Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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Factors Affecting Post-Traumatic Stress of Nurses in Direct Care for COVID-19 Patients

COVID-19 환자를 간호한 간호사의 외상 후 스트레스에 영향을 미치는 요인

  • Kim, Ok Nyeong (Department of Nursing, Gyeongsang National University Hospital) ;
  • Choi, So Young (College of Nursing, Gyeongsang National University)
  • 김옥녕 (경상국립대학교병원) ;
  • 최소영 (경상국립대학교 간호대학)
  • Received : 2021.01.26
  • Accepted : 2021.06.29
  • Published : 2021.08.31
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Abstract

Purpose: The purpose of this study was to investigate post-traumatic stress, job stress, fatigue, and social support of nurses in direct care for COVID-19 patients and to identify the factors affecting post-traumatic stress among the nurses. Methods: The participants were 150 nurses from three hospitals. Data were collected from September 11, 2020 to September 21, 2020. The data were analyzed with SPSS/WIN/25.0 program. Results: The mean score of post-traumatic stress was 22.27±15.49 (range 0~88). The percentage of high risk group of post-traumatic stress was 35.3%, risk group was 20.0%, normal group was 44.7%. Post-traumatic stress showed statistically significant differences according to quarantined experience (t=2.15, p=.033), and provision of COVID-19 manual (t=-2.40, p=.026). Post-traumatic stress was positively correlated with job stress (r=.48, p<.001), and fatigue (r=.58, p<.001), and it was negatively correlated with social support (r=-.22, p=.005). Job stress was positively correlated with fatigue (r=.74, p<.001), and it was negatively correlated with social support (r=-.17, p=.030). Fatigue and social support (r=-.17, p=.029) had a negative correlation. The results of regression analysis showed that the factors affecting post-traumatic stress included fatigue (β=.56, p<.001), provision of COVID-19 manual (β=-.24, p<.001), and quarantined experience (β=.18, p=.006) and that the total explanatory power was 42.0%. Conclusion: In this study, fatigue, provision of COVID-19 manual, and quarantined experience were found as influential factors of post-traumatic stress among nurses in direct care for COVID-19 patients. Therefore, development of the intervention for reducing the fatigue should consider to prevent post-traumatic stress in nurses. Also, provision of COVID-19 manual for nurses and psychological intervention program for nurses experienced quarantine are necessary.

Keywords

References

  1. Korea Disease Control and Prevention Agency. Information COVID-19 [Internet]. Cheongju: Korea Disease Control and Prevention Agency; 2020 [cited 2021 Jan 25]. Available from: http://ncov.mohw.go.kr/baroView.do?brdId=4&brdGubun=41.
  2. Ministry of Health and Welfare. Regular briefing of central disaster and safety countermeasure headquarters on COVID-19 [Internet]. Cheongju: Korea Disease Control and Prevention Agency; 2020 Feb 23 [cited 2021 Jan 25]. Available from: http://www.mohw.go.kr.
  3. Jung GS, Lee JS. Choi Yeon Sook, a former nurse, conducted her first parliamentary audit [Internet]. The Korean Nurses Association News; 2020 Oct 26 [cited 2021 Jan 25]. Available from: http://www.nursenews.co.kr/main/ArticleDetailView.asp?sSection=61&idx=26096.
  4. Jin DR, Lee GY. Experiences of nurses at a general hospital in Seoul which is temporarily closed due to COVID-19. Journal of Korean Academic Society of Nursing Education. 2020;26(4):412-422. https://doi.org/10.5977/jkasne.2020.26.4.412
  5. Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control. 2020;48(6):592-598. https://doi.org/10.1016/j.ajic.2020.03.018
  6. Lee MS, Choe MA. Nurses on the front lines of COVID-19. Perspectives in Nursing Science. 2021;18(1):33-39. https://doi.org/10.16952/pns.2021.18.1.33
  7. Garcia-Reyna B, Castillo-Garcia GD, Barbosa-Camacho FJ, Cervantes-Cardona GA, Cervantes-Perez E, Torres-Mendoza BM, et al. Fear of COVID-19 Scale for hospital staff in regional hospitals in Mexico: A brief report. International Journal of Mental Health and Addiction. 2020:1-12. https://doi.org/10.1007/s11469-020-00413-x
  8. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV. 4th ed. Washington (DC): American Psychiatric Association; 1994.
  9. Cohen SS, Mulvaney K. Field observations: Disaster Medical Assistance Team response for Hurricane Charley, Punta Gorda, Florida, August 2004. Journal of Emergency Nursing. 2005;3(1):22-27. https://doi.org/10.1016/j.dmr.2004.10.003
  10. Son YJ, Gong HH, You MA, Kong SS. Relationships between workplace violence experience and posttraumatic stress symptoms resilience in clinical nurses. Journal of the Korean Data Analysis Society. 2015;17(1):515-530.
  11. Han JW, Lee BS. The relationship of post-traumatic stress, job stress and turnover intention in emergency department nurses. Journal of Korean Academy of Nursing Administration. 2013;19(3):340-350. https://doi.org/10.11111/jkana.2013.19.3.340
  12. Jung HJ, Kim JY, Jeong SY. Factors affected with post-traumatic stress in nurses involved in direct care for middle east respiratory syndrome patients. Health and Social Welfare Review. 2016;36(4):488-507. https://doi.org/10.15709/hswr.2016.36.4.488
  13. Mealer M, Burnham EL, Goode CJ, Rothbaum B, Moss M. The prevalence and impact of post traumatic stress disorder and burnout syndrome in nurses. Depression & Anxiety. 2009;26(12):1118-1126. https://doi.org/10.1002/da.20631
  14. Kim HJ, Park HR. Factors affecting post-traumatic stress of general hospital nurses after the epidemic of Middle East Respiratory Syndrome infection. Journal of Korean Clinical Nursing Research. 2017;23(2):179-188. https://doi.org/10.22650/JKCNR.2017.23.2.179
  15. Kim JY, Choi JS. Factors influencing emergency nurses' burnout during an outbreak of Middle East Respiratory Syndrome Coronavirus in Korea. Asian Nursing Research. 2016;10(4):295-299. https://doi.org/10.1016/j.anr.2016.10.002
  16. Kim JY. Nurses' experience of Middle East Respiratory Syndrome patients care. Journal of the Korea Academia-Industrial cooperation Society. 2017;18(10):185-196. https://doi.org/10.5762/KAIS.2017.18.10.185
  17. Gu HH. Fatigue symptoms and related factors among nurses participating pandemic influenza patient care: focused on middle east respiratory syndrome [master's thesis]. Seoul: Sungshin Women's University; 2017. p. 1-66.
  18. Cohen S. Social relationships and health. American Psychologist. 2004;59(8):676-684. https://doi.org/10.1037/0003-066x.59.8.676
  19. Jung HC. A study on the job stress of workers at social welfare center [master's thesis]. Yongin: Gangnam University; 2009. p. 1-71.
  20. Kim SG. The influence of the social supports, leisure activities of firefighters on the alleviation of post-traumatic stress disorder [master's thesis]. Seoul: Dongguk Universityl; 2016. p. 1-71.
  21. Weiss DS, Marmar C. The Impact of Event Scale-Revised. In: Wilson JP, Keane TM, editors. Assessing psychological trauma and PTSD. New York: Guilford Press. 1997. p. 399-411.
  22. Eun HJ, Kwon TW, Lee SM, Kim TH, Choi MR, Cho SJ. A study on reliability and validity of the Korean version of Impact of Event Scale-Revised. Journal of Korean Neuropsychiatric Association. 2005;44(3):303-310.
  23. Her S, Kim KH. Development and evaluation of job stress measurement tool for infection control nurses. Journal of Korean Academy of Nursing Administration. 2013;19(5):622-635. https://doi.org/10.11111/jkana.2013.19.5.622
  24. World Health Organization. WHO Director-General's opening remarks at the media briefing on COVID-19 [Internet]. Geneva: World Health Organization;2020[cited 2021 Jan 25]. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  25. Chang SJ, Koh SB, Kang MG, Hyun SJ, Cha BS, Park JK, et al. Correlates of self-rated fatigue in Korean employees. Journal of Preventive Medicine and Public Health. 2005;38(1):71-81.
  26. Korean Nurses Association. COVID-19 nurses, Take care of patients even when it's hard[Internet]. Seoul: Korean Nurses Association;2020[cited 2021 Jul 30]. Available from: http://www.koreanurse.or.kr/board/board_read.php?board_id=press&member_id=admin&exec=&no=350&category_no=1&step=0&tag=&sgroup=340&sfloat=&position=10&mode=&find=&search=.
  27. Shin KR. COVID-19 counter measures and action plan for improvement of nursing treatment. Hira Research. 2021;1(1):103-107. https://doi.org/10.52937/hira.21.1.1.103
  28. Korean Nurses Association. The government and medical institutions are in dire need of consideration for nurses to protect the COVID-19 [Internet]. Seoul: Korean Nurses Association; 2020 [cited 2021 Jan 25]. Available from: http://www.koreanurse.or.kr/board/board_read.php?board_id=press&member_id=admin&exec=&no=317&category_no=&step=0&tag=&sgroup=308&sfloat=&position=7&mode=&find=&search=.
  29. Kim EY. COVID-19 frontline healthwork staff, physical and mental health problems [Internet]. Seoul: Docdocdoc; 2020 [cited 2021 Jan 25]. Available from: http://www.docdocdoc.co.kr/news/articleView.html?idxno=2001690.
  30. Lee SM, Kang WS, Cho AR, Kim T, Park JK. Psychological impacto of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry. 2018;87:123-127. https://doi.org/10.1016/j.comppsych.2018.10.003