COVID-19 환자를 간호한 간호사의 외상 후 스트레스 장애 영향요인

Abstract

Abstract Factors Influencing Post Traumatic Stress Disorder In Nurses During The COVID-19 Pandemic: Focused on Resilience and Social Support and Nursing Professional Pride.

Kim, Bomi Advisor: Prof. Kim, Hae-ran. Ph.D Department of Nursing Graduate School of Chosun University

Purpose: This study is a descriptive research study that attempted to investigate post-traumatic stress, resilience, social support, nursing professional pride of nurses in caring for COVID-19 patients and to identify the factors influencing post-traumatic stress disorder.

Methods: The data collection period was from 01 August, 2022 to 20 August, 2022 with the approval of IRB C University Hospital. The participants were 121 nurses who are working in the two tertiary general hospitals and one general hospital located in G city. The self-reported questionnaire included post-traumatic stress, resilience, social support, nursing professional pride, general characteristics and work-related information. The collected data were analysed using descriptive statistics, independent t-test, χ² test, Pearson’s correlation coefficient and Binary logistic regression using SPSS/WIN 29.0 program.

Results: The results of this study are as follows 1. Participants’ total score of post-traumatic stress was 16.21±14.87 points(range 0-88), resilience was 85.45±16.22 points(range 27-135), social support was 44.99±9.77 points(range 12-60) and nursing professional pride was 82.65±17.02 points (range 27-135). The high risk group for post-traumatic stress was 28.1%, the low risk group was 71.9%.

2. According to the participants’ general characteristics and job-related characteristics, there were significant differences in the level of post-traumatic stress disorder according to experience of being confirmed with COVID-19(χ²=6.85, p=.01), experience of transfer to COVID-19 ward(χ²=4.67, p=.03). There were also statistically significant differences in resilience(t=8.14, p<.001), social support(t=7.21, p<.001) and nursing professional pride(t=6.97, p<.001) between the low and high risk groups for post-traumatic stress disorder.

3. There was a negative correlation between post-traumatic stress and resilience(r=-.71, p<.001), social support(r=-.63, p<.001) and nursing professional pride(r=-.66, p<.001) had a negative correlation. Social support was positively correlated with resilience(r=.80, p<.001) and nursing professional pride(r=.61, p<.001). Resilience was positively correlated with nursing professional pride(r=.75, p<.001).

4. As a result of binary logistic regression analysis to verify the factor influencing post-traumatic stress in nurses during the COVID-19 pandemic, resilience was found to be the factor influencing post-traumatic stress and the total explanatory power was 59.0%. Nurses who had higher resilience had lower post-traumatic stress disorder(OR=.91, 95% CI:.84~.98).

Conclusion: The factor influencing post-traumatic stress in nurses during the COVID-19 pandemic is resilience. Therefore, establishing training programmes that can increase nurses' resilience will help to manage nurses' post-traumatic stress disorder. And also, these research findings can be used as basic data to provide psychological support programme for nurses during infectious diseases such as COVID-19.

Key words: COVID-19, Post-traumatic stress disorder, Resilience, Social support, Nursing professional pride, Nurses