• 제목/요약/키워드: Stress care

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전실스트레스 증후군(Relocation Stress Syndrome: RSS) 측정도구 개발 - 중환자실에서 일반 병실로 전실되는 환자를 대상으로 - (Development of Relocation Stress Syndrome(RSS) Scale for Patients Transfered from Intensive Care Unit to General Ward)

  • 손연정
    • 임상간호연구
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    • 제14권1호
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    • pp.139-150
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    • 2008
  • Purpose: The aim of this study was to develop instrument measuring the relocation stress syndrome for patients transferred from intensive care unit to general ward in Korea. Method: For item construction, components were drawn from an extensive review of the literature, existing instruments and the result of qualitative approach. A total 48 items were selected for the first draft. Ten experts evaluated this instrument for content validity and the number of items was reduced to 29. To refine and test reliability and validity of the instrument, data were collected from the 594 patients following transfer from intensive care unit. Results: Preliminarily twenty-nine items were generated through content validity and a pilot study. Using corrected items to total correlation coefficient, this instrument was further shortened to a 25 item scale. Factor analysis extracted a total of 23 items with a 5-point Likert-type scale. Relocation Stress Syndrome (RSS) included three subscales; physical factors (12 items), Patient's recognition to health care providers (8 items), and emotional factors (3 items). The RSS established content validity, construct validity, and reliability. Conclusion: This instrument demonstrates good reliability and validity, and therefore it is an appropriate measurement of assessing relocation stress syndrome in ICU to ward transition period.

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가족스트레스와 가족탄력성이 가족적응에 미치는 영향 -재가요양서비스 부양가족을 대상으로 (Family Stress and Family Resiliency's Effects on Family Adaptation - Elderly Family care Services Targets on -)

  • 손병일;정민숙
    • 한국콘텐츠학회논문지
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    • 제13권9호
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    • pp.193-203
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    • 2013
  • 본 연구는 재가요양서비스 부양가족의 가족스트레스와 가족탄력성이 어떤 경로를 통해 가족적응에 영향을 미치는지를 살펴보기 위하여 광주 전남 재가요양서비스 노인의 부양가족 203명을 대상으로 설문 조사를 실시하였다. 연구결과 재가요양서비스 부양가족의 가족스트레스는 가족적응에 직접적인 영향을 미치지 않고 가족탄력요인 중 의사소통을 통하여 간접적으로 영향을 미치는 것으로 나타났다. 이러한 연구 결과를 바탕으로 보면 가족탄력성은 스트레스 보다 가족적응에 영향을 미치기 때문에 가족적응력을 향상시키기 위해서는 가족스트레스를 감소시키는 기존의 결점시각에 초점을 맞추기보다 가족탄력성의 강점관점으로 전환이 이루어져야 함을 제안한다.

간호·간병통합서비스병동 간호사와 간호보조인력의 개인 및 조직 의사소통능력, 직무스트레스와 환자안전활동의 관계 (Relationships among personal and organizational communication skills, occupational stress, and patient safety activities of nursing workforce working in the integrated nursing care service ward)

  • 오단비;이여진
    • 한국병원경영학회지
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    • 제27권3호
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    • pp.15-25
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    • 2022
  • Purposes: This study aimed to identify the relationships among personal and organizational communication skills, occupational stress, and patient safety activity levels of two nursing workforce groups (nurses and nursing assistants) who provide integrated nursing care services. Methodology: The study design is a cross-sectional study. Seventy-one nurses and forty-three nursing assistants working in the integrated nursing care service wards participated in this study. The data were collected using a self-reported questionnaire from June to July 2021. The relationships among the variables were analyzed using the Pearson correlation coefficient. Findings: Nurses' personal communication skills (r=.294, p=.013), organizational communication skills (r=.408, p<.001), and occupational stress (r=.243, p=.041) were associated with their patient safety activities. However, nursing assistants' personal communication skills, organizational communication, and occupational stress were not correlated with their patient safety activities. Practical Implication: Patient safety activities of nurses were related to their communication skills and occupational stress, but nurse assistants were not. Therefore, nurses should encourage nursing assistants to responsibly engage in patient safety activities and supervise their works appropriately to achieve high-quality care.

중환자실 간호사의 죽음에 대한 인식, 임종간호 스트레스 및 임종간호 태도에 관한 연구 (Intensive Care Unit Nurses' Death Perception, End of Life Stress and End of Life Nursing Attitudes)

  • 김세라;노미진;문경은;조희주;박영;이남주;이순행;심미영
    • 임상간호연구
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    • 제24권2호
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    • pp.255-262
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    • 2018
  • Purpose: This study aimed to identify the view of life and death among ICU nurses and to analyze the problems related to end-of-life care in the current ICUs. Methods: A descriptive study design was used. The participants were 975 nurses working in the intensive care units of 16 general hospitals. Using a descriptive survey design, data were collected from August to December in 2016 and were analyzed using descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression analysis. Results: As a result of a correlation analysis of the data, Death perception had a significant positive correlation with EOL of nursing attitudes(r=.100, p=.002), and negative correlation with EOL stress care(r=-.221, p=<.001). The regression model explained for individual characteristics in the model, age(${\beta}=.126$, p<.001) and death perception(${\beta}=.182$, p<.001), Satisfaction of the EOL care(${\beta}=.173$, p<.001), Healing training needs on the EOL(${\beta}=-.144$, p<.001) were the most influential factors for EOL stress. Conclusion: Results reveal that ICU nurses have a moderate level of EOL stress, and that individual, age, death perception, Satisfaction of the EOL care, Healing traning needs on the EOL relevant in ICU nurses' EOL stress. Programs or interventions to reduce EOL stress and to should be developed taking into account these multidimensional factors.

한국과 일본 케어워커의 직무만족도에 관한 비교 연구 (A Study on Care Worker's Job Satisfaction in the Korea and Japan: Focusing on the Gyeongsangnam-do and the Osaka city)

  • 장유미;강가영;백정원;류기형
    • 한국사회복지학
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    • 제62권3호
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    • pp.109-139
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    • 2010
  • 노인인구의 증가에 따라 사회보험제도가 출현하였고 이에 한국과 일본 양국에서는 전문적인 요양보호사와 개호복지사의 양성이 중요한 이슈로 이야기되었다. 본 연구의 목적은 한국과 일본의 케어워커에 대한 제도인식과 직무만족도를 비교연구 한 것이다. 연구대상으로 한국은 요양시설과 재가시설에서 근무하는 경남지역 요양보호사, 일본은 양로시설과 특별양로홈에서 근무하는 오사카지역의 개호복지사로 2009년 12월 20일에서 2010년 1월 5일까지 각각 150부씩 총 300부 설문조사하였다. 본 연구의 결과는 보험제도에 관한 인식은 낮은 편이고 반면 직무만족도는 높게 나타난 편이다. 하지만 업무스트레스는 상당히 높은 것으로 조사되었다. 또한 직무만족도와 직무스트레스는 한국과 일본 케어워커가 유의미한 차이를 보였으며, 다만 직무만족도와 직무스트레스에 개인의 특성과 업무특성에 따라 의미 있게 나타지 않았다.

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신생아 중환자실에 입원한 중증 신생아의 부모 스트레스의 비교 (A Comparison of Parent Stress Sick Newborn in NICU)

  • 오금숙;임지영;조인숙;함옥경
    • 가정∙방문간호학회지
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    • 제17권1호
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    • pp.12-20
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    • 2010
  • Purpose: The study examined differences in stress between the parents of sick newborns. Methods: Participants were the mothers (n=57) and fathers (n=57) of newborns in NICU of six university hospitals. An established stress measurement tool (Miles and Carter, 1993) was used. Results: Fathers and mothers displayed the highest stress scores (4.44 and 4.67, respectively) when the baby looked in pain. Maternal overall stress scores were significantly higher than paternal scores. Conclusions: Mothers and fathers experience differing levels of stress concerning their newborn. Further studies are needed to develop customized stress management intervention programs for parents of newborns in the NICU.

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치과종사자의 근골격계 자각증상과 직무스트레스가 피로도에 미치는 영향 (Effect of Musculoskeletal Symptoms and Job Stress on Fatigability of Dental Health Care Workers)

  • 박현민
    • 보건의료산업학회지
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    • 제9권4호
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    • pp.79-90
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    • 2015
  • Objectives : The aim of this study was to investigate the effect of musculoskeletal symptoms and job stress on the fatigability of 268 dental health care workers in Busan. Methods : A structured, self-administered questionnaire was given from Oct 1 through Oct 10, 2015. The collected data were analyzed with the SPSS 18.0 program. Results : The results were as follows. First, for musculoskeletal symptoms, job stress and fatigability, the highest scores were for low back pain (3.23), business stress (2.95) and physical fatigability (3.32), respectively. Second, physical fatigability increased with increasing myofascial pain syndrome, low back pain and business stress. Mental fatigability increased with increasing business stress, human relationships and social activities and decreasing age. Conclusions : Taking the above into consideration, this thesis suggests that there is definite influence from musculoskeletal symptoms and job stress factors on physical and mental fatigability.

중환자실 간호사의 연명의료에 대한 태도, 역할인식 및 간호 스트레스 (Attitude, Role Perception and Nursing Stress on Life Sustaining Treatment among Intensive Care Unit Nurses)

  • 이수정;김혜영
    • 성인간호학회지
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    • 제29권2호
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    • pp.131-142
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    • 2017
  • Purpose: The aims of the study were to investigate relationships among intensive care unit (ICU) nurses' attitude, role perception, and nursing stress related to life sustaining treatment (LST), and secondly, to identify factors influencing nursing stress about LST. Methods: Participants were 202 conveniently sampled ICU nurses from general hospitals in Korea with over 300 beds. From December 1, 2015 to January 31, 2016, data were collected using structured questionnaires. The questionnaire was designed to measure nursing stress related to LST. Content validity and reliability was established for the instrument. Results: Relationships were found between attitude and role perception, and between role perception and nursing stress about LST. Participants' role perception, gender, education level, and the experience of dealing with family members of patients receiving LST accounted for 13% of variance in nursing stress about LST. Conclusion: Results confirmed that ICU nurses' role perception affects nursing stress about LST. Accordingly, the nursing education programs related to LST should aim to enhance role perception of nurses, and strategies to reduce the nursing stress about LST of the nurses in ICU need to be further developed.

노인 당뇨병환자의 스트레스 지각, 스트레스 대처방식, 자가간호행위 및 당화혈색소와의 관계 (The Study Related to Perceived Stress, Stress Coping Method, Self-Care Behavior and Hemoglobin $A_1c$ of Elderly Diabetic Mellitus Patients)

  • 박미연;김경희
    • 기본간호학회지
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    • 제15권2호
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    • pp.186-194
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    • 2008
  • Purpose: The purpose of this studγ is to understand relations among perceived stress, stress coping method, self-rare behavior and Hemoglobin $A_1c$ of elderly diabetic mellitus patients. Method: Participants were 128 patients who were under medical treatment in outpatient department at C university hospital. The collected data were analyzed using technical statistics, frequency, percentage, T-test, ANOVA and person's correlation coefficient by SPSS 12.0. Result: There were positive correlation between self-care behavior and coping method based on emotions under the lower category of stress coping method. Hemoglobin $A_1c$ of patients had a negative correlation with physical exorcise of self coping method under the lower category. Perceived stress had also a negative correlation with emotions as coping method in the lower category and medication of self-care behavior. Conclusion: It was noted that elderly diabetic mellitus patients didn't much use a coping method based mainly problems and another method based emotions in case of perceived stress. The findings of this study will be useful for developing an nursing intervention program focused on elderly diabetic mellitus patients.

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