• 한국화재소방학회논문지
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• 제32권2호
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• pp.92-101
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• 2018

본 연구는 외상사건에 반복적으로 노출되는 소방공무원들의 외상 후 스트레스가 자살에 미치는 영향을 살펴보고, 외상 후 스트레스와 자살생각과의 관계에서 인지적 정서조절의 조절효과를 검증하고자 하였다. 이를 위해 외상 후 스트레스, 한국판 자살생각, 인지적 정서조절을 측정하였다. 연구결과는 다음과 같다. 첫째, 외상 후 스트레스, 적응적 인지적 정서조절, 부적응적 인지적 정서조절은 상관관계가 있음이 확인되었다. 둘째, 외상 후 스트레스와 자살생각과의 관계에서 인지적 정서조절의 조절효과를 알아보기 위해 위계적 회귀분석을 실시한 결과, 적응적 인지적 정서조절은 낮은 외상 후 스트레스 집단에서 조절효과를 가졌고, 부적응적 인지적 정서조절은 높은 외상 후 스트레스 집단에서 조절효과를 갖는 것으로 확인되었다. 이러한 결과를 바탕으로 본 연구에서는 학문적, 임상적 시사점과 함께 후속 연구의 필요성에 대해 논의하였다.

• 한국산학기술학회논문지
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• 제16권1호
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• pp.116-128
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• 2015

본 연구의 목적은 외상성 사건 경험이 외상 후 스트레스 장애에 미치는 영향에 있어서 스트레스 대처양식의 매개효과를 알아보고자 하는데 있다. 연구목적을 달성하기 위해 제주지역 경찰관서 4개소에서 경찰관을 대상으로 총 297명의 사례를 분석하였다. 연구가설을 검증하기 위하여 Baron & kenny의 회귀분석 4단계를 거쳐 매개 효과를 검증하였고, Sobel Test를 실시하여 매개효과에 대한 유의도를 검증하였다. 외상성 사건 경험 이후 외상 후 스트레스 장애 증상의 발현 사이의 경로를 확인함으로써 적절한 외상 후 스트레스 장애에 대한 개입 프로그램을 설정하는데 도움을 주고, 궁극적으로 제주지역 경찰관들이 외상 후 스트레스에서 벗어나 긍정적이고 역동적인 근무 환경을 조성하는데 도움을 줄 것이다.

• 한국콘텐츠학회논문지
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• 제12권9호
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• pp.211-216
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• 2012

이 연구에서는 경찰관의 조직적인 특성과 외상후 스트레스 장애 수준의 관계를 비교 분석하여 조직적 특성에 따른 외상후 스트레스 장애에 대한 영향을 확인하고자 하였다. 이를 위해 일원변량 분산분석(One-way ANOVA)을 실시하였다. 계급에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되지 않았는데, 경사, 순경 경장, 경위 이상 순이었다. 유의미한 수준은 아니지만 비간부 집단이 간부 집단보다 외상후 스트레스 장애 수준이 높게 나타났다. 근무관서에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되었는데, 지구대 파출소, 경찰서, 지방경찰청 순이었다. 이는 일선 경찰관서에서 근무하는 경우에 외상경험에 노출될 가능성이 높기 때문일 것이다. 근무부서에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되었는데, 생활안전, 수사 형사, 경비 교통, 내근 순이었다. 외근직이 외상경험에 노출될 가능성이 높기 때문에 내근직 보다 높게 나타났다. 근무기간에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되지 않았는데, 1년 이하, 2-10년, 11-19년, 20년 이상 순이었다. 특히 1년 이하 경찰관의 경우 외상후 스트레스 장애 수준이 상대적으로 매우 높게 나타났다. 근무하는 행정구역의 규모에 따른 외상후 스트레스 장애 수준에서는 유의미한 차이가 발견되지 않았고, 중소도시(50만 이상), 대도시(50만 이상), 광역시 이상, 군단위 이하 순으로 나타났다.

• 간호행정학회지
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• 제19권3호
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• pp.340-350
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• 2013

Purpose: This study was done to identify relationships among post-traumatic stress (PTS), job stress and turnover intention in emergency department (ED) nurses. Methods: Participants were 250 ED nurses who had worked for one month or longer in the ED one of three university hospitals or seven general hospitals in Daegu City or Gyeong Buk Province in Korea. Structured questionnaires were used to measure PTS, job stress, and turnover intention of participants. Data were analyzed using descriptive statistics, one-way ANOVA, path analysis, and stepwise multiple regression with the SPSS program. Results: There were significant relationships between PTS, job stress and turnover intention. PTS influenced turnover intention directly and was indirectly mediated by job stress. The experience of traumatic events influenced PTS, job stress, and turnover intention. Indirect experience of traumatic events in the ED was an important predictor, explaining 20.1% of PTS in high-risk post-traumatic participants. Conclusion: PTS can be an important factor for job stress and turnover intention. The direct and indirect experience of traumatic events can influence PTS, job stress, and turnover intention in ED nurses. Based on these results, strategies for managing PTS and relating job stress are recommended to reduce turnover intention in ED nurses.

• 한국간호교육학회지
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• 제28권2호
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• pp.193-203
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• 2022

Purpose: This study explored the mediating role of resilience between post-traumatic stress and emotional exhaustion in nurses during the COVID-19 pandemic. Methods: The data were collected from 193 nurses working at a hospital in Daegu from October 16 to 30, 2020, in the middle of the COVID-19 pandemic. Participants conducted self-reported surveys of post-traumatic stress (Impact of Event Scale-Revised Korean version), emotional exhaustion (Maslach Burnout Inventory), and resilience (Korean Resilience Quotient Test). The data were analyzed using descriptive statistics, frequency, t-tests, Mann-Whitney U tests, Kruskal-Wallis tests, Pearson correlation coefficients, and multiple regression. Mediation analysis was performed using the Baron and Kenny method and Sobel test. Results: The mean scores for post-traumatic stress, resilience, and emotional exhaustion were 16.18±16.18, 183.41±18.29, and 32.64±9.66, respectively. A higher level of post-traumatic stress was associated with lower resilience (r=-.20, p=.004) and with higher emotional exhaustion (r=.33, p<.001). A higher level of resilience was associated with lower emotional exhaustion (r=-.35, p<.001). The resilience was confirmed to have a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion, verified by the Sobel test (Z=2.31, p=.02). Conclusion: Resilience had a partial mediating effect in the relationship between post-traumatic stress and emotional exhaustion. Thus, nurses should develop individual strengths to reduce emotional exhaustion, and managers should also make efforts to increase the nurses' resilience. It is also necessary to develop and apply a program to strengthen nurses' resilience.

• 동의신경정신과학회지
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• 제14권1호
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• pp.175-181
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• 2003

A lot of research have been done so far in terms of traffic accident sequela, but most of them have stressed simply on physical treatments, resulting in less attention to the psychological ones. This is a case report of a patient with post-traumatic stress disorder. Although that is simply following in the wake of past therapy, we were experienced an improved case of post-traumatic stress disorder patient treated by herbal medicine, acupuncture, mental therapeutics. This case effectively describes the characteristics of the post-traumatic stress disorder, and it also suggested one approach for the treatment of the disease. This report is for the better understanding of the disease, and also the search for the advanced treatments to it hereafter.

• 한국응급구조학회지
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• 제23권2호
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• pp.33-42
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• 2019

Purpose: This study aimed to identify the effects of post-traumatic stress disorder intervention programs on firefighters through a meta-analysis. Methods: Seven studies were selected for meta-analysis. The overall average effect size, effect sizes for each intervention variables, and publication bias were analyzed using Comprehensive Meta-Analysis(CMA) version 2.0 (Biostat, Englewood, NJ, USA). Results: Post-traumatic stress disorder intervention programs were found to have a very low, not statistically significant effect (effect size=-.171, confidence interval=-0.361~0.019, Z=-1.768, p>.05). However, these programs was less than 50 (effect size=-.622). Conclusion: The results of this study suggest that further research on the effects of post-traumatic stress disorder intervention among firefighters is needed in order to develop more effective programs.

• 대한안전경영과학회지
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• 제24권2호
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• pp.143-154
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• 2022

Korea has the highest suicide rate in the world, and firefighters have the highest suicide rate among the professional population. As a result of the study, post-traumatic stress disorder education is essential in all occupations. Post-traumatic stress disorder is the most common disease and the biggest obstacle for firefighters in Korea. Firefighters who have suffered physical and mental damage in many types of disaster sites due to their extreme occupations are rapidly increasing the suicide rate in recent years. In order to maximize the effect of job training, education on post-traumatic stress disorder from new employees to leadership training is urgently needed.

• 동의신경정신과학회지
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• 제22권3호
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• pp.75-85
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• 2011

Objectives : In this case report, we will present three patients diagnosed with acute stress disorder or post-traumatic stress disorder improved by application of oriental medical treatments. Methods : We treated three patients with acute stress disorder or post-traumatic stress disorder by oriental medical treatments. The effect of oriental medical treatments were evaluated by STAI and clinical symptoms such as anxiety, insomnia, palpitation, startle response. Results : As a result of oriental treatments, clinical symptoms such as anxiety, insomnia, palpitation, startle response were improved, and STAI scores also decreased. Conclusions : These results suggest that oriental treatments may have an effect on acute stress disorder and post-traumatic stress disorder.

• 한국응급구조학회지
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• 제11권3호
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• pp.5-15
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• 2007

The purpose of this study was to identity the distribution of post-traumatic stress types and coping methods and to find the relationship between the post-traumatic stress types and the coping methods, for firefighters who experienced in Dea-Gu Subway Fire Disaster. The Subjects of this study were 126 firefighters who experienced Deagu Subway Disaster. Q questionnaire developed by Q-study and coping methods instrument based on that of Folkman & Lazaruswas revised and complemented by Kim Jung Hee was used. Data were analyzed by t-test, ANOVA using SPSS. The results of this study were as follows : 1. The distribution of post-traumatic stress types were 52.4% of Emotional arousal trauma, 34.1% of Trauma experience persistence and 13.5% of Physiological symptom experience. 2. The difference of post-traumatic stress types according to the general characteristics were significantly related to the physical injury(p = .010). 3. The minimum score of coping with post-traumatic stress types was 0.07, the maximum was 2.96 and the mean score was 1.27. 4. The coping methods according to the general characteristics were significantly different at active coping method according to educational level(p = .001), passive coping method according to educational level(p = .003) and passive coping method according to diagnosis(p = 0.20). 5. The mean score of active coping method according types were Emotional arousal trauma(1.505), trauma experience persistance(1.322) and Physiological symptom experience(1.276). The mean score of passive coping method related with types were Emotional arousal trauma(1.328), trauma experience persistance(1.254) and Physiological symptom experience(1.219).