외상중환자실 간호사의 외상후 스트레스 정도와 관련요인
Post-Traumatic Stress and Related Factors for Nurses in Trauma Intensive Care Units
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Purpose: The objective of this study was to identify the factors associated with nurses’ post-traumatic stress levels in the trauma intensive care unit (TICU). Methods: One hundred and sixty-one nurses working in TICUs in four regional trauma centers across South Korea participated in this study. A structured self-report questionnaire that contained items on general characteristics, occupational characteristics, anxiety, optimism, resilience, traumatic experiences, and the level of post-traumatic stress was conducted. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and simultaneous multiple linear regression analysis using SPSS Statistics 22.0. Results: Most of the participants (91.9%) were female and the average age was 26.56±2.70 years old. There were positive correlations between post-traumatic stress and anxiety (r=.60, p<.001) and traumatic experiences (r=.49, p<.001). Post-traumatic stress was negatively correlated to optimism(r=-.35, p<.001) and resilience (r=-.37, p<.001). Post-traumatic stress was statistically significant associations with anxiety (β=.49, p<.001) and traumatic experience (β=.32, p<.001). The model explained 44.3% of the variance (F=15.11, p<.001, Adjusted R2 =.44). Conclusion: The results indicated that the higher the anxiety and number of experienced traumatic incidents of nurses working in TICU, the higher their post-traumatic stress. Therefore, it is necessary to develop intervention programs such as health care and counselling for managing the post-traumatic stress of nurses working in TICU.
Abstract
Purpose: The objective of this study was to identify the factors associated with nurses’ post-traumatic stress levels in the trauma intensive care unit (TICU). Methods: One hundred and sixty-one nurses working in TICUs in four regional trauma centers across South Korea participated in this study. A structured self-report questionnaire that contained items on general characteristics, occupational characteristics, anxiety, optimism, resilience, traumatic experiences, and the level of post-traumatic stress was conducted. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and simultaneous multiple linear regression analysis using SPSS Statistics 22.0. Results: Most of the participants (91.9%) were female and the average age was 26.56±2.70 years old. There were positive correlations between post-traumatic stress and anxiety (r=.60, p<.001) and traumatic experiences (r=.49, p<.001). Post-traumatic stress was negatively correlated to optimism(r=-.35, p<.001) and resilience (r=-.37, p<.001). Post-traumatic stress was statistically significant associations with anxiety (β=.49, p<.001) and traumatic experience (β=.32, p<.001). The model explained 44.3% of the variance (F=15.11, p<.001, Adjusted R2 =.44). Conclusion: The results indicated that the higher the anxiety and number of experienced traumatic incidents of nurses working in TICU, the higher their post-traumatic stress. Therefore, it is necessary to develop intervention programs such as health care and counselling for managing the post-traumatic stress of nurses working in TICU.
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