Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Factors influencing the behavioral beliefs to care for emerging infectious disease (COVID-19) patients

신종 감염병(COVID-19) 환자 간호의 행위 신념에 영향을 미치는 요인

  • Park, Yoonjin (Department of nursing, Joongbu University) ;
  • Lee, Sun Ra (Department of nursing, Seongnam Citizens Medical Center)
  • Received : 2020.12.08
  • Accepted : 2021.02.05
  • Published : 2021.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

This is an investigative study to identify the degree of post-traumatic stress and anxiety of nurses in relation to the COVID-19 pandemic, and to analyze the relationship with the nurse's belief in behavior and control that affects nursing intentions to determine their impact on the belief in behavior. The subjects of this study were nurses with experience of directly nursing COVID-19 patients at medical institutions located in Gyeonggi-do. The SPSS 22.0 version was used for the descriptive analysis, independent t-test, one-way ANOVA, Pearson's correlation coefficients and multiple regression. Post-traumatic stress of the participants in this study was found to be 24.20±20.58, anxiety 48.31±6.61, behavior beliefs -1.00±17.12, and control beliefs 3.41±11.66. According to this study, the belief in conduct is negatively correlated with post-traumatic stress (r=-4.71, p<).001) and showed a significant negative correlation with anxiety (r=-2.248, p<.05). There was no significant correlation with control beliefs (p>.05). Based on the results of this study, it is proposed to develop an appropriate psychological arbitration program for mediating post-traumatic stress in order to promote the nurse's behavior beliefs.

본 연구는 신종 감염병 확산과 관련한 간호사의 외상 후 스트레스와 불안 정도를 파악하고 간호의도에 영향을 미치는 간호사의 행위 신념과 통제 신념과의 관계를 분석하여 이들이 행위 신념에 미치는 영향을 파악하고자 한 서술적 조사연구이다. 본 연구의 대상자는 경기도에 소재한 의료기관에서 COVID-19환자를 직접 간호한 경험이 있는 간호사를 대상으로 하였다. 본 연구의 통계방법은 SPSS 22.0을 사용하여 SPSS/WIN 20.0 프로그램을 이용하여 기술통계, Independent t-test, one-way ANOVA, Pearson's Correlation Coefficient, Hierarchical Multiple Regression으로 분석할 예정이다. 자료는 SPSS/WIN 20.0 프로그램을 이용하여 분석하였다. 대상자의 특성과 외상 후 스트레스, 불안, 행위 신념, 통제 신념을 대상자의 특성에 따른 외상 후 스트레스, 불안, 행위 신념, 통제 신념의 차이는 t-test와 ANOVA로 파악하였으며, 제 변수 간의 상관관계는 Pearson's correlation coefficients로 확인하였다. 행위신념에 영향을 미치는 요인은 다중회귀분석을 사용하였다. 본 연구에 참여한 대상자의 외상 후 스트레스는 평균 24.20±20.58, 불안은 48.31±6.61, 행위 신념은 평균 -1.00±17.12, 통제 신념은 3.41±11.66으로 조사되었다. 본 연구결과에 따르면 행위 신념과는 외상 후 스트레스와 음의 상관관계를 나타냈으며(r=-4.71, p<.001), 불안과도 유의미한 음의 상관관계를 나타냈다(r=-2.248, p<.05). 통제 신념과는 유의미한 상관관계가 나타나지 않았다(p>.05). 본 연구의 결과를 토대로 간호사의 행위 신념을 증진시키기 위한 적절한 심리적 중재 프로그램 개발을 제언한다.

Keywords

References

  1. Han L, Wong FKY, She DLM, Li SY, Yang YF, Jiang MY, et al. "Anxiety and depression of nurses in a north west province in china during the period of novel coronavirus pneumonia outbreak.", Journal of Nursing Scholarship, vol.52, no.5, pp.564-573, 2020. DOI : https://doi.org/10.1111/jnu.12590
  2. G. J. Kim, M. S. Yoo, H. J. Son, J. S. Hong, "A Study on the Crisis Management of Korean Health Care Organizations in 2015 MERS Outbreak.", Research Institute Health Policy, pp.1-169, 2017.
  3. Shiao JS-C, D. Koh, L. H. Lo, M. K. Lim, Y. L. Guo. "Factors predicting nurses' consideration of leaving their job during the SARS outbreak.", Nursing Ethics. vol. 14, no.1, pp. 5-17, 2007. DOI : https://doi.org/10.1177/0969733007071350
  4. B. Lee.."Experience of COVID-19 Patients Care in Infectious Diseases Specialized Hospital in Daegu.", armed forces nursing academy, vol.38, no.2, pp74-79, 2020. DOI : https://doi.org/10.31148/kjmnr.2020.38.2.74
  5. Garcia-Martin M, Roman P, Rodriguez-Arrastia M, Diaz-Cortes MdM, Soriano-Martin PJ, Ropero-Padilla C. "Novice nurse's transitioning to emergency nurse during COVID-19 pandemic: A qualitative study." Journal of Nursing Management. 2020. https://www.researchgate.net/publication/344171134
  6. S. Y. Jeong, H. S. Park, H. J. Wang, M. J. Kim, "Intentions to Care for New Influenza A(H1N1) Patients and Influencing Factors: An application of theory of planned behavior.", J Korean Acad Soc Home Care Nurs. vol. 22, no. 1, pp.78-87, 2015.
  7. N. Y. Kim, S. Y. Jeong. "Patient Safety Management Activities of Clinical Nurse: A Modified Theory of Planned Behavior." Journal of Korean Academy of Nursing Administration, vol.25, no.5 pp.348-392, 2019. DOI : https://doi.org/10.11111/jkana.2019.25.5.384
  8. J. Y. Lee. "Factors influencing the intention of nurses to care for emerging infectious diseases patients." master's theory, Seoul: Ewa university, page.1-115, 2018.
  9. Ajzen I. Attitudes, personality, and behavior: McGraw-Hill Education (UK); 2005.
  10. S. Y. Jeong. "(The) structural model for hand hygiene of infection prevention activities in hospital nurses.", master's theory, Seoul: Ewa university, page.1-115, 2011.
  11. H. J. Jeong, J. Y. Kim, S. Y. Jeong. "Factors Affected with Post-traumatic Stress in Nurses Involved in Direct Care for Middle East Respiratory Syndrome Patients.", Health and Social Welfare Review. vil.36, no.4, pp.488-507, 2016. DOI : http://dx.doi.org/10.15709/hswr.2016.36.4.488
  12. S. W. Hwang, S. H. Kim. "Health Care Professional's Duty of Care in a Public Health Emergency." Korean Bioethics association. vol.20, no.2, pp29-43, 2019. DOI : https://doi.org/10.37305/JKBA.2019.12.20.2.29
  13. Abolfotouh MA, AlQarni AA, Al-Ghamdi SM, Salam M, Al-Assiri MH, Balkhy HH. "An assessment of the level of concern among hospital-based health-care workers regarding MERS outbreaks in Saudi Arabia.", BMC infectious diseases. vo..17, no.1, pp.4, 2017. https://doi.org/10.1186/s12879-016-2096-8
  14. D.H. Doo, J. H. Hwang, Y. W. Cho. "The Mental Health and Sleep Quality of the Medical Staff at a Hub-Hospital against COVID-19 in South Korea." Journal of Sleep Med. Vol. 17, No. 1, pp.93-97, 2020 DOI : https://doi.org/10.13078/jsm.200016
  15. H. R. Yoo, B. E. Kwon, Y. S. Jang, H. K. Youn. "Validity and Reliability of an Instrument for Predictive Nursing Interaction for SARS Patient Care.", Journal of Korean Academy of Nursing. vol.35, no.6, pp.1063-1071, 2005. DOI : https://doi.org/10.4040/jkan.2005.35.6.1063
  16. H. J. Eun, T. W. Kwon, S. M. Lee, E. H. Kim, M. R. Choi, S. J. Cho. "A study on reliability and validity of the Korean version of impact of event scale-revised." Journal of Korean Neuropsychiatric Association. vo/.44, No.3, pp.303-310, 2005.
  17. J. Y. Kim. E. H. Lee, S. H. Kim. "A Study on Trauma Experiences among Korean Adults based on Conditional probability of PTSD symptoms.", Korean Journal of Culture and Social Issues. vol.24, no.3, pp.365-383, 2018. DOI : https://doi.org/10.20406/kjcs.2018.8.24.3.365
  18. O. S. Kim, J. H. Oh. "The convergence study on anxiety, knowledge, infection possibility, preventive possibility and preventive behavior level of MERS in nursing students." Journal of the Korea Convergence Society. vol.7, no.3, pp59-69, 2016. DOI : http://dx.doi.org/10.20406/kjcs.2018.8.24.3.365
  19. D. H. Um, J. S. Kim. H. W. Lee, S. H. Lee. "Psychological Effects on Medical Doctors from the Middle East Respiratory Syndrome (MERS) Outbreak : A Comparison of Whether They Worked at the MERS Occurred Hospital or Not, and Whether They Participated in MERS Diagnosis and Treatment.", J Korean Neuropsychiatr Assoc. vol.56, no.1, pp.28-34, 2017. DOI : https://doi.org/10.4306/jknpa.2017.56.1.28
  20. World Health Oganization[Internet]. Available from: https://www.who.int/(accessed July. 20, 2019).
  21. Livingston DH, Bonne S, Morello C, Fox A. "Optimizing the trauma resuscitation bay during the covid-19 pandemic.", Trauma surgery & acute care open. vol.5, no.1, e000488, 2020. DOI : https://doi.org/10.1136/tsaco-2020-000488
  22. H. J. Kim, Y. H. Choi. "Factors influencing clinical nurses' nursing intention for high risk pathogen infected patient.", Journal of Korean Clinical Nursing Research. vol.22, no.3, pp.327-335, 2016. DOI : https://doi.org/10.22650/JKCNR.2016.22.3.327
  23. J. E. Moon, M. O. Song. "A convergence study about the performance of healthcare- associated infection control guidelines of hospital nurses-based on the theory of planned behavior." Journal of the Korea Convergence Society. vo..8, no.5, pp.117-125, 2017. DOI : https://doi.org/10.15207/JKCS.2017.8.5.117
  24. Carmassi C, Foghi C, Dell'Oste V, Cordone A, Bertelloni CA, Bui E, et al. "PTSD symptoms in healthcare workers facing the three coronavirus outbreaks: What can we expect after the COVID-19 pandemic.", Psychiatry research. e113312, 2020. DOI : https://doi.org/10.1016/j.psychres.2020.113312
  25. Vagni M, Maiorano T, Giostra V, Pajardi D. "Hardiness, stress and secondary trauma in Italian healthcare and emergency workers during the COVID-19 pandemic.", Sustainability. vol.12, no.14, pp.5592, 2020. DOI : https://doi.org/10.3390/su12145592