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간호사의 근로환경, 자아탄력성과 외상 후 스트레스 증후군(PTSS)과의 관계 원문보기

  • 저자

    오수미

  • 학위수여기관

    경상대학교 대학원

  • 학위구분

    국내석사

  • 학과

    간호학과

  • 지도교수

  • 발행년도

    2014

  • 총페이지

    vii, 63 p.

  • 키워드

    근로환경 자아 탄력성 외상 후 스트레스 증후군 간호사;

  • 언어

    kor

  • 원문 URL

    http://www.riss.kr/link?id=T13534231&outLink=K  

  • 초록

    Abstract The Relationships among Nurse's Working Conditions, Ego-Resilience and Post-Traumatic Stress Syndrome(PTSS) Oh, Su Mi Department of Nursing The Graduate School of Gyeongsang National University Directed by Professor Kim, Eun Shim, PhD, RN The objective of this study was to provide basic data for improving individual mental health and efficiency of works in relation to occupational or personal post-traumatic stress syndrome(PTSS) in nurses by examining the effect on working conditions for nurses in hospitals, their ego-resilience, and post-traumatic stress syndrome(PTSS) and analyzing these variables. The subjects of this study was 220 nurses working at 3 secondary general hospitals with over 300 beds and less than 500 beds at 2 locations in G-City, South Gyeongsang Province, and 1 location in J-City of the same Province. The data were collected from July 10, 2013 to August 31 of the same year. For the measuring tool, we used the ego-resilience scale which was adapted by Jeong Bong-gyo(2007) based on the Ego-Resilience Scale(ER 89) devised by Block and Kremen(1996). For the post-traumatic stress scale, we used the Korean version of the "Impact of Event Scale Revised version(IES-R-K)" which was originally developed by Horowitz(1979) and adapted by Eun Heon-jeong et al(2005). The collected data were processed by using the SPSS / WIN 21.0 program for the frequency analysis, calculation of percentage, mean value, standard deviation, ANOVA, Scheffe post-test, and multiple regression analysis. A summary of the results of the study are as the following. 1)General characteristics of subjects In relation to general characteristics of subjects in this study, the average age of subjects was 30.30. The unmarried numbered 135(61.36%) and the married numbered 85(38.64%) in relation to marital status. Regarding the religion, those with other religions(including the atheists) numbered 93(42.27%). In relation to interpersonal relationship, those who answered that they had good interpersonal relationship numbered 114(51.82%). Concerning the subjective health conditions, those who indicated that they had normal health conditions numbered 95(43.18%). The subjects had the clinical experience of 89.65 months on average while ordinary nurses comprised the largest proportion with 152 persons(69.09%) in terms of occupational post. Based on the questions associated with the occurrence of post-traumatic stress syndrome(PTSS) in subjects based on multiple answers, 160 subjects (42.55%) indicated mental and psychological(verbal) violence and 139 subjects (29.76%) indicated symptoms of palpitations and dyspnea. Meanwhile, 173 subjects(46.51%) answered that the perpetrators were the patients and guardians. In relation to working environment and working type, 155 subjects(70.45%) answered that they worked in shifts and 120 subjects(54.55%) answered that they worked at wards. Meanwhile, 77 subjects(35.00%) indicated that they worked at special ward(intensive care unit, emergency room, operating room). 2)Difference in ego-resilience and post-traumatic stress syndrome(PTSS) of nurses The ego-resilience score of nurses was 39.98 on average(minimum: 19.00, maximum: 56.00) out of full score of 56 while the post-traumatic stress syndrome(PTSS) score of nurse was 32.05 on average(minimum: 1.00, maximum: 74.00) out of full score of 88. Regarding the severity of post-traumatic stress syndrome(PTSS), high-risk PTSS group was comprised of 120 subjects(54.55%), and PTSS normal group was comprised of 73 subjects(33.18%). Meanwhile, PTSS risk group consisted of 27 subjects(12.27%). Nurses with severe post-traumatic stress syndrome(PTSS) comprised a large proportion. 3)Working conditions for subjects & severity of post-traumatic stress syndrome(PTSS) Concerning the severity of post-traumatic stress syndrome(PTSS) based on the working type, the severity score for PTSS in subjects working full-time was 24.40 on average while the severity score for PTSS in subjects working in shifts was 29.80 on average. This suggested that those working in shifts had more severe PTSS compared to those working in full-time. 4)Correlation between post-traumatic stress syndrome(PTSS) and ego-resilience A significant negative correlation was found to exist between post-traumatic stress syndrome(PTSS) and ego-resilience(r=-.197, p=.003). In other words, the severity of post-traumatic stress syndrome(PTSS) was lower when the ego-resilience was higher. Regarding the relationship among nurse's working conditions, ego-resilience, and post-traumatic stress syndrome(PTSS), the experience of traumatic event and shift work were found to be the factors influencing the post-traumatic stress syndrome(PTSS). The nurses with severe post-traumatic stress syndrome(PTSS) comprised higher proportion among the nurses who experienced the post-traumatic stress syndrome(PTSS). The severity of post-traumatic stress syndrome(PTSS) was lower when the ego-resilience was higher. Thus, it is considered necessary to ensure active management and countermeasures to cope with the aftermath of exposure to traumatic event experienced by nurses. Key Words: Working Conditions, Ego-Resilience, Post-Traumatic Stress Syndrome(PTSS), Nurse


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