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

• 임상간호연구
• /
• 제23권2호
• /
• pp.179-188
• /
• 2017

Purpose: This study examined post-traumatic stress (PTS) and the factors affecting it among general hospital nurses after the MERS(Middle East Respiratory Syndrome) epidemic. Methods: Data were collected from 170 nurses who worked at general hospitals since the first reported MERS outbreak. The IES-R-K assessed PTS. Data were analyzed using SPSS. Results: The mean PTS level was 7.80 points (range: 0~88); 7.1% of the participants were at a high risk. Nurses who had been in contact with patients suspected or diagnosed with MERS had high post-traumatic levels; those who had been quarantined during the MERS outbreak had relatively higher PTS levels. Shift-work nurses had higher PTS levels than those with fixed working hours. Above charge' nurses stress levels were higher than staff nurses' stress levels. The results showed that factors including contact with an MERS-suspected or diagnosed patient, position at work, and working status of MERS-affected nurses explained 16% of the PTS. Among the main variables, nurses' above charge position was the greatest factor affecting PTS. Discussion: It is necessary to develop intervention studies and programs considering these variables. Furthermore, development and implementation of differentiated programs should be done considering the position of above charge nurses.

• 지역사회간호학회지
• /
• 제28권4호
• /
• pp.524-536
• /
• 2017

Purpose: This study aims to examine the relationships among experiences of traumatic events, post-traumatic stress (PTS), and the needs for health promotion programs of 119 paramedics. Methods: Experiences of traumatic events, PTS, and needs for health promotion programs were measured using a structured questionnaire. The subjects were 193 paramedics in Jeju Island. Data were analyzed using descriptive statistics, t-test and $x^2$ test. Results: The most experienced event out of the 16 different traumatic events was 'retrieve a suicide's body.' A high-risk classification of PTS was observed in 36.2% of the subjects. The rates of experiences were higher than those of the actual needs for all 26 health promotion programs. The programs reported as highly needed by respondents were stress management (75.5%) followed by exercise (74.6%) and PTS management (72.5%). Subjects with longer career periods, a fire sergeant, perceived obesity, numerous experiences of traumatic events, and in the PTS risk group had a higher need for a stress management program. Conclusion: These findings indicate that a significant number of 119 paramedics experienced PTS. They also show that onsite strategic management is strongly required. In addition, implementation of health promotion programs based on the needs of 119 paramedics is highly needed.

• 한국산학기술학회논문지
• /
• 제16권6호
• /
• pp.4040-4047
• /
• 2015

본 연구는 외상 후 스트레스 장애(Post-traumatic Stress Disorder; PTSD) 발생 가능성이 높은 소방관에게 단기간 음악치료 프로그램을 적용해 외상 후 스트레스(post-traumatic stress; PTS) 수준의 변화와 음악치료 효과의 지속성을 분석하고자 하였다. 연구방법은 3개 지역의 소방관 42명을 실험군(21명)과 대조군(21명)으로 임의배정 하고 5일간 1일 2회기(120분)씩 총 10회기의 음악치료를 적용하였다. PTS 수준은 음악치료 종료 직후, 4주 후, 12주 후에 변화를 측정 하였다. 연구결과 음악치료 전 PTS 수준은 $26.52{\pm}2.32$점 이었으나 음악치료 직후 $8.90{\pm}4.55$점으로 유의하게 감소하였다(p<0.05). 사후 PTS 수준은 4주 후 $11.95{\pm}4.57$점, 12주 후 $13.76{\pm}5.62$점으로 4주 및 12주 후까지 효과가 유의하게 지속되었다(p<0.05). 이상의 결과를 통해 음악치료는 PTSD 고위험군인 소방관에게 PTS 수준을 낮추는데 효과적인 접근 방법으로 판단된다. 따라서 소방관의 정신건강 관리를 위해 음악치료가 정규적인 프로그램으로 적용된다면 현장 업무능력을 향상시키는데 기여할 수 있을 것이다.

• 한국컴퓨터정보학회논문지
• /
• 제26권12호
• /
• pp.221-226
• /
• 2021

본 연구는 음악치료가 119구급대원(이하 구급대원)의 외상 후 스트레스(post-traumatic stress; PTS) 감소에 미치는 영향과 음악치료 효과의 지속성을 알아보고자 수행되었다. 연구대상은 C지역의 구급대원 42명으로 2019년 11월 25일부터 2020년 3월 1일까지 연구를 진행하였다. 실험군 21명은 매일 2회씩 5일간 총 10회의 음악치료 프로그램을 진행하였다. 프로그램은 음악치료 전문가 2인에 의해 진행되었으며, 각 단계는 즉흥적으로 연주하기, 리듬 창작 활동, 난타, 신체 활동 등 목표에 필요한 중재기법이 적용되었다. 대조군은 실험군의 프로그램 진행과 동일한 시간에 자유로운 휴식(TV시청, 휴대폰게임, 수면, 운동 등)을 취하도록 하였다. 연구 결과 대조군은 음악치료 적용 전과 후의 외상 후 스트레스의 차이가 없었으나, 실험군은 음악치료 적용 전에 비해 직후의 PTS가 크게 감소하였고, 4주 후와 12주 후에는 PTS가 점차적으로 증가하였다(p<.05). 따라서 정기적이고 반복적인 음악치료는 구급대원의 외상 후 스트레스 수준을 경감시킬 수 있는 효과적인 방법으로 판단된다.

• 대한간호학회지
• /
• 제53권5호
• /
• pp.500-513
• /
• 2023

Purpose: Women are more vulnerable to post-traumatic stress (PTS) than men, causing several health problems. Nurses should understand and work with women who have experienced trauma and provide interventions to promote their physical, social, and mental health. Methods: This quasi-experimental pilot study used a one-group pre-test/post-test design. Data were collected from 14 women recruited between December 2019 and May 2020 from a self-sufficiency support center in South Korea for sexually-exploited women who had experienced trauma. The program consisted of six one-on-one intervention sessions per week for six weeks. Each session averaged 60~120 minutes. Participants were assessed at pre-test, post-test, and one-month follow-up. Changes in outcome variables over time were analyzed using the Wilcoxon signed-rank and Friedman tests. Results: The caring program for health promotion was divided into six sessions: understanding the self, sharing traumatic events and negative emotions, reframing the meaning of traumatic events, identifying thoughts and physical and emotional responses, developing health promotion activities, and maintaining a positive attitude during the process of change. As a result of the caring program, PTS (F = 36.33, p < .001), depression (F = 24.45, p < .001), health-promoting behaviors (F = 7.06, p = .004), and self-esteem (F = 19.74, p < .001) among the participants differed significantly at pre-test, post-test, and follow-up. Conclusion: This study provides foundational information for the implementation of a theory-driven program by nurses in clinical and community settings to provide comprehensive care for women who have experienced trauma.

• 대한간호학회지
• /
• 제51권3호
• /
• pp.334-346
• /
• 2021

Purpose: The purpose of this study was to develop a resilience enhancement program applying mindfulness meditation (REP-MM) and evaluate the effects of the program on post-traumatic stress (PTS), resilience, and health-related quality of life (HRQoL) in patients with ileostomy. Methods: The REP-MM was developed by combining the resilience enhancement program with mindfulness meditation according to four patterns. The program was developed through identifying patients' needs, reviewing relevant literature, developing a preliminary program, and testing content validity and user evaluation. The participants were 55 patients with ileostomy. We conveniently assigned 27 patients to the experimental group and 28 to the control group. The study was conducted in conducted in a hospital from January 22 to May 30, 2019. The REPMM was provided to the experimental group, and conventional ileostomy care was provided to the control group using a nonequivalent control-group pretest-posttest design. Results: ANCOVA revealed that the levels of PTS (F = 321.64, p < .001), resilience (F = 111.86, p < .001), and HRQoL (F = 31.08, p < .001) in the experimental group were higher than those in the control group when comparing pretest to posttest changes. Conclusion: The REP-MM is effective in PTS, resilience, and HRQoL in patients suffering from post-stoma creation crisis. The REP-MM can induce positive self-recognition changes in patients with ileostomy through dispositional, situational, relational, and philosophical interventions. We suggest nurses reduce PTS and improve resilience and HRQoL in patients with ileostomy.

• 한국산학기술학회논문지
• /
• 제22권2호
• /
• pp.522-528
• /
• 2021

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.

• 한국화재소방학회논문지
• /
• 제26권6호
• /
• pp.109-117
• /
• 2012

본 논문에서는 소방공무원과 경찰공무원을 대상으로 360명씩 표본을 선정하여 외상후 스트레스에 영향을 주는 측정변인들과 외상후 스트레스 간의 관계, 외상후 스트레스가 심리적 복지감과 우울에 미치는 관계를 구조방정식 모형에 의해 분석하고 비교하였다. 연구 결과 소방공무원이 경찰공무원에 비하여 외상후 스트레스가 우울을 더 크게 증가시키고 심리적 복지감까지 떨어뜨리고 있었다. 공무원의 외상후 스트레스에 대한 철저한 관리와 정신건강에 대한 체계적인 예방 및 관리프로그램이 필요하다.