shock wave attenuates logarithmically with the propagation distance, which correlates with the magnitude of the incident rock stress at the borehole wall. The incident rock stress decreases with the increase in the initial density of CO2 in the fracturing tube, increases linearly with the thickness of the shear sheet, and correlates with the rock wave impedance.