• 제목/요약/키워드: Traumatic

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중환자실 간호사의 외상성 사건 경험과 이직 의도의 관계에서 회복탄력성의 조절 효과 (The moderating effect of resilience in the relationship between traumatic event experience and turnover intention of nurses in intensive care units)

  • 정다운;김숙영
    • 한국간호교육학회지
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    • 제27권4호
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    • pp.447-455
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    • 2021
  • Purpose: The present study utilizes a descriptive research design to investigate the moderating effect of resilience on the relationship between the experience of traumatic events and turnover intention among intensive care unit (ICU) nurses. Methods: The participants were 161 hospital nurses who voluntarily agreed to participate in this study. Traumatic event experience, turnover intention, and resilience were assessed. The data were analyzed with hierarchical multiple regression using the SPSS 26.0 software program. Results: The experience of traumatic events had a statistically significant positive correlation with turnover intention (r=.17, p=.037), whereas it had a statistically significant negative correlation with turnover intention and resilience (r=-.37, p<.001). Resilience had a moderating effect on the relationship between the experience of traumatic events and turnover intention (𝛽=-.20, p=.007). Conclusion: The results of this study found that the experience of traumatic events among ICU nurses was a significant factor in turnover intention and that resilience moderated the strength of the relationship between such experiences and turnover intention. Therefore, to prevent ICU nurses' experience of a traumatic event from leading to their leaving nursing, it is necessary to formulate preventive measures and interventions for traumatic events, while enhancing resilience among ICU nurses.

경찰관의 외상성 사건 경험이 외상후 스트레스 증상에 미치는 영향에 있어 스트레스 대처양식의 매개효과 (The Mediating Effect of Stress Management Format on Influence Over Post Traumatic Stress Disorder on Traumatic Case Experience of Police Officers)

  • 양경미;오창홍;박정환
    • 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.

북한이탈 청소년의 외상후 스트레스가 정신건강에 미치는 영향 (Influence of Posttraumatic Stress on the Mental Health among Adolescents of North Korean Refugees)

  • 손용훈;이주실;박민철;이상열
    • 대한불안의학회지
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    • 제6권1호
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    • pp.37-44
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    • 2010
  • Objectives : This study investigated the influence of traumatic experience on the ego identity, self-esteem, and general psychopathology of adolescent North Korean refugees. Methods : The participants were 146 adolescents North Korean refugees who attended H High School for North Korean refugees. We divided the subjects into two groups according to the severity of their traumatic experience : the more-traumatic-experience group and the less-traumatic-experience group. Each group performed self-report assessments including an assessment to reveal demographic characteristics, the Traumatic Experiences Scale for North Korean Defectors, the Scale for Ego identity, the Scale for Self-esteem and the Symptom Check-90-Revision (SCL-90-R). Statistical analysis of t-test and multiple regression utilized SPSS 12.0 for Window for comparison between more-traumatic-experience group and less-traumatic-experience group. Results : The prevalence of posttraumatic stress disorder among adolescents North Korean refugees was 37%. The factor with the greatest influence on ego identity was length of time living in South Korea, while, for self-esteem the most influential factor was perception of health. The more-traumatic-experience group had lower self-esteem scores on some subscales of the Scale for Ego identity. They had higher scores on all SCL-90-R subscales than the less-traumatic-experience group. Conclusion : Adolescent North Korean refugees experienced high rates of posttraumatic stress disorder. The more traumatic-experience-group had lower self esteem and poorer ego identity and mental health than the less-traumatic-experience group.

지진에 의한 외상 후 스트레스 수준이 외상 후 성장에 미치는 영향: 스트레스 대처 방식의 매개효과를 중심으로 (Effect of Post Traumatic Stress Level Caused by Earthquake on Post Traumatic Growth: Focusing on the Mediating Effects of Stress Coping)

  • 박형준
    • 한국재난정보학회 논문집
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    • 제16권4호
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    • pp.658-669
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    • 2020
  • 연구목적: 본 연구는 포항 지진피해를 경험한 포항시민들을 대상으로 이들의 외상 후 스트레스 수준이 외상 후 성장에 어떠한 영향을 미치는지를 살펴보고, 나아가 외상 후 스트레스 수준과 외상 후 성장간의 인과 관계에 있어 스트레스 대처 방식의 매개효과를 검증하는데 목적이 있다. 연구방법:포항지진을 경험한 시민을 대상으로 설문조사를 수행하였으며, 조사 자료는 SPSS 25.0 프로그램을 활용하여 다중회귀분석 등의 통계적 분석을 수행하였다. 연구결과: 외상 후 스트레스 수준은 외상 후 성장에 영향을 미치는 것으로 나타났다. 또한 이들 변인들 간의 관계에 있어 스트레스 대처 방식의 매개효과를 살펴본 결과 문제해결중심과 사회적지지 추구방식은 매개효과가 있었지만 회피중심 방식은 매개하지 않는 것으로 나타났다. 결론: 지진과 같은 재난으로 인한 외상 후 스트레스 수준은 대처 방식이 문제해결중심이고 사회적지지 추구 방식일수록 스트레스를 극복하고 외상 후 성장할 수 있음을 확인하였다.

COVID-19 환자를 간호한 간호사의 외상 후 스트레스에 영향을 미치는 요인 (Factors Affecting Post-Traumatic Stress of Nurses in Direct Care for COVID-19 Patients)

  • 김옥녕;최소영
    • 임상간호연구
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    • 제27권2호
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    • pp.121-129
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    • 2021
  • Purpose: The purpose of this study was to investigate post-traumatic stress, job stress, fatigue, and social support of nurses in direct care for COVID-19 patients and to identify the factors affecting post-traumatic stress among the nurses. Methods: The participants were 150 nurses from three hospitals. Data were collected from September 11, 2020 to September 21, 2020. The data were analyzed with SPSS/WIN/25.0 program. Results: The mean score of post-traumatic stress was 22.27±15.49 (range 0~88). The percentage of high risk group of post-traumatic stress was 35.3%, risk group was 20.0%, normal group was 44.7%. Post-traumatic stress showed statistically significant differences according to quarantined experience (t=2.15, p=.033), and provision of COVID-19 manual (t=-2.40, p=.026). Post-traumatic stress was positively correlated with job stress (r=.48, p<.001), and fatigue (r=.58, p<.001), and it was negatively correlated with social support (r=-.22, p=.005). Job stress was positively correlated with fatigue (r=.74, p<.001), and it was negatively correlated with social support (r=-.17, p=.030). Fatigue and social support (r=-.17, p=.029) had a negative correlation. The results of regression analysis showed that the factors affecting post-traumatic stress included fatigue (β=.56, p<.001), provision of COVID-19 manual (β=-.24, p<.001), and quarantined experience (β=.18, p=.006) and that the total explanatory power was 42.0%. Conclusion: In this study, fatigue, provision of COVID-19 manual, and quarantined experience were found as influential factors of post-traumatic stress among nurses in direct care for COVID-19 patients. Therefore, development of the intervention for reducing the fatigue should consider to prevent post-traumatic stress in nurses. Also, provision of COVID-19 manual for nurses and psychological intervention program for nurses experienced quarantine are necessary.

외상성 후두골과 측두골 골절에 대한 고찰 (Clinical Study of Patient with Traumatic Temporal and Occipital Bone Fracture)

  • 박민철
    • 동의생리병리학회지
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    • 제18권5호
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    • pp.1533-1537
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    • 2004
  • This study shows that oriental medical treatment affected a patient with headache, dizziness, dim eyes, facial palsy and hard-of-hearing caused by traumatic temporal and occipital bone fracture. Traumatic facial palsy mainly occures by temporal bone fracture. Facial palsy caused by traumatic temporal bone fracture corresponds to gu-an-wa-sha (口眼?斜)of oriental medicine. Functional disorder of an auditory organ corresponds to yi-rong(耳聾) and hyun-hoon(眩暈) of oriental medicine. In general, everyone consider surgical operation first of all, in the case of having traumatic facial nerve paralysis. But, this case shows that oriental medical treatments(acupuncture and herbal medicine) have a good effect on a patient with traumatic temporal and occipital bone fracture.

외상성 허리 탈장: 증례 보고 (Traumatic Lumbar Hernia: Report of a Case)

  • 이길재;정민;유병철
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.222-225
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    • 2013
  • The occurrence of traumatic hernia is rare. However, traumatic lumbar hernias are the most frequently occurring traumatic hernias. Superior lumbar hernias occur more frequently than inferior lumbar hernias, but for anatomical reasons, among traumatic lumbar hernias, inferior lumbar hernias occur more frequently than superior lumbar hernias. Repair of a lumbar hernia is very difficult. Mesh fixation to the bony part and general weakness of surrounding tissue make repair of a lumbar hernia tricky. A traumatic lumbar hernia was repaired using transfascial fixation around the defect to secure the mesh. This technique is another choice for a lumbar hernia technique.

자존감과 문제중심대처가 경찰공무원의 외상후 성장에 미치는 영향 (The Effects of Self-esteem and Problem Focused Coping on Post-traumatic Growth among Police Officers)

  • 한승우;최은숙
    • 한국직업건강간호학회지
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    • 제25권3호
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    • pp.141-147
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    • 2016
  • Purpose: The objective of this study is to identify the effects of self-esteem and problem focused coping on post-traumatic growth among police officers. Methods: The data were collected from the 137 police officers in ten police offices of G city in July 2014. The collected data were analyzed for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression using the SPSS/WIN 18.0 program. Results: Post-traumatic growth was positively correlated with self-esteem and problem focused coping. Self-esteem and problem focused coping had a significant effects on post-traumatic growth. The explained variance for post-traumatic growth was 19.0%. Conclusion: To improve post-traumatic growth of police officers, strategies to increase self-esteem and problem focused coping are needed.

Traumatic bone cyst resembling a periapical abscess: A case report

  • Cho, Ju-Yeon
    • 대한치과의사협회지
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    • 제51권1호
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    • pp.33-38
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    • 2013
  • Traumatic bone cyst is known as a symptomless, radiolucent bony les ion incidentally found during routine radiographic examinations. The main characters of traumatic bone cyst are asymptomatic and unicystic radiolucent bony lesion with vital tooth. This case is a confusing case of a traumatic bone cyst with sudden gingival swelling and appearance like a periapical abscess. After surgical exploration and drainage, clinical and radiographic examination showed bony healing with pulpal vitality preserved after 7 months postoperatively.

Pediatric Minor Traumatic Brain Injury : Growing Skull Fracture, Traumatic Cerebrospinal Fluid Leakage, Concussion

  • Choi, Jong-Il;Kim, Sang-Dae
    • Journal of Korean Neurosurgical Society
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    • 제65권3호
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    • pp.348-353
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    • 2022
  • Traumatic brain injury (TBI) is a major public health issue that causes significant morbidity and mortality in the pediatric population. Pediatric minor TBIs are the most common and are widely underreported because not all patients seek medical attention. The specific management of these patients is distinct from that of adult patients because of the different physiologies in these age groups. This article focuses on minor TBIs, particularly growing skull fractures, traumatic cerebrospinal fluid leakage, and concussion.