메르스 감염 유행 후 상급종합병원 간호사의 외상 후 스트레스 영향요인
Factors Affecting Post-Traumatic Stress of General Hospital Nurses after the Epidemic of Middle East Respiratory Syndrome Infection
0
조회
0
다운로드
42
인용
0
참고문헌
키워드
초록
목적: 본 연구는 메르스 감염 유행 후 상급종합병원 간호사의 외상 후 스트레스를 파악하고 이에 영향 미치는 요인을 파악하기 위한 연구이다. 방법: 자료수집은 메르스 첫 발견일 이후 상급종합병원에 근무하고 있는 간호사 170명을 대상으로 하였다. 외상 후 스트레스는 IES-R-K 로 측정하였다. 수집된 자료는 SPSS을 이용하여 분석하였다. 결과: 간호사의 외상 후 스트레스 점수는 평균 7.80점 (범위 0~88점)이었고, 고위험군이 7.1 %이었다. 간호사의 외상 후 스트레스는 메르스 의심 또는 확진 환자를 만난 경험이 있는 간호사가 높았으며, 메르스 발생시 병원격리를 경험한 간호사가 외상 후 스트레스가 높았다. 근무형태가 교대근무인 경우 전일제 근무보다 높았으며, 책임간호사 이상이 일반간호사 보다 높았다. 간호사의 외상 후 스트레스에 영향을 미치는 요인은 메르스 의심 또는 확진 환자를 만난 경험, 직위, 근무형태이며 외상 후 스트레스를 16.0% 설명하였다. 주요 요인중 책임간호사 이상의 직위가 외상 후 스트레스의 가장 큰 요인이었다. 논의: 그러므로 이들 변인을 고려한 중재 연구 및 프로그램 개발이 필요하다고 사료되며 또한, 책임간호사 이상의 직위를 고려한 차별성 있는 프로그램의 개발 및 중재가 시행되어야 할 것이다.
Abstract
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.
참고문헌 (30)
- "Middle East Respiratory Syndrome (MERS)" (2015)[URL]
- The 2015 MERS outbreak in the Republic of Korea: Learning from MERS, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2016)
- Ko JW, "The effect of job stress and social support on the organizational effectiveness of hospital employees", Korean Journal of Preventive Medicine, 29(2), pp.295~308 (1996)
- 한정원, "응급실 간호사의 외상후 스트레스, 직무스트레스, 이직의도의 관계", 간호행정학회지, 19(3), pp.340~350 (2013), 간호행정학회[DOI]
- Kaysen D, "Living in danger: The impact of chronic traumatization and the traumatic context on posttraumatic stress disorder", Trauma, Violence & Abuse, 4(3), pp.247~264 (2003)[DOI]
- Kim SH, "Post-traumatic stress, depression, and turnover intention of operating room nurses", pp.2014
- Mak IW, "Long-term psychiatric morbidities among SARS survivors", General Hospital Psychiatry, 31(4), pp.318~326 (2009)[DOI]
- Chen CS, "Psychological distress of nurses in Taiwan who worked during the outbreak of SARS", Psychiatric Services, 56(1), pp.76~79 (2005)
- Maunder RG, "Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak", Emerging Infectious Diseases, 12(12), pp.1924~1932 (2006)[DOI]
- Chan AO, "Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore", Occupational Medicine, 54(3), pp.190~196 (2004)
- Lancee WJ, "Coauthors for the impact of SARS study. Prevalence of psychiatric disorders among Toronto hospital workers one to two years after the SARS outbreak", Psychiatric Services, 59(1), pp.91~95 (2008)[DOI]
- "Summary table of SARS cases by country, 1 november 2002-7 august 2003" (2003)[URL]
- "7.27 (Monday) MERS daily report" (2015)[URL]
- "Infection disaster exposured staff, suffering depression ․ stress" (2015)[URL]
- 손연정, "간호사의 폭력경험과 외상후 스트레스 증상, 극복력 간의 관계", Journal of The Korean Data Analysis Society, 17(1), pp.515~530 (2015), 한국자료분석학회
- Weiss DS, "Assessing psychological trauma and PTSD", pp.168~189 (2004), Guilford Press
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- 오수미, "간호사의 근로환경, 자아탄력성과 외상 후 스트레스 증후군(PTSS)과의 관계", 석사, 간호학과, pp.2014
- Wu P, "The psychological impact of the SARS epidemic on hospital employees in China: Exposure, risk perception, and altruistic acceptance of risk", Canadian Journal Psychiatry, 54(5), pp.302~311 (2009)
- Rankin J, "Godzilla in the corridor: The Ontario SARS crisis in historical perspective", Intensive & Critical Care Nursing, 22(3), pp.130~137 (2006)[DOI]
- Su TP, "Prevalence of psychiatric morbidity and psychological adaptation of the nurses in a structured SARS caring unit during outbreak: A prospective and periodic assessment study in Taiwan", Journal of Psychiatric Research, 41(1-2), pp.119~130 (2007)[DOI]
- McAlonan GM, "Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers", Canadian Journal of Psychiatry, 52(4), pp.241~247 (2007)
- Phua DH, "Coping responses of emergency physicians and nurses to the 2003 severe acute respiratory syndrome outbreak", Academic Emergency Medicine, 12(4), pp.322~328 (2005)[DOI]
- Liu X, "Depression after exposure to stressful events: Lessons learned from the severe acute respiratory syndrome epidemic", Comprehensive Psychiatry, 53(1), pp.15~23 (2012)[DOI]
- Kim HJ, "Difference of psychiatric symptoms of quarantined health care workers according to quarantining method after contacting a middle east respiratory syndrome patient", Journal of the Korean Association of Social Psychiatry, 21(2), pp.63~69 (2016)
- 신덕용, "대도시 소재 남성 소방공무원의 사건충격척도로 평가한 외상후 스트레스 장애 및 관련요인", Annals of Occupational and Environmental Medicine, 24(4), pp.397~409 (2012), 대한직업환경의학회
- Shih FJ, "Surviving a life-threatening crisis: Taiwan's nurse leaders' reflections and difficulties fighting the SARS epidemic", Journal of Clinical Nursing, 18(24), pp.3391~3400 (2009)[DOI]
- Bae JY, "A study on post-traumatic stress in fire fighters", The 2010 winter season conference, pp.138~155 (2011)
- 김윤규, "교대근무가 건강에 미치는 영향 -일반건강, 수면, 스트레스, 삶의 질과 정신건강에 관하여-", Annals of Occupational and Environmental Medicine, 14(3), pp.247~256 (2002), 대한직업환경의학회
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders : DSM-IV" (1994), American Psychiatric Association