Tseng Hsu-Min, Shih Whei-Mei, Shen Yung-Chao, Ho Lun-Hui, Wu Chu-Fang
Department of Healthcare Management, Chang Gung University, Taoyuan City, Taiwan.
Medical Education Research Centre, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan.
J Burn Care Res. 2018 Aug 17;39(5):798-804. doi: 10.1093/jbcr/irx053.
A Dust explosion that injured 499 patients occurred on June 27, 2015 in Taiwan. This tragedy inundated hospitals across northern Taiwan with an unprecedented number of burn patients. It caused extreme pressure and challenges for nurses. The purpose of this study is to investigate factors associated with nurses' work stress, resilience, and professional quality of life in caring for dust exposure patients. A cross-sectional survey data was collected from nurses in caring for dust explosion patients. A total of 83 nurses in burn unit, plastic surgery ward, and reconstructive microsurgery unit returned valid data for analysis. Structured questionnaires included demographic inventory, Nurse Stress Checklist, Connor Davidson Resilience Scale, and Professional Quality of Life Scale version 5. The study results showed that work stress deteriorated the professional quality of life, while resilience was a protective factor. Significant positive relationships were observed between work stress, burnout, and secondary traumatic stress. Results of hierarchical regression analysis indicated that resilience helps to ease the deterioration effect of secondary traumatic stress. Results confirm the importance of both work stress and resilience in explaining aspects of professional quality of life. More importantly, resilience was shown as a significant variable impacting level of secondary trauma stress. Intervention in promoting resilience should be targeted in order to reduce secondary trauma among nurses after facing disastrous mass causality incidents.
2015年6月27日，台湾发生一起粉尘爆炸事故，造成499名患者受伤。这场悲剧致使台湾北部的医院涌入了数量空前的烧伤患者。这给护士带来了极大的压力和挑战。本研究旨在调查在护理粉尘暴露患者时，与护士工作压力、心理弹性及职业生活质量相关的因素。研究收集了护士护理粉尘爆炸患者的横断面调查数据。烧伤科、整形外科病房及显微重建外科的83名护士返回了有效数据用于分析。结构化问卷包括人口统计学调查表、护士压力清单、康纳·戴维森心理弹性量表及职业生活质量量表第5版。研究结果表明，工作压力会降低职业生活质量，而心理弹性是一个保护因素。工作压力、职业倦怠和继发性创伤压力之间存在显著的正相关关系。分层回归分析结果表明，心理弹性有助于缓解继发性创伤压力的恶化效应。结果证实了工作压力和心理弹性在解释职业生活质量方面的重要性。更重要的是，心理弹性被证明是影响继发性创伤压力水平的一个显著变量。应针对性地采取促进心理弹性的干预措施，以减少护士在面对灾难性群体伤亡事件后的继发性创伤。
