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在医疗康复医院工作的护士的二次创伤和创伤后成长中的应对策略:一项初步研究。

Coping strategies in secondary traumatization and post-traumatic growth among nurses working in a medical rehabilitation hospital: a pilot study.

机构信息

School of Social Work, Ariel University, Ariel Science Park, 4958807, Ariel, Israel.

Reuth Rehabilitation Hospital, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Int Arch Occup Environ Health. 2019 Jan;92(1):93-100. doi: 10.1007/s00420-018-1354-z. Epub 2018 Sep 11.

DOI:10.1007/s00420-018-1354-z
PMID:30206702
Abstract

PURPOSE

Secondary traumatization and post-traumatic growth have been recognized as psychological reactions that might occur among the medical staff in general, and among nurses in particular. Nurses in the field of medical rehabilitative care might reveal such reactions as their work involves stress and traumatic situations. Coping strategies might either alleviate or exacerbate work-related stress experienced by nurses. The aims of the current study were to explore the link between secondary traumatization and post-traumatic growth exhibited by nurses in the field of medical rehabilitative care, and to examine the link between problem-focused coping strategies and emotion-focused coping strategies to secondary traumatization and post-traumatic growth.

MATERIAL AND METHOD

One hundred and fifty-three rehabilitative nurses completed self-report questionnaires regarding personal data, post-traumatic growth, secondary traumatization, ways of coping strategies and personal negative life events.

RESULTS

Correlation matrix for the path analysis model revealed positive significant correlation between secondary traumatization and post-traumatic growth. Both, problem-focused coping and emotion-focused coping strategies were linked to secondary traumatization and post-traumatic growth.

CONCLUSIONS

Nurses employed in a medical rehabilitation hospital who cope via problem-focused strategies as well as emotion-focused strategies in their work, might reveal secondary traumatization but might simultaneously benefit from post-traumatic growth.

摘要

目的

继发性创伤和创伤后成长已被认为是可能发生在医务人员中,特别是护士中的心理反应。从事医疗康复护理的护士由于其工作涉及压力和创伤性情况,可能会表现出这种反应。应对策略可能会减轻或加剧护士所经历的与工作相关的压力。本研究的目的是探讨从事医疗康复护理的护士中继发性创伤和创伤后成长之间的联系,并研究问题焦点应对策略和情绪焦点应对策略与继发性创伤和创伤后成长之间的联系。

材料与方法

153 名康复护士完成了个人数据、创伤后成长、继发性创伤、应对策略和个人生活负性事件的自我报告问卷。

结果

路径分析模型的相关矩阵显示,继发性创伤与创伤后成长之间存在正显著相关。问题焦点应对策略和情绪焦点应对策略均与继发性创伤和创伤后成长有关。

结论

在医疗康复医院工作的护士,如果在工作中采用问题焦点应对策略和情绪焦点应对策略,可能会出现继发性创伤,但同时也可能受益于创伤后成长。

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