가정∙방문간호학회지 (Journal of Home Health Care Nursing)

한국가정∙방문간호학회 (Korean Academic Society of Home Health Care Nursing)
권호 표지
DOI QR코드

DOI QR Code

임상간호사의 불안과 감염관리 직무스트레스가 우울에 미치는 영향

Effects of Anxiety and Infection Control Job Stress on Depression in Nurses

  • 투고 : 2022.12.06
  • 심사 : 2023.01.05
  • 발행 : 2023.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aims to identify the degree of anxiety and depression related to infection control and job stress in clinical nurses during the COVID-19 pandemic. Furthermore, it seeks to identify the effects of depression. Finally, it intends to develop intervention measures to prevent depression in clinical nurses during epidemics of new infectious diseases and prepare basic data for developing educational programs. Methods: Data were collected using a self-report questionnaire survey administered to 208 nurses. The data were analyzed using the IBM SPSS (Version 26.0) statistics program. Results: The correlation analysis between participant depression, anxiety, and infection control job stress found that depression had a positive correlation with anxiety (r=.63, p<.001) and infection control work stress (r=.26, p<.001). Anxiety (β=0.60, p<.001) was found to significantly affect participant depression with an explanatory power of 40.2%, confirming that higher anxiety levels induce increased depression. Conclusion: Based on the above results, anxiety is confirmed to be a factor that affects depression. Accordingly, education is required to strengthen individuals' physical and mental capabilities and promote a safe working environment, including providing sufficient personal protective devices and other appropriate gear to defend clinical nurses against outbreaks of emerging infectious diseases at medical institutions and through healthcare policies. Other considerations should include sufficient rest hours and paying additional benefits for nurses caring for patients with severe confirmed COVID-19.

키워드

참고문헌

  1. Kim JY, Choe PG, Oh Y, Oh KJ, Kim J, Park SJ, et al. The first case of 2019 novel coronavirus pneumonia imported into Korea from Wuhan, China: implication for infection prevention and control measures. Journal of Korean Medical Science. 2020;35(5):e61. https://doi.org/10.3346/jkms.2020.35.e61 
  2. Korea Centers for Disease Control and Prevention. Current outbreak situation in the Repulic of Korea [Internet]. Seoul: Korea Centers for Disease Control and Prevention; 2021. [cited 2022 November 15] Avaliable form https://www.kdca.go.kr/index.es 
  3. Kwon DH, Hwang J, Cho YW, Song M, Kim KT. The mental health and sleep quality of the medical staff at a hub-hospital against COVID-19 in South Korea. Journal of Sleep Medicine. 2020;17(1):93-97. https://doi.org/10.13078/jsm.200016 
  4. Shanafelt T, Jonathan R, Mickey T. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. The Journal of the American Medical Association. 2020;323(21):2133-2134. https://doi.org/10.1001/jama.2020.5893 
  5. Pouralizadeh M, Bostani Z, Maroufizadeh S. Ghanbari A, Khoshbakht M, Alavi SA. Anxiety and depression and the related factors in nurses of Guilan University of Medical Sciences hospitals during COVID-19: A web-based cross-sectional study. International Journal of Africa Nursing Sciences. 2020;13:100233. https://doi.org/10.1016/j.ijans.2020.100233 
  6. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N. et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. Journal of Nursing Management. 2020;28(5):1002-1009. https://doi.org/10.1111%2Fjonm.13014  https://doi.org/10.1111%2Fjonm.13014
  7. Kang JS, Lim JY. Effects of Clinical Nurses' Resilience on Job Stress and Burnout. The Korea Contents Association. 2015;15(11):263-273. https://doi.org/10.5392/JKCA.2015.15.11.263 
  8. Holroyd E, McNaught C. The SARS crisis: reflections of hong kong nurses. International Nursing Review. 2008; 55(1):27-33. https://doi.org/10.1111/j.1466-7657.2007.00586.x 
  9. Corley A, Hammond NE, Fraser JF. The experiences of health care works employed in an australian intensive care unit during the H1N1 influenza pandemic of 2009: phenomenological study. International Journal of Nursing Studies. 2010;47(5):577-585. https://doi.org/10.1016/j.ijnurstu.2009.11.015 
  10. Jun SH, Lee MH, Choi MJ. COVID-19 Infection Control-Related Fatigue, Job Stress, and Burnout in Nurses. Journal of the Home Nursing Society. 2021;28(1):16-25. https://doi.org/10.22705/jkashcn.2021.28.1.16 
  11. Park YJ, Cha KS, Lee KL. A study of the factors influencing burnout in clinical nurses throughout the COVID-19 pandemic-A focus on physical symptoms, depression, infection stress, and occupational stress. Journal of the Korean Society for Nursing Research. 2021;5(3):11-23. https://doi.org/10.34089/jknr.2021.5.3.11 
  12. Wong EL, Wong SY, Kung K, Cheung AW, Gao TT, Griffiths S. Will the community nurse continue to function during H1N1 influenza pandernic: a cross-sectional study of Hong Kong community nurse?. BMC Health Services Research. 2010;10:107. https://doi.org/10.1186/1472-6963-10-107 
  13. Regehr C, Hill J, Knott T, Sault B. (2003). Social support, self-efficacy and trauma in new recruits and experienced firefighters. Stress and Health, 2003;19(4):189-193. https://doi.org/10.1002/smi.974 
  14. Lee EJ, Cho OY, Wang KH, Jang MJ. Corelation between nurses' posttraumatic stress disorder, depression and social stigma in nursing COVID-19 patients. Journal of East-West Nursing Research. 2021;27(1):14-21. https://doi.org/10.14370/jewnr.2021.27.1.14 
  15. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu L. et al. Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. eClinicalMedicine, 2020;24:100424. https://doi.org/10.1016/j.eclinm.2020.100424 
  16. Lee HJ, Eo YS, Park NH, Lee GZ. Factors discriminating nurses' depression among personal and environmental characteristics. Journal of Korean Academy of Nursing. 2002;32(6):867-877. https://doi.org/10.4040/jkan.2002.32.6.867 
  17. Spielberger CD. Anxiety as an emotional state. Anxiety-Current trends and theory. 1972;3-20. https://doi.org/10.4009/jsdt.28.335 
  18. Kim JT, Shin DK. (1978). STAI of study on the standardization of Korea. The Latest Medicine. 1978;21(11):69-75. 
  19. Her S, Kim KH. Development and evaluaion of job stress measurement tool for infection control nurses. Journal of Korean Academy Nursing Administration. 2013;19(5):622-635. https://doi.org/10.11111/jkana.2013.19.5.622 
  20. Jang HM. A study on the fatigue and job stress for infection control and the turnover intention of emergency room nurses. [master's thesis]. Incheon: Gachon University: 2018. p. 1-41. 
  21. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement. 1977;1(3):385-401. https://doi.org/10.1177/014662167700100306 
  22. Jeon GD, Choi SJ, & Yang BC. (2001). Development of the Integrated Korean Version of CES-D. Journal of the Korean Psychological Association. 2001;6(1):59-76. 
  23. Park HR. Analysis of Anxiety, Stress and Coping Type of Health-Care Worker in the COVID-19 Pandemic Society. [master's thesis]. Chuncheon: Hallym University: 2020. p. 1-56.
  24. Yang EJ. The Effect of Anxiety on the Quality of Professional Life in Intensive Care Nurses. [dissertation]. Seoul: Seoul National University: 2016. p. 1-92 
  25. Park HS, Gang EH. A Study on Job Stress and the Coping of ICU Nurses. Journal of Korean Academy of Nursing. 2007;37(5):810-821. https://doi.org/10.4040/jkan.2007.37.5.810 
  26. Yoon SY, Im JH, Han CS. Rating Scales for Measurement-Based Clinical Practice of Depression. Journal of the Korean Psychopharmacology. 2012;23(4):136-146 
  27. Xiong H, Yi S, Lin Y. The psychological status and self-efficacy of nurses during COVID-19 outbreak: a cross-sectional survey. INQUIRY. The Journal of Health Care Organization, Provision, and Financing. 2020;57:1-6. https://doi.org/10.1177/0046958020957114 
  28. Kim JH, Hyun MY, Kim SY. Job Stress, Depression, Social Support, and Coping Strategies of Clinical Nurses. Korean Journal Occupational Health Nursing. 2009;18(2):219-231.