• Title/Summary/Keyword: 외상간호

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Role Stress, Trauma and Post-traumatic Stress Disorder of COVID-19 Response Task Force in Public Health Centers (보건소 COVID-19 전담대응인력의 역할스트레스 및 COVID-19 대응업무로 인한 외상, 외상 후 스트레스 장애)

  • Choi, Jeong-Joo;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.24 no.1
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    • pp.67-76
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    • 2022
  • Purpose: The purpose of this study was to find stress mediation strategies for pandemic task forces in the future by identifying role stress experienced by local officials in public health centers working as COVID-19 response task force. Whether they suffered from trauma and post-traumatic stress disorder (PTSD) due to COVID-19 was also determined. Methods: Subjects for this research were 185 public health center workers in 7 northern Gyeonggi cities with at least three months of COVID-19 response task force experience. The investigation lasted for two months, from February to March of 2021. Data were collected using a self-administered questionnaire. Results: The average role stress of research subjects was 2.79±0.60. There were 64 subjects (34.6%) who answered 'yes' for trauma experience due to COVID-19. Subjects' role stress by sociodemographic and role characteristics displayed statistically significant differences in gender (t = -2.74, p= .007), age (F = 6.41, p= .002), profession (F = 0.01, p= .014), and COVID-19 response task (F= 3.01, p= .019). Specifically, role stress was higher for females than for males, those who were in their 20's (than 40's), a nursing profession (rather than others). Role stress was also higher in COVID-19 confirmed response work or in a self-quarantine work. There was a significant difference in trauma according to COVID-19 response roles (χ2 = 26.59, p= < .001) and other tasks given or not (χ2= 9.48, p= .002). Conclusion: It is necessary to take measures to reduce COVID-19 response task force's role stress and trauma.

Survival-related Factors in Patients with Traumatic Acute Subdural Hematoma (외상성 급성 경막하 혈종 환자의 생존 관련 요인)

  • Ha, Hey-Jin;Woo, Sang-Jun;Lee, Seung-Woo
    • Journal of the Korea Convergence Society
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    • v.12 no.4
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    • pp.285-291
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    • 2021
  • This study is a retrospective study attempted to determine the factors that influence the survival of patients with traumatic acute subdural hematoma. The study subjects were 207 patients with traumatic subdural hematoma who visited the emergency room from January 2017 to February 2019 at C University Hospital in G Metropolitan City. Data analysis was using the SPSS 23.0 program, and χ2-test, t-test, and logistic regression analysis. As a result of the study, the factors affecting the survival of the subjects were under disease, complications, and initial GCS. Therefore, it is necessary to establish a medical system to check the subject's history and to train medical staff to prevent complications. In addition, it is necessary to improve the transfer system so that the GCS of the subject can be measured from the stage before transfer to a medical institution and transferred to a hospital that can be treated quickly.

Influence of Humanistic Knowledge and Occupational Stress on Professional Quailty of Life of Clinical Nurses (임상간호사의 인문학적 소양과 직무 스트레스가 전문직 삶의 질에 미치는 영향)

  • Park, Seon-Ja;Kim, Jee-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.348-360
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    • 2019
  • This study examined the influence of humanistic knowledge and occupational stress on the professional quality of life of clinical nurses. The data from 217 survey questionnaires collected from three general hospitals located in a metropolitan area from Jun 3 to 14, 2019 were used. The data were analyzed using a t-test, ANOVA, Scheffè test, Pearson's Correlation Coefficient, and Stepwise multiple regression with SPSS Statistics 23.0 program. The findings revealed a positive correlation between compassion satisfaction and humanistic knowledge and a negative correlation with Burnout. Burnout had a negative correlation with humanistic knowledge and a positive correlation with occupational stress and secondary traumatic stress. Secondary traumatic stress showed a positive correlation with occupational stress. Burnout, satisfaction for nursing, and working period were significant variables of the compassion satisfaction with an explanatory power of 48.5%. Compassion satisfaction, secondary traumatic stress, satisfaction for nursing, marriage, and occupational stress were significant variables of burnout with an explanatory power of 68.8%. Burnout and income were significant variables of secondary traumatic stress with an explanatory power of 21.9%. Burnout was found to be a significant variable of not only compassion satisfaction, but also compassion satisfaction. Therefore, efforts are needed to make efforts to prevent burnout.

Influence of Health Empowerment, Spousal Support, and Post-traumatic Growth on Health Behavior in Patients with Coronary Artery Disease (관상동맥질환자의 건강 임파워먼트, 배우자지지, 외상 후 성장이 건강증진행위에 미치는 영향)

  • Jeong, Eun;Lee, Kyung Sim;Yang, Seung Kyoung;Cho, Jang Hyun
    • Journal of Korean Biological Nursing Science
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    • v.24 no.2
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    • pp.113-121
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    • 2022
  • Purpose: The purpose of this study was to identify influence of health behavior in patients with coronary artery disease. Methods: A cross-sectional descriptive design included 150 patients treated with percutaneous coronary intervention in S hospital in S city. Data were collected by using self-questionnaires July 5-August 26, 2021 and were analyzed by descriptive statistics, t-test, ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple regression with SPSS 23.0. Results: Factors significantly influencing health behavior in patients with coronary artery disease were health empowerment (β = .48, p< .001), and post-traumatic growth (β = .20, p= .013). The explanatory power of related variables was 39%. Conclusion: Based on the this study, it was found that health empowerment and post-traumatic growth had a significant effect on the health behavior of patients with coronary artery disease. Thus, it is necessary to promote the health behavior of patients with coronary artery disease through the development of intervention programs to improve health empowerment and post-traumatic growth.

The Influence of Nursing Workplace Spirituality and Resilience of Hospital Nurses on Professional Quality of Life (병원간호사의 간호일터영성, 회복탄력성이 전문직 삶의 질에 미치는 영향)

  • Lim, Jeong Min;Kim, Jong Kyung
    • The Journal of the Korea Contents Association
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    • v.20 no.2
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    • pp.487-498
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    • 2020
  • The purpose of this study is to investigate the effects of nursing workplace spirituality and resilience on the quality of professional life of hospital nurses. The study participants comprised 200 nurses working in two general hospitals with over 300 beds in. Data were collected from March 4 to 29, 2019 and a total sample size of 197 participants was used for analysis. Descriptive statistics, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression were used to analyze the results using SPSS/WIN 21.0. The score were as follows: 4.54 for nursing work spirituality, 3.34 resilience, 3.20 compassion satisfaction, 2.66 secondary traumatic stress, and 2.79 burnout. The factors affecting compassion satisfaction were nursing work spirituality and resilience, and the explanatory power was 47%. The factors affecting secondary traumatic stress were resilience, and the explanatory power was 13%. The factors affecting burnout were resilience, nursing workplace spirituality, and job satisfaction, and this had an explanatory power of 51%. In conclusion, it is necessary to improve the resilience of hospital nurses to alleviate secondary traumatic stress and burnout of nurses and to improve the quality of professional life.

Post-traumatic Growth and it's associations with Deliberate Rumination, Self-disclosure, and Social Support among Intensive Care Unit Nurses (중환자실 간호사의 의도적 반추, 자기 노출, 사회적 지지가 외상 후 성장에 미치는 영향)

  • Min, Sae Mi;Kim, Hee Jun;Kim, Chun-Ja;Ahn, Jeong-Ah
    • Journal of Korean Critical Care Nursing
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    • v.15 no.2
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    • pp.50-63
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    • 2022
  • Purpose : This study aimed to identify intensive care units (ICU) nurses' experience of traumatic events, deliberate rumination, self-disclosure, social support, and post-traumatic growth (PTG), and to explore relationships among the variables. Methods : Participants were 157 nurses who have provided direct patient care for six months or more in ICUs at a university hospital. Collected data were analyzed using descriptive statistics, independent t-tests, one-way ANOVAs, Pearson correlations, and multiple linear regressions using the SPSS/WIN version 23.0. Results : The PTG was found to be significantly associated with deliberate rumination (r=0.36, p<.001), self-disclosure (r=0.39, p<.001), and social support (r=0.54, p<.001). Factors that affect PTG significantly were found in the order of social support (𝛽=0.40, p<.001), self-disclosure (𝛽=0.25, p<.001), and deliberate rumination (𝛽=0.24, p<.001). The final regression model explained 40.1% of the variance of PTG (F=26.33, p<.001). Conclusion : The influencing factors identified in this study on PTG, including social support, self-disclosure, and deliberate rumination should be included in programs to promote PTG for ICU nurses who may experience traumatic events repeatedly.

Predictors of Anxiety and PTSD in Battered Women (가정폭력 경험 여성의 불안 및 외상 후 스트레스 장애 예측요인에 대한 연구)

  • Sohn, Jung Nam;Cha, Bo Kyoung
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.564-572
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    • 2006
  • Purpose: The purpose of this study is to examine predictors of anxiety and PTSD in battered women. Method: The data were collected from 555 women who were stratified samples according to 15,000:1 from a target population in Korea from November 18, 2004 to February 18, 2005. The data was analysed using the SPSS program. Results: Predictors of anxiety were self esteem, stress, state anger, social support, trait anger, negotiation, and psychological violence. These variables explained 55.8% of anxiety. Predictors of PTSD were self esteem, state anger, trait anger, psychological violence, stress, and anger-in. These variables explained 43.2% of PTSD. Conclusion: It is considered that the importance of separating the effects of the different types of violence when taking into account its effects on women's mental health. To promote women's mental health, it is needed to develop self esteem improvement programs, and anger and stress management programs.

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The Effects of Self-esteem and Problem Focused Coping on Post-traumatic Growth among Police Officers (자존감과 문제중심대처가 경찰공무원의 외상후 성장에 미치는 영향)

  • Han, Seung Woo;Choi, Eunsuk
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.3
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    • pp.141-147
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    • 2016
  • Purpose: The objective of this study is to identify the effects of self-esteem and problem focused coping on post-traumatic growth among police officers. Methods: The data were collected from the 137 police officers in ten police offices of G city in July 2014. The collected data were analyzed for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression using the SPSS/WIN 18.0 program. Results: Post-traumatic growth was positively correlated with self-esteem and problem focused coping. Self-esteem and problem focused coping had a significant effects on post-traumatic growth. The explained variance for post-traumatic growth was 19.0%. Conclusion: To improve post-traumatic growth of police officers, strategies to increase self-esteem and problem focused coping are needed.

Effects of Resilience, Family Support, and Spiritual Well-Being on Posttraumatic Growth in Patients with Lung Cancer Undergoing Chemotherapy (항암화학요법을 받은 폐암 환자의 회복탄력성, 가족 지지, 영적 안녕이 외상 후 성장에 미치는 영향)

  • Moon, Ha Young;Nam, Ki Sook;Oh, Hye Won;Cho, Yeon Soo;Choi, Ju Yeon
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.147-156
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    • 2024
  • Purpose: The purpose of this study is to confirm the effect of resilience, family support, and spiritual well-being on posttraumatic growth(PTG) in lung cancer patients undergoing chemotherapy. Methods: The study collected data from January 20 to July 6, 2023 on 124 lung cancer patients who were admitted to hospital of C university in Seoul and received chemotherapy treatment. Patients were asked to complete a questionnaire consisting of general characteristics, disease characteristics, resilience, family support, spiritual well-being and PTG. Data were analyzed using t-tests, One-way ANOVA, Pearson's correlation and multiple regression analysis. Results: The mean score for PTG in lung cancer patients was 55.17, resilience was 72.46, family support was 49.00, and spiritual well-being was 53.50. Significant positive correlations were found for PTG with resilience (r=.62, p<.001), family support (r=.40, p<.001) and spiritual well-being (r=.47, p<.001). Factors contributing to PTG of lung cancer patients were resilience (β=.50, p<.001), spiritual well-being (β=.20, p=.008), and gender (β =.14, p=.043). Conclusion: This study aims to provide basic data for the PTG intervention program by identifying factors affecting the PTG of lung cancer patients. It is necessary to develop new nursing intervention programs to improve PTG for patients with lung cancer based on strategies to enhance resilience and spiritual well-being.

Influence of Posttraumatic Stress Symptoms and Conflict Management Styles on Nursing Performance of Intensive Care Unit (중환자실 간호사의 외상후 스트레스와 갈등관리 유형이 간호업무수행에 미치는 영향)

  • Hwang, Ji Na;Park, Wan Ju
    • Journal of Korean Critical Care Nursing
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    • v.11 no.3
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    • pp.58-70
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    • 2018
  • Purpose : This study examined the factors influencing posttraumatic and conflict management styles for nursing performance in intensive care units (ICUs). Methods : In this study, 250 nurses from eight general hospitals in three cities participated. Structured self-report questionnaires were used to collect data on posttraumatic, conflict management styles, and nursing performance. Finally, the data were analyzed by SAS 9.3 program. Results : The mean of total sum scores was 31.29, and the high risk of posttraumatic symptoms was 61.2%. It was noted that nursing performance is significantly correlated with collaboration, compromise, accommodation styles, and intrusion. Collaboration styles (${\beta}=0.39$, p<.001) and hyperarousal (${\beta}=-0.22$, p=.050), ICU experience below 1 year (${\beta}=-0.21$, p=.027) and that of 5-10 years (${\beta}=-0.19$, p=.049), and compromise style (${\beta}=0.16$, p=.049) were found to be the factors influencing nursing performance with 35.9% explanatory power value of regression model. Conclusions : The results of the study reveal that conflict management styles, hyperarousal, and ICU experience are factors predicting the successful performance of ICUs. These findings emphasize the need of developing interventions to reduce stress symptoms and conflicts in ICUs.