정신과 병동 간호사의 외상 후 스트레스 영향요인
Predictors of Posttraumatic Stress in Psychiatric Nurses
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: This study was performed to identify the impact of aggressiveness of patients and a sense of coherence on posttraumatic stress in psychiatric nurses. Methods: After collecting data from 162 psychiatric nurses, we carried out a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using IBM SPSS Statistics 19.0. Results: The mean score of posttraumatic stress was 20.75±16.59 points. Verbal aggression, aggressiveness about property, aggression toward oneself, and aggression toward others had a positive correlation with posttraumatic stress, while a sense of coherence had a negative correlation with post-traumatic stress. It was concluded that the significant predictors of posttraumatic stress in psychiatric nurses were aggression toward oneself, a sense of coherence, and aggression toward others, all of which accounted for 38.9% of the variability. Conclusion: The results of this study indicate that the factors influencing posttraumatic stress in psychiatric nurses were aggression toward oneself, aggression toward others, and a sense of coherence. Therefore, education programs should be developed in consideration of the fact that aggressive behavior against the patient himself and against others intensify the posttraumatic stress of the psychiatric nurse, but the integration force mitigates it.
Abstract
Purpose: This study was performed to identify the impact of aggressiveness of patients and a sense of coherence on posttraumatic stress in psychiatric nurses. Methods: After collecting data from 162 psychiatric nurses, we carried out a t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using IBM SPSS Statistics 19.0. Results: The mean score of posttraumatic stress was 20.75±16.59 points. Verbal aggression, aggressiveness about property, aggression toward oneself, and aggression toward others had a positive correlation with posttraumatic stress, while a sense of coherence had a negative correlation with post-traumatic stress. It was concluded that the significant predictors of posttraumatic stress in psychiatric nurses were aggression toward oneself, a sense of coherence, and aggression toward others, all of which accounted for 38.9% of the variability. Conclusion: The results of this study indicate that the factors influencing posttraumatic stress in psychiatric nurses were aggression toward oneself, aggression toward others, and a sense of coherence. Therefore, education programs should be developed in consideration of the fact that aggressive behavior against the patient himself and against others intensify the posttraumatic stress of the psychiatric nurse, but the integration force mitigates it.
참고문헌 (30)
- Antonovsky, A, "Unraveling the mystery of health: How people manage stress and stay well", pp.15~162 (1987), Jossey-Bass
- Aoki, M., "Violence in hospitalized psychiatric patients no 2. : current satatus towords nurses", Yamagata Prefectural University of Health Science, 6, pp.25~32 (2003)
- 조미아, "공격행동관리 프로그램이 정신간호사의 공격행동관리에 대한 지식 및 태도에 미치는 효과", 정신간호학회지, 18(4), pp.463~473 (2009), 정신간호학회
- 최정화, "대학생들의 정신건강과 인성교육을 위한 ‘건강생성론’과 그 적용 -안토노브스키의 ‘통합력(Sense of Coherence)’을 중심으로-", 윤리교육연구, (44), pp.191~217 (2017), 한국윤리교육학회[DOI]
- Choi, N. Y., "An analysis of aggression types of patients experienced by psychiatric nurse", master, pp.2006
- Combs, H., "Psychiatric inpatient suicide : A literature review", Primary Psychiatry, 14, pp.67~74 (2007)
- 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
- Horowitz, M. J., "Impact of event scale : A measure of subjective stress", Psychosomatic Medicine, 41, pp.209~218 (1979)
- Inoue, M., "Psychological impact of verbal abuse and violence by patients on nurses working in psychiatric departments", Psychiatry and Clinical Neurosciences, 60(1), pp.29~23 (2006)
- Jang, S. J., "Relationship between experience of patient's violent behaviors and burnout of psychiatric nurse", master, pp.2004
- Jonsson, A., "Post-traumatic stress among Swedish ambulance personnel", Emergency Medicine Journal, 20(1), pp.79~84 (2003)
- 정인우, "입원 정신질환자의 자살행동에 대한 정신과 간호사와 전공의의 정서 반응", 정신간호학회지, 20(4), pp.365~375 (2011), 정신간호학회
- Kim, G. H., "Psychiatric nurse's experience of accidents caused by psychiatric inpatient", doctor, pp.2000
- Kim, K. S., "Structural equation modeling on health status in hospital nurses: Based on the theory of salutogenesis", doctor, pp.2013
- 김경숙, "병원간호사의 건강상태 구조 모형: 생행동학적 요인과 건강생성이론 기반으로", Journal of korean biological nursing science, 17(1), pp.50~59 (2015), 기초간호학회
- Kim, S. W., "Study of aggressive behaviors in psychiatric inpatients", Journal of Korean Neuropsychiatric Association, 31(2), pp.275~288 (1992)
- Laposa, J. M., "Work stress and post-traumatic stress disorder in ED nurses", personnel, 2003, pp.29, 23~28
- 이정섭, "정신과 병동 간호사가 경험한 환자의 공격행동", 한국생활환경학회지, 17(6), pp.823~831 (2010), 한국생활환경학회
- Lee, J., "Towards a model for understanding the development of post-traumatic stress and general distress in mental health nurses", International Journal of Mental Health Nursing, 24, pp.49~58 (2015)
- Littrell, K. H., "Current understanding of violence and aggression : Assessment and treatment", Journal of Psychosocial Nursing and Mental Health Services, 36(12), pp.18~24 (1998)
- Nordang, K., "Burnout in health-care professionals during reorganizations and downsizing. A cohort study in nurses", BMC Nursing, 9(8), pp.1~7 (2010)
- Park, C. S., "Factor influencing on burnout experience in working nurses at hospital", Korean journal of women health nursing, 8(4), pp.550~558 (2002)
- Park, S. M., "The relationship between job stress and nursing task performance of psychiatric nurse", master, pp.2003
- Richardson, C. G., "Sense of coherence as a moderator of the effects of stressful life events on health", Journal of Epidemiology Community Health, 59(11), pp.979~984 (2005)
- Silver, J. M., "The overt aggression scale : Overview and guiding principles", Journal of Neuropsychiatry, 3(2), pp.522~529 (1991)
- 손연정, "간호사의 폭력경험과 외상후 스트레스 증상, 극복력 간의 관계", Journal of The Korean Data Analysis Society, 17(1), pp.515~530 (2015), 한국자료분석학회
- 송문주, "국립병원 정신간호사의 폭력경험과 인권의식이 소진에 미치는 영향", 과학수사학회지, 9(2), pp.97~106 (2015), 한국과학수사학회
- Yang, K. H., "An analysis of post traumatic growth process", doctor, pp.2014
- Yudofsky, S. C., "The overt aggression scale for the objective rating of verbal and physical aggression", American Journal of Psychiatry, 143, pp.35~39 (1986)
- Zerach, G., "The relations between violence exposure, post-traumatic stress symptoms, secondary traumatization, vicarious post traumatic growth and illness attribution among psychiatric nurses", Archives of Psychiatric Nursing, 29, pp.135~142 (2015)