Department of Nursing, Graduate School, Kyung Hee University, Seoul, Republic of Korea.
College of Nursing Science, East-West Nursing Research Institute, Kyung Hee University, Seoul, Republic of Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2024 May;18(2):159-166. doi: 10.1016/j.anr.2024.04.009. Epub 2024 May 3.
The aim of this study was to identify the factors affecting the post-traumatic stress disorder (PTSD) symptoms of intensive care unit (ICU) nurses. The variables include event experiences, cognitive flexibility, and co-worker support.
A survey was conducted among 153 ICU nurses working in a general hospital or an advanced general hospital. The questionnaire was completed between October and December 2018, and 153 copies were used for the final analysis. Data were analyzed using multiple linear regression to determine the factors associated with PTSD symptoms among ICU nurses.
The level of PTSD symptoms of ICU nurses was 1.20 ± 0.82 out of 4. Full PTSD, signified by a total score of 25 or more, was reported by 45.1% of the study's 153 participants. The significant influencing factors of PTSD symptoms among ICU nurses were the "experience of traumatic events," "trusted alliance," which is a subarea of "coworker support," and both "control" and "alternative," which are subareas of "cognitive flexibility." The explanatory power (49.8%) was statistically significant.
These results suggest that a program to enhance the cognitive flexibility and coworker support of ICU nurses needs to be developed to reduce the PTSD symptoms of ICU nurses.
本研究旨在确定影响重症监护病房（ICU）护士创伤后应激障碍（PTSD）症状的因素。变量包括事件经历、认知灵活性和同事支持。
对一家综合医院或高级综合医院的 153 名 ICU 护士进行了一项调查。问卷于 2018 年 10 月至 12 月之间完成，最终分析采用了 153 份问卷。采用多元线性回归分析来确定与 ICU 护士 PTSD 症状相关的因素。
ICU 护士的 PTSD 症状水平为 4 分中的 1.20±0.82。研究的 153 名参与者中有 45.1%报告了 PTSD 的全部症状，即总分达到 25 分或以上。ICU 护士 PTSD 症状的显著影响因素是“创伤性事件的经历”、“值得信赖的联盟”，这是“同事支持”的一个子领域，以及“控制”和“替代”，这是“认知灵活性”的子领域。解释力（49.8%）具有统计学意义。
这些结果表明，需要制定一个增强 ICU 护士认知灵活性和同事支持的方案，以减轻 ICU 护士的 PTSD 症状。
