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韩国新冠疫情期间影响医院临床护士创伤后应激障碍的因素:心理韧性、社会支持及护理职业自豪感

Factors Influencing Post-Traumatic Stress Disorder in Hospital Clinical Nurses during COVID-19 in Korea: Resilience, Social Support, and Professional Pride in Nursing.

作者信息

Kim Bomi, Kim Hae Ran, Yoo Jae Yong, Han Mi Ah

机构信息

Department of Nursing, Chosun University Hospital, Gwangju 61453, Republic of Korea.

Department of Nursing, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.

出版信息

Healthcare (Basel). 2024 Jul 14;12(14):1401. doi: 10.3390/healthcare12141401.

DOI:10.3390/healthcare12141401
PMID:39057544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11275385/
Abstract

During the COVID-19 pandemic, clinical nurses in hospitals in South Korea were exposed to extreme stress, and many continue to suffer from post-traumatic stress disorder (PTSD). This study explores the factors influencing PTSD among hospital clinical nurses during COVID-19. In total, 121 hospital clinical nurses participated in 2022, providing demographic information and completing surveys designed to measure PTSD, resilience, social support, professional pride in nursing (PPN), and variables related to COVID-19. We observed statistically significantly higher levels of resilience (91.48 vs. 70.00), social support (47.37 vs. 35.41), and PPN (88.36 vs. 68.06) in the low-risk PTSD group compared with the high-risk PTSD group. Resilience was associated with a reduced risk of PTSD (OR, 0.91; 95% CI = 0.84-0.98). The subfactors of control (OR = 0.60; 95% CI = 0.43-0.86) and sociability (OR = 0.68; 95% CI = 0.44-0.97) decreased PTSD risk. Among the social support subfactors, family support had an OR of 0.47 (95% CI = 0.26-0.86) for reducing PTSD risk. Programs involving family participation that enhance resilience and provide psychological support can help hospital nurses affected by the COVID-19 pandemic manage their PTSD. Our findings serve as foundational data to develop interventions on psychological well-being for nurses dealing with new infectious diseases.

摘要

在新冠疫情期间,韩国医院的临床护士面临着巨大压力,许多人仍患有创伤后应激障碍(PTSD)。本研究探讨了新冠疫情期间影响医院临床护士创伤后应激障碍的因素。2022年,共有121名医院临床护士参与研究,提供了人口统计学信息,并完成了旨在测量创伤后应激障碍、心理韧性、社会支持、护理职业自豪感(PPN)以及与新冠相关变量的调查。我们观察到,与高风险创伤后应激障碍组相比,低风险创伤后应激障碍组的心理韧性(91.48对70.00)、社会支持(47.37对35.41)和护理职业自豪感(88.36对68.06)在统计学上显著更高。心理韧性与创伤后应激障碍风险降低相关(OR,0.91;95%CI = 0.84 - 0.98)。控制(OR = 0.60;95%CI = 0.43 - 0.86)和社交性(OR = 0.68;95%CI = 0.44 - 0.97)等子因素降低了创伤后应激障碍风险。在社会支持子因素中,家庭支持降低创伤后应激障碍风险的OR为0.47(95%CI = 0.26 - 0.86)。涉及家庭参与以增强心理韧性并提供心理支持的项目,可帮助受新冠疫情影响的医院护士应对创伤后应激障碍。我们的研究结果为针对应对新发传染病的护士制定心理健康干预措施提供了基础数据。