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手术室护士遭受言语暴力的经历、心理韧性及社会支持对创伤后应激的影响

The Effects of Operating Room Nurses' Experiences of Verbal Violence, Resilience, and Social Support on Post-Traumatic Stress.

作者信息

Kim Do Kyun, Shin Sung Hee

机构信息

Department of Nursing, Graduate School, Kyung Hee University, Seoul 02447, Republic of Korea.

College of Nursing Science, Kyung Hee University, Seoul 02447, Republic of Korea.

出版信息

Healthcare (Basel). 2025 Aug 17;13(16):2027. doi: 10.3390/healthcare13162027.

Abstract

Operating room (OR) nurses are frequently exposed to high-stress environments, including verbal violence, which may induce post-traumatic stress (PTS). This study investigated the effects of verbal violence, resilience, and social support on PTS among OR nurses. : A cross-sectional descriptive correlational study was conducted with 150 OR nurses who had at least one year of work experience. Data were collected via a mobile-based questionnaire and analyzed using SPSS Statistics 25. The main variables included experiences of verbal violence (from doctors and nurses), resilience, social support, and OR work satisfaction. Exposure to verbal violence from doctors and nurses, as well as having 10 or more years of clinical experience, were significantly associated with higher PTS levels. In contrast, greater OR work satisfaction was associated with lower PTS. These variables collectively explained 36.6% of PTS variance (F = 8.64, < 0.001). Verbal violence significantly contributes to PTS among OR nurses. Enhancing resilience and social support may mitigate the impact of PTS. Therefore, interventions such as structured peer-support systems, resilience training, and violence-prevention policies are recommended to reduce PTS risk. In addition, interventions to prevent verbal violence, and strengthen resilience and social support, and OR work satisfaction are crucial to protect nurses' mental health and ensure patient safety.

摘要

手术室护士经常暴露于高压力环境中,包括言语暴力,这可能会导致创伤后应激障碍(PTS)。本研究调查了言语暴力、心理韧性和社会支持对手术室护士创伤后应激障碍的影响。:对150名至少有一年工作经验的手术室护士进行了一项横断面描述性相关性研究。通过基于手机的问卷收集数据,并使用SPSS Statistics 25进行分析。主要变量包括言语暴力经历(来自医生和护士)、心理韧性、社会支持和手术室工作满意度。来自医生和护士的言语暴力暴露以及有10年或更长时间的临床经验与较高的创伤后应激障碍水平显著相关。相比之下,更高的手术室工作满意度与较低的创伤后应激障碍相关。这些变量共同解释了创伤后应激障碍变异的36.6%(F = 8.64,<0.001)。言语暴力对手术室护士的创伤后应激障碍有显著影响。增强心理韧性和社会支持可能会减轻创伤后应激障碍的影响。因此,建议采取结构化同伴支持系统、心理韧性训练和预防暴力政策等干预措施来降低创伤后应激障碍风险。此外,预防言语暴力、增强心理韧性和社会支持以及提高手术室工作满意度的干预措施对于保护护士的心理健康和确保患者安全至关重要。

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