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Factors Affecting Post-Traumatic Stress of General Hospital Nurses after the Epidemic of Middle East Respiratory Syndrome Infection

메르스 감염 유행 후 상급종합병원 간호사의 외상 후 스트레스 영향요인

  • Received : 2017.01.14
  • Accepted : 2017.06.20
  • Published : 2017.08.31

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.

Keywords

References

  1. Seoul National University Hospital Medical Information. Middle East Respiratory Syndrome (MERS) [Internet]. Seoul: Seoul National University Hospital; 2015[cited 2016 January 3]. Available from:http://terms.naver.com/entry.nhn?docId=2784037&cid=510 07&categoryId=51007.
  2. Ministry of Health and Welfare. The 2015 MERS outbreak in the Republic of Korea: Learning from MERS. Sejong: Ministry of Health and Welfare; 2016.
  3. Ko JW, Seo YJ, Park HY. The effect of job stress and social support on the organizational effectiveness of hospital employees. Korean Journal of Preventive Medicine. 1996;29(2):295-308.
  4. Han JW, Lee BS. The relationship of post-traumatic stress, job stress and turnover intention in emergency department nurses. Journal of Korean Academy of Nursing Administration. 2013; 19(3):340-350. http://dx.doi.org/10.11111/jkana.2013.19.3.340
  5. Kaysen D, Resick PA, Wise D. Living in danger: The impact of chronic traumatization and the traumatic context on posttraumatic stress disorder. Trauma, Violence & Abuse. 2003;4 (3):247-264. http://dx.doi.org/10.1177/1524838003004003004
  6. Kim SH. Post-traumatic stress, depression, and turnover intention of operating room nurses [master's thesis]. Seoul: Catholic University; 2014. p. 1-38.
  7. Mak IW, Chu CM, Pan PC, Yiu MG, Chan VL. Long-term psychiatric morbidities among SARS survivors. General Hospital Psychiatry. 2009;31(4):318-326. http://dx.doi.org/10.1016/j.genhosppsych
  8. Chen CS, Wu HY, Yang P, Yen CF. Psychological distress of nurses in Taiwan who worked during the outbreak of SARS. Psychiatric Services. 2005;56(1):76-79. https://doi.org/10.1176/appi.ps.56.1.76
  9. Maunder RG, Lancee WJ, Balderson KE, Bennett JP, Borgundvaag B, Evans S, et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerging Infectious Diseases. 2006;12(12):1924-1932. http://dx.doi.org/10.3201/eid1212.060584
  10. Chan AO, Huak CY. 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. 2004;54(3):190-196. https://doi.org/10.1093/occmed/kqh027
  11. Lancee WJ, Maunder RG, Goldbloom DS. 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. 2008;59(1):91-95. http://dx.doi.org/10.1176/appi.ps.59.1.91
  12. World Health Organization. Summary table of SARS cases by country, 1 november 2002-7 august 2003 [Internet]. Geneva: World Health Organization; 2003[cited 2016 June 10]. Available from: http://www.who.int/csr/sars/country/2003_08_15/en/.
  13. Ministry of Health and Welfare. 7.27 (Monday) MERS daily report [Internet]. Seoul: Korea Centers for Disease Control and Prevention; 2015[cited 2015 December 29]. Available from: http://www.cdc.go.kr/CDC/contents/CdcKrContentLink.j sp?fid=21&cid=64425&ctype=1.
  14. Lee JH. Infection disaster exposured staff, suffering depression.stress[Internet]. Seoul: Doctorsnews;2015[cited 2015 November 17] Sect. 01. Available from: http://www.doctorsnews.co.kr/news/articleView.html?idx no=106921.
  15. Son YJ, Gong HH, You MA, Kong SS. Relationships between workplace violence experience and posttraumatic stress symptoms, resilience in clinical nurses. Journal of the Korean Data Analysis Society. 2015;17(1):515-530.
  16. Weiss DS. The impact of event scale-revised. In: Wilson JP, Keane, TM, editors. Assessing psychological trauma and PTSD. 2nd ed. New York, NY: Guilford Press; 2004. p. 168-189.
  17. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the korean version of impact of event scale-revised. Journal of Korean Neuropsychiatric Association. 2005;44(3):303-310.
  18. Oh SM. The relationships among nurse's working conditions, ego-resilience and post-traumatic stress syndrome (PTSS) [master's thesis]. Jinju: Gyeongsang National University; 2014. p. 1-45.
  19. Wu P, Fang Y, Guan Z, Fan B, Kong J, Yao Z, et al. The psychological impact of the SARS epidemic on hospital employees in China: Exposure, risk perception, and altruistic acceptance of risk. Canadian Journal Psychiatry. 2009;54(5):302-311. https://doi.org/10.1177/070674370905400504
  20. Rankin J. Godzilla in the corridor: The Ontario SARS crisis in historical perspective. Intensive & Critical Care Nursing. 2006; 22(3):130-137. http://dx.doi.org/10.1016/j.iccn.2005.10.001
  21. Su TP, Lien TC, Yang CY, Su YL, Wang JH, Tsai SL, et al. 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. 2007;41(1-2):119-130. http://dx.doi.org/10.1016/j.jpsychires.2005.12.006
  22. McAlonan GM, Lee AM, Cheung V, Cheung C, Tsang KW, Sham PC, et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Canadian Journal of Psychiatry. 2007;52(4):241-247. https://doi.org/10.1177/070674370705200406
  23. Phua DH, Tang HK, Tham KY. Coping responses of emergency physicians and nurses to the 2003 severe acute respiratory syndrome outbreak. Academic Emergency Medicine. 2005;12(4):322-328. http://dx.doi.org/10.1197/j.aem.2004.11.015
  24. Liu X, Kakade M, Fuller CJ, Fan B, Fang Y, Kong J, et al. Depression after exposure to stressful events: Lessons learned from the severe acute respiratory syndrome epidemic. Comprehensive Psychiatry. 2012;53(1):15-23. http://dx.doi.org/10.1016/j.comppsych.2011.02.003
  25. Kim HJ, Yim KM, Hwang JY, Seong SJ, Park JW, Son KH, et al. 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. 2016;21(2):63-69.
  26. Shin DY, Jeon MJ, Sakong J. Posttraumatic stress disorder and related factors in male firefighters in a metropolitan city. Annals of Occupational and Environmental Medicine. 2012; 24(4):397-409.
  27. Shih FJ, Turale S, Lin YS, Gau ML, Kao CC, Yang CY, et al. Surviving a life-threatening crisis: Taiwan's nurse leaders' reflections and difficulties fighting the SARS epidemic. Journal of Clinical Nursing. 2009;18(24):3391-3400. http://dx.doi.org/10.1111/j.1365-2702.2008.02521.x
  28. Bae JY, Kim YJ. A study on post-traumatic stress in fire fighters. The 2010 winter season conference; 2011 January 20-21; Kyungpook National University College of Social Sciences. Daegu: The Korean Association for Crisis and Emergency Management; 2011. p. 138-155.
  29. Kim YG, Yoon DY, Kim JI, Chae CH, Hong YS, Yang CG, et al. Effect of health on shift-work general and psychological health, sleep, stress, quality of life. Annals of Occupational and Environmental Medicine. 2002;14(3):247-256.
  30. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, DSM-IV. Washington, DC: American Psychiatric Association; 1994.