119구급대원의 폭력경험과 사회심리적 스트레스 및 소진의 연관성

Abstract

ABSTRACT

The Relationship of Violence Experience, Psychosocial Stress and Burnout amog 119 Emergency Medical Technicians ; Focusing on 119 Emergency Medical Technician in Gwangju and Jeollanamdo

Park, Keum-suk Advisor: Prof. Choi, Seong-Woo, M.D., Ph.D. Department of Public Health, Graduate School of Health Science, Chosun University

Purpose: This study aimed to identify correlations between violent experiences, psychosocial stress and exhaustion in emergency medical technicians, and factors which affect psychosocial stress and exhaustion targeting 455 emergency medical technicians in order to present basic data for the development of measures to decrease stress and exhaustion in the subjects.

Methods: This study interviewed 455 emergency medical technicians with the use of an organized essay-type questionnaire between November 1 and March 30, 2013. With the use of SPSS WIN 20.0, the general characteristics of the subjects and their frequency and percentage of violent experiences were analyzed. The means and standard deviations were obtained to understand psychosocial stress and exhaustion levels. The difference in measurement variables according to general characteristics were analyzed with the use of a t-test and ANOVA(with a Scheffe test as a post-test). Correlations between variables were analyzed with the use of Pearson‘s correlation coefficient. To determine psychosocial stress and exhaustion factors, a linear regression analysis was performed. Results: As a result of the regression analysis, it was discovered that psychosocial stress factors were work location, the hope to keeping working in the present department, and verbal violence(R²=12.9%), and the exhaustion factors were hope to keeping working at the present department, work location, and verbal violence(R²=14.5%).

Conclusion: As a result of this study, it was discovered that the more experiences of verbal violence the subjects had, the higher the psychosocial stress and exhaustion levels they had. The psychosocial stress factors were work location, hope to keeping working at the present department, and verbal violence. The exhaustion factors were hope to keep working at the present department, work location, and verbal violence. Therefore, it is suggested that strategies to deal with violence against subjects are educational programs to prevent violence and emotional support programs to decrease psychosocial stress, as well measures to improve the emergency rescue environment should be developed.

Keywords: Experienced violence, Psychosocial stress, Burnout