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KMID : 0367020200320010088
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Journal of Korean Academic of Adult Nursing
2020 Volume.32 No. 1 p.88 ~ p.97
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Factors Influencing Post-Traumatic Stress Disorder in Critical Care Nurses based on Lazarus & Folkman's Stress, Appraisal-Coping Model
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Kim Hye-Gyeong
Choi Ja-Yun
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Abstract
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Purpose: Critical care nurses are often exposed to many stressors, which may predispose them to develop work-related Post-Traumatic Stress Disorder (PTSD). Hence, this study's purpose was to identify factors associated with PTSD among nurses in the Intensive Care Unit (ICU), who had experienced trauma events.
Methods: For this descriptive study, 169 subjects were recruited at the C University Hospital, where data were collected through the intranet from February 1 to March 16, 2018. Based on the stress, appraisal-coping model, well-structured questionnaires were used to measure PTSD as the dependent variable; and Type D personality, resilience, communication ability, problem solving ability, stress coping style, stress inducing events, and social support as independent variables. Multiple logistic regression was used to analyze PTSD related factors.
Results: The mean of PTSD symptoms was 15.52±12.94; with 20.7% and 45.6% of participants falling in the PTSD high risk and Type D personality groups, respectively. Moreover, resilience was found to be 107.41±12.79, traumatic events to be 28.25±7.07, and social support to be 80.22±12.20, while the following parameters were associated with PTSD: D type personality (Odds Ratio [OR]=4.27, 95% Confidence Interval [CI]=1.62~11.21), experience of traumatic events (OR=1.08, 95% CI=1.02~1.15), resilience (OR=0.96, 95% CI=0.92~0.99), and social support (OR=0.96, 95% CI=0.92~0.99).
Conclusion: While examining risk factors associated with PTSD, Type D personality and the occurrence of trauma events should be considered when nurses are assigned to ICUs, along with the improvements required in hospital culture for enhancing resilience and social support.
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KEYWORD
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Intensive care units, Nurses, Stress disorders, traumatic
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