Kim Sunah, Park Jinyoung, Lee Wongyeong, Kim Goun
College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Republic of Korea.
College of Nursing, Yonsei University, Seoul, Republic of Korea.
Complex Psychiatry. 2024 Jul 22;10(1-4):45-58. doi: 10.1159/000540350. eCollection 2024 Jan-Dec.
Nurses, who care for patients with various traumas, may also experience post-traumatic stress disorder due to indirect or direct exposure to traumatic situations. This study examined the effectiveness of an Internet-based trauma recovery intervention for Korean nurses.
This randomized controlled trial was conducted with 112 nurses aged 23-40 years who were randomly assigned to the intervention ( = 56) or control group ( = 56) from May 7 to December 20, 2020. Nurses in the intervention group attended eight sessions, and the same intervention was administered to the control group. Repeated measures were collected at pre-test, post-test 1 (immediately after the intervention), and post-test 2 (4 weeks after the intervention). A total of 102 nurses (intervention group: = 49; control group: = 53) were completed because 10 nurses dropped out before the first session. Data were analyzed using the χ test, Fisher's exact test, -test, Mann-Whitney U test, and repeated measures ANOVA (intention-to-treat and per protocol).
There were significant changes in functional health, resilience, post-traumatic stress, depressive symptoms, state anxiety, and trait anxiety over time and in the group-by-time interactions (intention-to-treat and per protocol). There was a significant difference in social support in the group-by-time interactions, but there were no significant changes between the two groups or over time (intention-to-treat and per protocol).
The Internet-based trauma recovery nursing intervention is effective in clinical and community settings for nurses who cannot participate in fixed-schedule programs due to shift work. This study's findings are relevant for implementing Internet-based trauma recovery programs for nurses and the general population, including survivors and relatives of patients who suffered from COVID-19. This program will also be very useful for people in other high-stress situations. Nurse leaders should consider different populations and situations when offering effective coping strategies suitable for changing environments.
护理各种创伤患者的护士，可能因间接或直接接触创伤情境而患上创伤后应激障碍。本研究考察了基于互联网的创伤恢复干预措施对韩国护士的有效性。
本随机对照试验于2020年5月7日至12月20日对112名年龄在23至40岁的护士进行，她们被随机分为干预组（n = 56）或对照组（n = 56）。干预组的护士参加了八次课程，对照组接受了相同的干预。在预测试、测试后1（干预后立即进行）和测试后2（干预后4周）收集重复测量数据。共有102名护士（干预组：n = 49；对照组：n = 53）完成了研究，因为有10名护士在第一节课之前退出。数据采用χ检验、费舍尔精确检验、t检验、曼-惠特尼U检验以及重复测量方差分析（意向性分析和符合方案分析）进行分析。
随着时间推移以及在组间与时间的交互作用方面（意向性分析和符合方案分析），功能健康、心理复原力、创伤后应激、抑郁症状、状态焦虑和特质焦虑均有显著变化。在组间与时间的交互作用方面，社会支持存在显著差异，但两组之间或随时间并无显著变化（意向性分析和符合方案分析）。
基于互联网的创伤恢复护理干预措施，对于因轮班工作而无法参加固定日程项目的护士，在临床和社区环境中是有效的。本研究结果对于为护士以及包括COVID - 19患者幸存者和亲属在内的普通人群实施基于互联网的创伤恢复项目具有参考价值。该项目对于处于其他高压力情境中的人群也将非常有用。护士长在提供适合不断变化环境的有效应对策略时，应考虑不同人群和情境。
